5 Key Takeaways

• 1

  Impression-based scleral lenses are used for complex, irregular eyes where standard lenses fail to provide stability and comfort.

• 2

  A 76-year-old female with multiple ocular conditions was evaluated for therapeutic scleral lens fitting due to persistent symptoms.

• 3

  Initial scleral lenses improved visual acuity but caused significant edge awareness, leading to a redesign for better usability.

• 4

  The final ovate lens design allowed the patient to manage application and removal, significantly improving her quality of life.

• 5

  Successful scleral lens fitting requires consideration of ocular surface protection, surgical anatomy, and patient handling abilities.