Using Specialty Soft Lenses for Irregular Cornea By Lindsay A. Sicks, OD, FAAO September 17, 2026 4 min Contact Lens Spectrum Share Summary Takeaways Insight Report Clinical Scorecard Quiz Poll Topic Commentary 1 Managing visual rehabilitation in patients with advanced corneal ectasia post-penetrating keratoplasty is clinically challenging. 2 Custom specialty soft contact lenses are a viable alternative when traditional rigid lenses fail or are rejected by patients. 3 A 48-year-old female with bilateral keratoconus and a history of PKP was evaluated for habitual soft contact lens wear. 4 The patient was refitted with a custom soft lens for her irregular cornea, achieving excellent comfort and stable vision. 5 Seven years post-fit, the patient continues to wear the specialty soft lens comfortably for about 12 hours daily.
