Scleral lens issues and complications
Reviewing 47 publications, Fadel examines issues and complications related to a non-optimal fitting relationship between lens and ocular surface that scleral contact lens (ScCL) ﬁtters may encounter. Issues with ScCLs include excessive central clearance, bearing, corneal staining, air bubbles, midday fogging, conjunctival issues, lens adhesion and decentration. Complications such as epithelial bullae, microcysts, corneal edema and neovascularization are discussed. Understanding etiology and management will allow practitioners to gain more conﬁdence in ﬁtting ScCLs, and prescribe them more often.
Eye & Contact Lens 2019;45:3 152-163. Read the full text