Impression-Based Scleral Lens Use - Summary - MDSpire
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Impression-Based Scleral Lens Use

  • By

  • ARIEL CERENZIE, OD

  • September 17, 2026

  • 4 min

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Objective:

To evaluate the use of impression-based scleral lenses in a patient with complex ocular surface disease, including Sjögren’s syndrome and advanced glaucoma.

Approach:
  • Case Description: A 76-year-old female with a history of Sjögren’s syndrome, severe meibomian gland dysfunction, and advanced glaucoma was evaluated for therapeutic scleral lenses due to persistent ocular surface symptoms affecting her daily life.
  • Outcome: After four months, the patient experienced significant improvement in ocular surface health, with corneal staining improving to grade 1 SPK in both eyes, reduced need for artificial tears, and improved visual acuity to 20/20 OD and 20/25 OS.
Key Findings:
  • Initial scleral lens fitting improved acuity but caused discomfort.
  • Impression-based design provided better ocular surface coverage and comfort.
  • Redesigning the lens to an ovate shape improved usability for the patient.
  • Final visual acuity was 20/20 OD and 20/25 OS at distance.
Interpretation:

Scleral lens success is determined not only by optical parameters but also by patient usability and comfort, as highlighted in the case.

Limitations:
  • The case is based on a single patient experience with complex ocular surface disease, which may not be generalizable to all patients.
Conclusion:

In complex therapeutic cases, scleral lenses can restore independence when designed to meet the patient's functional needs and usability.

Sources:

Original Source(s)

Impression-Based Scleral Lens Use

  • by ARIEL CERENZIE, OD

  • September 17, 2026

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