5 Key Takeaways

• 1

  Scleral lenses improve stability and comfort for keratoconus patients, reducing the need for corneal transplants.

• 2

  Some keratoconus patients may fail with scleral lenses but succeed with piggybacking corneal GP lenses.

• 3

  A 63-year-old keratoconus patient achieved comfort with a piggybacked GP lens after failing with a scleral lens.

• 4

  A 39-year-old keratoconus patient successfully used piggybacking for two years before adapting to corneal lenses alone.

• 5

  Daily disposable silicone hydrogel lenses are recommended for piggybacking to maximize oxygen transmissibility.