Using Specialty Soft Lenses for Irregular Cornea

By
Lindsay A. Sicks, OD, FAAO
September 17, 2026
4 min

Contact Lens Spectrum

Background

Managing visual rehabilitation in patients with irregular corneas, particularly after penetrating keratoplasty, presents significant challenges. Traditional rigid lenses often lead to discomfort and dropout, necessitating alternative solutions.

Data Highlights

No numerical data or trial data provided in the article.

Key Findings

A 48-year-old female with bilateral keratoconus and history of PKP was evaluated for contact lens fitting.
Custom specialty soft lenses were recommended after the patient experienced discomfort with rigid GP lenses.
The patient achieved a best-corrected visual acuity of 20/30+ with the new specialty soft lens.
Follow-up after seven years showed stable vision and continued comfort with the specialty lens.
The patient reported using the lens for approximately 12 hours a day with a hydrogen-peroxide-based care system.

Clinical Implications

The use of custom specialty soft contact lenses can be an effective alternative for patients with irregular corneas who cannot tolerate rigid lenses. Regular follow-ups are essential to monitor lens fit and ocular health.

Conclusion

Custom specialty soft lenses provide a viable solution for visual rehabilitation in patients with irregular corneas, demonstrating long-term stability and comfort.