Scleral Lens Simplicity: Utilizing Anterior Segment OCT for Scleral Lens Fitting - Scorecard - MDSpire

Scleral Lens Simplicity: Utilizing Anterior Segment OCT for Scleral Lens Fitting

A 26-year-old with keratoconus saw major visual improvement with scleral lenses, highlighting the benefits of anterior segment OCT in lens fitting accuracy.

  • By

  • Aubry Tackett, OD, FAAOMS

  • September 1, 2025

  • 7 min

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Clinical Scorecard: Scleral Lens Simplicity: Utilizing Anterior Segment OCT for Scleral Lens Fitting

At a Glance

CategoryDetail
ConditionKeratoconus
Key MechanismsUtilization of anterior segment OCT for scleral lens fitting accuracy.
Target PopulationPatients with keratoconus requiring scleral lens fitting.
Care SettingSpecialty contact lens clinic.

Key Highlights

  • Anterior segment OCT improves scleral lens fitting accuracy.
  • Scleral lens corrected visual acuity improved to 20/25 in both eyes.
  • Diagnostic scleral lens fitting revealed significant visual improvement.
  • Central clearance of scleral lens ideally around 200 µm.
  • OCT assists in evaluating edge alignment and limbal clearance.

Guideline-Based Recommendations

Diagnosis

  • Utilize topography and anterior segment examination to assess keratoconus.

Management

  • Prescribe scleral lenses based on diagnostic fitting results.

Monitoring & Follow-up

  • Follow-up examinations to assess lens fit and ocular health.

Risks

  • Monitor for conjunctival prolapse and excessive limbal hyperemia.

Patient & Prescribing Data

Individuals with progressive keratoconus requiring visual correction.

Scleral lenses provide significant visual improvement and comfort.

Clinical Best Practices

  • Use anterior segment OCT to enhance scleral lens fitting accuracy.
  • Aim for central clearance of approximately 200 µm during fitting.
  • Ensure proper edge alignment to prevent conjunctival issues.

References

Original Source(s)

Scleral Lens Simplicity: Utilizing Anterior Segment OCT for Scleral Lens Fitting

  • by Aubry Tackett, OD, FAAOMS

  • September 1, 2025

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