5 Key Takeaways

• 1

  Fenestrated scleral lenses reduce corneal edema symptoms by creating a looser fit, originally developed in the 1940s.

• 2

  Modern studies suggest fenestrated lenses may benefit compromised corneas, although larger studies are needed for confirmation.

• 3

  Fenestrations may alleviate lens suction, making removal easier and potentially reducing midday fogging.

• 4

  There is no consensus on the effect of fenestrated lenses on intraocular pressure, with studies showing conflicting results.

• 5

  Optimizing the fit of fenestrated scleral lenses can mitigate potential comfort issues associated with their use.