The Scleral Lens Vault: HOA Sclerals for “20/Unhappy” Patients
Discover how HOA-correcting scleral lenses are revolutionizing visual improvements for irregular cornea patients and reducing glare and halos in low light environments.
By
JAMIE KUZNIAR, OD
May 1, 2025
Clinical Scorecard: The Scleral Lens Vault: HOA Sclerals for “20/Unhappy” Patients
At a Glance
Category Detail
Condition Irregular cornea patients experiencing higher-order aberrations (HOAs) Key Mechanisms Wavefront-guided optics for customized scleral lens correction Target Population Patients with irregular corneas, including keratoconus Care Setting Optometry practices specializing in contact lenses
Key Highlights
HOA-correcting scleral lenses can significantly improve visual acuity. 93.3% of patients preferred wavefront-guided optics over traditional optics. Wavefront aberrometry allows for precise customization of lens optics. Guideline-Based Recommendations
Diagnosis
Utilize wavefront aberrometry to assess higher-order aberrations. Management
Fit patients with wavefront-guided scleral lenses for optimal vision correction. Monitoring & Follow-up
Regularly evaluate visual acuity and patient satisfaction post-fitting. Risks
Potential for no measurable improvement in office settings despite subjective benefits. Patient & Prescribing Data
Patients with irregular astigmatism and keratoconus.
Wavefront-guided lenses can reduce glare and halos, especially in low light.
Clinical Best Practices
Assess and quantify HOAs before lens fitting. Use wavefront-guided technology for customized lens designs. Monitor patient outcomes to ensure satisfaction and visual improvement. References
