Update on scleral lenses.
OBJECTIVE
Scleral rigid gas-permeable lenses play an important and underappreciated role in the treatment of corneal disease. This review provides an update on scleral rigid gas-permeable lenses for the visual rehabilitation of ectasia and irregular astigmatism, and an update on scleral rigid gas-permeable lenses in the therapy of ocular surface disease.


RESULTS
Several series and one case report present advances in the treatment of ocular surface disease with scleral rigid gas-permeable lenses. In addition, there are two reports describing one center's consecutive case experience using modern scleral lens design, predominantly in patients with ectasia and postkeratoplasty astigmatism. Finally, a comprehensive article reviewing the history and principles behind current scleral rigid gas-permeable lenses, with particular attention to the use of scleral rigid gas-permeable lenses in the management of ocular surface disorders was published.


CONCLUSIONS
Clinicians who treat patients with ocular surface disease should be aware of scleral rigid gas-permeable lenses as a therapeutic option for their patients. Advances in lens design make scleral rigid gas-permeable lenses a practical option for an increasing number and variety of patients with corneal disease.
Jacobs
Deborah S
DS
Boston Foundation for Sight, Needham, MA 02494, USA. djacobs@bostonsight.org
D003229:Conjunctival Diseases / Q000628:therapy*; D003263:Contact Lenses, Hydrophilic / Q000592:standards*; D003316:Corneal Diseases / Q000628:therapy*; D006801:Humans; D012590:Sclera; D016896:Treatment Outcome; D014792:Visual Acuity