Reader and Industry Forum: Which Comes First? - Takeaways - MDSpire

Reader and Industry Forum: Which Comes First?

Discover the personalized approach to fitting scleral lenses for patients with progressive keratoconus in varying scenarios, ensuring optimal vision and care. Read important insights from Zachary Holland, OD.

  • By

  • ZACHARY HOLLAND, OD

  • May 1, 2025

  • 4 min

Share

  • 1

    Patients with moderate to advanced progressive keratoconus often require both collagen corneal cross-linking and rigid contact lenses.

  • 2

    The choice of whether to perform CXL or fit contact lenses first depends on patient history, visual function, and insurance requirements.

  • 3

    New patients with vision worse than 20/40 should be fitted with scleral lenses first while initiating the CXL authorization process.

  • 4

    Current lens wearers with minimal vision loss should ideally undergo CXL promptly to preserve their best vision.

  • 5

    Financial considerations are crucial for young adults with high-deductible insurance plans, impacting the timing of CXL and lens fitting.

Original Source(s)

Reader and Industry Forum: Which Comes First?

  • by ZACHARY HOLLAND, OD

  • May 1, 2025

Related Content

Fast Forward to the Future: Contact Lens Microfluidics

Contact lenses are not just for vision correction anymore; they may soon revolutionize medical diagnostics and treatment in eye care.

Which Lenses Stress the Surface?

Why Would Anyone Want Anything Other Than Daily Disposables? A Patient’s Perspective

Dr. Miller details a patient's thoughts on why daily disposable contact lenses are the better choice, compared with reusable lenses.