Scleral Lenses and Dry Eyes, by Dr. Reynard and Dr. Sonsino.

Picture this: You are 8 weeks and 3 remakes into fitting a 55-year-old keratoconic patient with a new scleral lens. Everything about the fit looks right: appropriate central clearance, a lens back surface that parallels the surface of the cornea, flush haptic landing in every meridian, no limbal bearing. You observe no reason for reduced visual potential: no apical scarring, visually significant cataract, or retinal disease. Read More