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While intuitively it may appear logical to select an oblate scleral lens profile to be fitted on an oblate-shaped ocular surface, other clinical indications may optimize the scleral lens fitting with the use of an oblate design. #1 –...
Elevated lesions of the conjunctiva such as pingueculae and pterygia oftentimes present challenges in fitting the patient desiring refractive correction with contact lenses. These lesions can be irritated and thus become inflamed from a contact lens that has a...
By all measures, the 2nd Annual ICSC was a big success! Over 170 doctors from countries as far as Chile, Brazil, Argentina, Canada, Italy and Spain convened in Fort Lauderdale, Florida for the all-day event July 28th. Truly an international...
Talk to patients about the lenses In my office, I explain to patients that a scleral lens is like a bowl, that we fill up with saline and apply to the eye so there is a layer of fluid between...
What solution do you use for sclerals? By now you may have seen a couple of webinars, attended a wet lab or two, watched some YouTube videos and have chosen a couple of lens designs. Good start! Equally important, critical even,...
Getting started in scleral lenses Many practitioners that I speak with are aware of the many benefits of scleral lenses but do not know where to start.   On more than one occasion I have related an anecdote of my own...
Sclerals are the next big thing in optometry Sclerals have become the next big thing in optometry clearly because of the power they have to change patients lives. We have had numerous patients come to our specialty lens clinic with a caregiver...
At the beginning of the scleral fitting appointment, the patient explained that their eye popped out when they were taking out their lenses. The OD listened with some doubt and extracted the lens several times with no problem. But...
Scleral Lens Evolution In exploring my office’s back storage room, I ran across a scleral lens fitting set from 1946 and thought about the evolution of this lens. This 22mm fenestrated, PMMA scleral set from Calcon Laboratories was part of...
You've come a long way, baby! Thus read the ad created for Phillip Morris Company in 1968 to advertise their “Virginia Slims” cigarette. Aimed at the emerging feminist and women’s liberation movement it trumpeted a new era of freedom and...

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