Indications for scleral lenses

In several cases of high irregular astigmatism such as advanced keratoconus, postkeratoplasty and pellucid marginal degeneration scleral lenses are the only nonsurgical solution to improve vision. In addition to correction of irregular astigmatism the large size and scleral bearing surface of these lenses can also be beneficial in the management of certain ocular surface disorders. They can prevent exposure keratitis and enhance epithelial healing.

In this part of the session the different indications for scleral lens fitting are discussed and demonstrated by several case reports. This will show the clinical success and many opportunities of these lenses.