Profilometry-Guided Scleral Design for Highly Toric Sclera - Takeaways - MDSpire

Profilometry-Guided Scleral Design for Highly Toric Sclera

  • By

  • Mark Sturm, OD

  • October 1, 2025

  • 4 min

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  • 1

    Scleral lenses offer a customizable option for vision correction, particularly for patients with keratoconus.

  • 2

    A 64-year-old male patient with mild keratoconus chose scleral lenses for stability during long workdays as a K9 police officer.

  • 3

    Initial fitting attempts faced challenges due to unexpected high scleral toricity, leading to discomfort and poor lens seal.

  • 4

    Profilometry-guided freeform scleral lenses were designed to accommodate the patient's toricity, resulting in a near-perfect fit.

  • 5

    The patient achieved 20/20 vision and comfort for over 14 hours, marking a significant improvement over previous gas-permeable lenses.

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