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    ICLC 2020 Sample Lecture E2 Fitting Scleral Lenses

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    kalmotiriqu
    This document provides an overview of fitting scleral lenses. It discusses official scleral lens terminology, scleral lens diameter sizes, oxygen requirements, comfort comparisons between scleral lens designs, benefits over corneal lenses, publications on scleral lenses, potential complications like microbial keratitis, and resources for further information.

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    ICLC 2020 Sample Lecture E2 Fitting Scleral Lenses

    Uploaded by

    kalmotiriqu
    37 views31 pages
    This document provides an overview of fitting scleral lenses. It discusses official scleral lens terminology, scleral lens diameter sizes, oxygen requirements, comfort comparisons between scleral lens designs, benefits over corneal lenses, publications on scleral lenses, potential complications like microbial keratitis, and resources for further information.

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    This document provides an overview of fitting scleral lenses. It discusses official scleral lens terminology, scleral lens diameter sizes, oxygen requirements, comfort comparisons between scleral lens designs, benefits over corneal lenses, publications on scleral lenses, potential complications like microbial keratitis, and resources for further information.

    Copyright:

    © All Rights Reserved
    Download as PPTX, PDF, TXT or read online from Scribd
    Download as pptx, pdf, or txt
    37 views31 pages

    ICLC 2020 Sample Lecture E2 Fitting Scleral Lenses

    Uploaded by

    kalmotiriqu
    This document provides an overview of fitting scleral lenses. It discusses official scleral lens terminology, scleral lens diameter sizes, oxygen requirements, comfort comparisons between scleral lens designs, benefits over corneal lenses, publications on scleral lenses, potential complications like microbial keratitis, and resources for further information.

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    © All Rights Reserved
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    Fitting Scleral Lenses

    E2
    ICLC 2020

    © The International Association of Contact Lens Educators


    April 2020 www.iacle.org
    Attributions

    Original contributors and authors of the Patrick Caroline, Beth Kinoshita,


    lecture Matthew Lampa, Maria Walker

    Lecture editor (2015-16) Luigina Sorbara

    Lecture reviewer (2020) Eef van der Worp

    Lecture updated on April 2020

    © The International Association of Contact Lens Educators


    www.iacle.org
    IACLE Sponsors

    Platinum Sponsor

    Gold Sponsor

    SilverIndustry
    Sponsor
    Supporters

    Bronze Sponsor

    Major In-Kind In-kind supporter


    Supporter
    Donor Sponsor

    © The International Association of Contact Lens Educators


    www.iacle.org
    Official Scleral Lens Terminology

    • 2019

    © The International Association of Contact Lens Educators


    www.iacle.org
    Official Scleral Lens Terminology

    © The International Association of Contact Lens Educators


    www.iacle.org
    Official Scleral Lens Terminology

    • Scleral Lens (SL)


    • Not ‘contact’ lens
    • The New Terminology removes the distinction between
    ‘mini’ and ‘large’ scleral lenses
    • All Scleral Lenses – regardless of size - are fitted to
    completely vault over the cornea and land on the
    conjunctiva
    • ‘Application’ of scleral lenses is used instead of
    ‘Insertion’
    • To describe the difference in shape and height of the
    ocular surface the term ‘asymmetry’ is used

    © The International Association of Contact Lens Educators


    www.iacle.org
    Scleral Lens Diameter

    ’…65% prescribing lenses of average diameter (15-17mm),


    … 18% fitted smaller than 15mm lenses
    … 17% fitted larger than 17mm lenses.’

    ‘survey based on 84.000 lens fits’

    © The International Association of Contact Lens Educators


    www.iacle.org
    Oxygen

    © The International Association of Contact Lens Educators


    www.iacle.org
    Oxygen

    • Minimal requirements according to Michaud et al

    CONTACT LENS & ANTERIOR EYE 35 (2012) 266– 271


    clearance
    200 micron

    material
    Dk 150 >

    center thickness
    250 micron

    © The International Association of Contact Lens Educators


    www.iacle.org
    Scleral CL Comfort: A Comparison of 2 Designs

    © The International Association of Contact Lens Educators


    www.iacle.org
    Benefits of Scleral Lenses
    vs Corneal Lenses

    SCLERALS
    • Bypassing most sensitive part of the eye
    • Lens fit independent from corneal shape
    • No 3 - 9 O’ clock staining
    • Prevents eye-rubbing
    • Progression underneath lens in KC
    • Less movement (comfort)

    © The International Association of Contact Lens Educators


    www.iacle.org
    Scleral Lens Publications: Pubmed search

    Rute Juliana Ferreira Macedo de Araújo

    © The International Association of Contact Lens Educators


    www.iacle.org
    Complications

    MICROBIAL KERATITIS

    © The International Association of Contact Lens Educators


    www.iacle.org
    Complications

    MICROBIAL KERATITIS

    For corneal GPs this is 1 on 10.000 lens wear years (0.01%)’. For
    DW soft this is 5 on 10.000 lens wear years (0.05%)’.

    ‘incidence’ of 0.1% for infections with scleral lenses?

    ‘survey based on 84.000 lens fits’

    © The International Association of Contact Lens Educators


    www.iacle.org
    Complications

    © The International Association of Contact Lens Educators


    www.iacle.org
    Complications

    © The International Association of Contact Lens Educators


    www.iacle.org
    Scleral Lens Complications

    • 2019

    © The International Association of Contact Lens Educators


    www.iacle.org
    Scleral Lens Complications

    © The International Association of Contact Lens Educators


    www.iacle.org
    Intra Ocular Pressure

    These results suggest that, as evaluated with a non-standard transpalpebral


    methodology, IOP during scleral lens wear may be increased in average by 5 mm Hg,
    regardless of the lens diameter. More work is needed to confirm if practitioners
    should be warned when using SL on populations at risk for glaucoma.

    © The International Association of Contact Lens Educators


    www.iacle.org
    A Scleral Lens Special – Contact Lens & Anterior Eye

    © The International Association of Contact Lens Educators


    www.iacle.org
    Resources

    http://commons.pacificu.edu/mono/4/ http://commons.pacificu.edu/mono/10/

    http://commons.pacificu.edu/mono/4/

    © The International Association of Contact Lens Educators


    www.iacle.org
    Resources

    Scleral Lens Case Report Series

    http://commons.pacificu.edu/mono/5/

    © The International Association of Contact Lens Educators


    www.iacle.org
    Resources

    Clinical Guide for Scleral Lens Success

    https://www.scleralsuccess.com

    © The International Association of Contact Lens Educators


    www.iacle.org
    Resources

    Contemporary Scleral Lenses:


    Theory and Application
    Melissa Barnett, Lynette K. Johns

    https://ebooks.benthamscience.com/book/9781681085661/

    © The International Association of Contact Lens Educators


    www.iacle.org
    Feedback on errors, omissions, or suggestions for
    improvement are invited. Please contact us at:
    iacle@iacle.org

    See the following slides explaining the symbols,


    abbreviations, and acronyms used in the IACLE
    Contact Lens Course

    © The International Association of Contact Lens Educators


    www.iacle.org
    Symbols

    © The International Association of Contact Lens Educators


    www.iacle.org
    Abbreviations

    © The International Association of Contact Lens Educators


    www.iacle.org
    Acronyms

    © The International Association of Contact Lens Educators


    www.iacle.org
    Acronyms

    © The International Association of Contact Lens Educators


    www.iacle.org
    IACLE Sponsors

    Platinum Sponsor

    Gold Sponsor

    SilverIndustry
    Sponsor
    Supporters

    Bronze Sponsor

    Major In-Kind In-kind supporter


    Supporter
    Donor Sponsor

    © The International Association of Contact Lens Educators


    www.iacle.org
    THANK YOU
    www.iacle.org

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