The Scleral Lens Vault: HOA Sclerals for “20/Unhappy” Patients - Takeaways - MDSpire

The Scleral Lens Vault: HOA Sclerals for “20/Unhappy” Patients

  • By

  • JAMIE KUZNIAR, OD

  • May 1, 2025

  • 4 min

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  • 1

    Practitioners often face challenges with '20/Unhappy' patients who experience visual disturbances despite using scleral lenses.

  • 2

    Higher-order aberrations (HOAs) like coma and trefoil can contribute to visual symptoms in irregular cornea patients.

  • 3

    Traditional scleral lenses only partially correct for anterior corneal HOAs, leaving posterior corneal HOAs unaddressed.

  • 4

    Wavefront-guided scleral lenses can significantly improve visual acuity and reduce glare and halos for irregular cornea patients.

  • 5

    A clinical trial showed that 93.3% of patients preferred their vision with wavefront-guided optics over traditional optics.

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