Scleral Trends: Mini-Scleral Designs and Toric Landing Zones - Takeaways - MDSpire

Scleral Trends: Mini-Scleral Designs and Toric Landing Zones

Discover insights from a recent retrospective study on prescribing trends in a high-volume Netherlands-based contact lens clinic, revealing a shift towards mini-scleral designs and the use of toric landing zones.

  • By

  • Melissa Barnett, OD, FAAO, FSLS

  • June 1, 2025

  • 4 min

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  • 1

    Over a 6-year study, prescribing trends shifted from large-diameter scleral lenses to mini-scleral designs, except in keratoplasty patients.

  • 2

    60.8% of evaluated scleral lenses were mini-scleral designs, while 39.2% were large scleral designs.

  • 3

    The use of mini-scleral lenses increased significantly from 44% in 2016 to 74% in 2022 for all indications except keratoplasty.

  • 4

    99.8% of scleral lens fittings utilized toric landing zones, reflecting the anatomical shape of the sclera.

  • 5

    The introduction of the bi-tangential mini-scleral lens in 2018 may have contributed to the increased preference for mini-scleral designs.

Original Source(s)

Scleral Trends: Mini-Scleral Designs and Toric Landing Zones

  • by Melissa Barnett, OD, FAAO, FSLS

  • June 1, 2025

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