Scleral Lens Simplicity: Utilizing Anterior Segment OCT for Scleral Lens Fitting - Takeaways - MDSpire

Scleral Lens Simplicity: Utilizing Anterior Segment OCT for Scleral Lens Fitting

  • By

  • Aubry Tackett, OD, FAAOMS

  • September 1, 2025

  • 7 min

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  • 1

    Anterior segment OCT enhances the accuracy of scleral lens fitting, improving patient outcomes in cases like keratoconus.

  • 2

    A 26-year-old male with keratoconus achieved significant visual improvement from 20/400 to 20/25 after scleral lens fitting.

  • 3

    OCT technology allows for precise evaluation of central clearance, limbal clearance, and edge alignment during scleral lens fitting.

  • 4

    The ideal scleral lens fit includes a central clearance of around 200 µm and proper edge alignment without excessive limbal touch.

  • 5

    Using anterior segment OCT reduces chair time and increases patient satisfaction by streamlining the scleral lens fitting process.

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