The Scleral Lens Vault: <br>Observing Your Fluorescein</br> - Takeaways - MDSpire
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The Scleral Lens Vault: <br>Observing Your Fluorescein</br>

In the times of ever-advancing new technology for precise fitting of scleral lenses, has the art of diagnostic fitting fallen to the wayside

  • By

  • Jamie Kuzniar, OD

  • September 1, 2026

  • 4 min

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  • 1

    Fluorescein observation with a slit lamp is essential for improving scleral lens fit beyond just assessing central clearance.

  • 2

    Midday fogging can be diagnosed by applying fluorescein to a settled scleral lens to observe tear exchange patterns.

  • 3

    Adjusting the vaulting chamber may be necessary for proper alignment rather than solely steepening the lens.

  • 4

    Overall lens fit and limbal alignment should be assessed with fluorescein before zooming in on specific areas.

  • 5

    Fluorescein remains a critical tool for evaluating scleral lens fit, despite advancements in fitting technology.

Original Source(s)

The Scleral Lens Vault: <br>Observing Your Fluorescein</br>

  • by Jamie Kuzniar, OD

  • September 1, 2026

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