Article: Scleral lens fitting

...And in that same CLS issue there's a great article by Lynette Johns OD of Boston Foundation for Sight discussing scleral lens fitting on dry-eyed folks from the doctor's perspective:

Fitting Scleral Lenses for Ocular Surface Disease
Defining fitting goals and patient expectations is an important first step in managing OSD with sclerals.

The resurgence of scleral lenses in GP materials has opened up many opportunities for fitting complex corneas. In the setting of irregular astigmatism and keratectasias (keratoconus, keratoglobus, pellucid marginal degeneration, and post-laser-assisted in situ keratomileusis [LASIK] ectasia), many patients who were unable to be optimally fit with corneal GP lenses have another non-surgical alternative to consider. The use of scleral lenses to visually rehabilitate these patients is equally rewarding for both the patients and the providers, especially when surgery can be avoided....