Scleral Lens Simplicity: Utilizing Anterior Segment OCT for Scleral Lens Fitting - Summary - 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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Objective:

To demonstrate the effectiveness of anterior segment OCT in improving scleral lens fitting accuracy.

Key Findings:
  • Scleral lens corrected visual acuity improved to 20/25 in both eyes, demonstrating significant visual enhancement.
  • Anterior segment OCT provided detailed imaging for accurate lens fitting, crucial for optimizing patient outcomes.
  • Central clearance was measured at 222 µm initially, reducing to 205 µm after 5 hours of wear, indicating stability of the lens fit.
Interpretation:

Anterior segment OCT enhances the scleral lens fitting process by providing precise measurements and reducing fitting time, leading to improved patient outcomes, which is critical for patient satisfaction and long-term lens wear.

Limitations:
  • The study is based on a single patient case.
  • Potential off-label use of the medical device was noted.
Conclusion:

Anterior segment OCT is a valuable tool for scleral lens fitting, improving accuracy and patient satisfaction while reducing chair time.

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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