Objective:

To evaluate the impact of initiating scleral lens fittings before corneal cross-linking (CXL) on lens parameters and postoperative outcomes, highlighting its significance in improving patient care.

Key Findings:

• No significant differences were observed between pre- and postoperative corneal measurements or refractive corrections, indicating stability in lens parameters.
• Scleral fittings can be initiated before CXL without negatively impacting postoperative outcomes, suggesting a viable approach for patient management.
• The study supports streamlined scleral lens prescription processes post-CXL, potentially reducing the need for additional visits.

Interpretation:

The findings suggest that fitting scleral lenses prior to CXL is safe and may enhance patient management by reducing the need for additional postoperative visits, ultimately improving patient satisfaction.

Limitations:

• Small sample size of the study may limit generalizability and statistical power.
• Short follow-up duration of one to three months may not capture long-term outcomes, and potential biases should be considered.

Conclusion:

Initiating scleral lens fittings before CXL can facilitate better visual outcomes and patient satisfaction, allowing for a more efficient treatment process in managing corneal ectasia.