TY - JOUR
T1 - Modern scleral contact lenses
T2 - A review
AU - van der Worp, Eef
AU - Bornman, Dina
AU - Ferreira, Daniela Lopes
AU - Faria-Ribeiro, Miguel
AU - Garcia-Porta, Nery
AU - González-Meijome, José M
N1 - Copyright © 2014 British Contact Lens Association. Published by Elsevier Ltd. All rights reserved.
PY - 2014/8
Y1 - 2014/8
N2 - Scleral contact lenses (ScCL) have gained renewed interest during the last decade. Originally, they were primarily used for severely compromised eyes. Corneal ectasia and exposure conditions were the primary indications. However, the indication range of ScCL in contact lens practices seems to be expanding, and it now increasingly includes less severe and even non-compromised eyes, too. All lenses that partly or entirely rest on the sclera are included under the name ScCL in this paper; although the Scleral Lens Education Society recommends further classification. When a lens partly rests on the cornea (centrally or peripherally) and partly on the sclera, it is called a corneo-scleral lens. A lens that rests entirely on the sclera is classified as a scleral lens (up to 25 mm in diameter maximum). When there is full bearing on the sclera, further distinctions of the scleral lens group include mini-scleral and large-scleral lenses. This manuscript presents a review of the current applications of different ScCL (all types), their fitting methods, and their clinical outcomes including potential adverse events. Adverse events with these lenses are rare, but the clinician needs to be aware of them to avoid further damage in eyes that often are already compromised. The use of scleral lenses for non-pathological eyes is discussed in this paper.
AB - Scleral contact lenses (ScCL) have gained renewed interest during the last decade. Originally, they were primarily used for severely compromised eyes. Corneal ectasia and exposure conditions were the primary indications. However, the indication range of ScCL in contact lens practices seems to be expanding, and it now increasingly includes less severe and even non-compromised eyes, too. All lenses that partly or entirely rest on the sclera are included under the name ScCL in this paper; although the Scleral Lens Education Society recommends further classification. When a lens partly rests on the cornea (centrally or peripherally) and partly on the sclera, it is called a corneo-scleral lens. A lens that rests entirely on the sclera is classified as a scleral lens (up to 25 mm in diameter maximum). When there is full bearing on the sclera, further distinctions of the scleral lens group include mini-scleral and large-scleral lenses. This manuscript presents a review of the current applications of different ScCL (all types), their fitting methods, and their clinical outcomes including potential adverse events. Adverse events with these lenses are rare, but the clinician needs to be aware of them to avoid further damage in eyes that often are already compromised. The use of scleral lenses for non-pathological eyes is discussed in this paper.
KW - Contact Lenses
KW - Equipment Design
KW - Equipment Failure Analysis
KW - Humans
KW - Prosthesis Fitting
KW - Refractive Errors
KW - Treatment Outcome
KW - Vision Disorders
U2 - 10.1016/j.clae.2014.02.002
DO - 10.1016/j.clae.2014.02.002
M3 - Article
C2 - 24631015
SN - 1367-0484
VL - 37
SP - 240
EP - 250
JO - Contact Lens & Anterior Eye
JF - Contact Lens & Anterior Eye
IS - 4
ER -