Abstract

PURPOSE: To showcase a myriad of complex scenarios where scleral contact lenses (SCL) were used as a treatment choice in patients for better quality of vision and comfort.
STUDY DESIGN & METHOD: This is a retrospective analysis of SCL fitting done in complex corneal situations in contact lens clinic in a tertiary eye center in Delhi.
RESULT: The most common indication for the use of SCL in our setup was keratoconus . Other complex situations that were corrected includes post RK, post lasik ectasia, operated keratoplasty, surface irregularities like epithelial basement membrane dystrophy, pellucid marginal degeneration, terrien’s degeneration, Salzmann nodular keratopathy.
CONCLUSION: There has been a shifting trend to manage various degrees of irregular corneas due to varied etiology with scleral contact lens (SCLs) hence adopting a more conservative approach which is reversible and more acceptable to the patients.