Online Photo Diagnosis: Post-Graft Alternatives to Scleral Lenses

Exploring the challenges and solutions for post-graft contact lens fittings, especially for corneal GP lens wearers.

By
LUCIANO BASTOS
March 1, 2026
3 min

Contact Lens Spectrum

Objective:

To explore alternative contact lens options for post-graft patients who prefer corneal GP lenses over scleral lenses, specifically addressing their unique challenges.

Approach:

Key Findings:

Standard corneal GP designs often fail to center on post-graft corneas due to high eccentricity.
A 14.5 mm corneoscleral lens improved centration and alignment compared to smaller designs, enhancing patient comfort.
Customized high-Dk lenses can be viable alternatives for patients unwilling to use scleral lenses, potentially improving visual outcomes.

Interpretation:

Customized lens designs can enhance fitting success for post-graft patients, addressing their specific corneal irregularities.

Limitations:

The study does not provide extensive data on long-term outcomes of the alternative lens designs, which is crucial for assessing their effectiveness.
Patient compliance with education and training may vary, potentially affecting the success of lens fitting.