Objective:

To outline resolutions for scleral lens fitters to enhance patient care and optimize fitting success in 2025, with a strong focus on patient selection.

Approach:

Key Findings:

• Handling issues are the primary cause of scleral lens fitting failures, highlighting the need for thorough patient training.
• Residual higher-order aberrations can persist even with a perfect lens fit, affecting patient satisfaction.
• Budget and insurance coverage discussions are crucial before fitting scleral lenses to set realistic expectations.

Interpretation:

Scleral lenses are beneficial but not suitable for all patients; careful selection and management are essential for successful outcomes, emphasizing the need for ongoing education.

Limitations:

• Not all eyecare practitioners will adopt scleral lenses, limiting potential patient access.
• Some patients may have unrealistic expectations about their vision, which could lead to dissatisfaction; specific examples should be provided.

Conclusion:

By implementing these resolutions and focusing on education, scleral lens fitters can improve patient management and satisfaction in 2025.

Sources:

• Lipson M. When to opt for scleral lenses.
• Macedo-de-Araújo RJ et al. A one-year prospective study on scleral lens wear success.
• Bennett ES et al. Effect of patient personality profile and verbal presentation on successful rigid contact lens adaptation.
• Michaud L. Daniel’s Rule.
• Nguyen LC et al. Case Report: What Are We Doing for Our “20/20 Unhappy” Scleral Lens Patients?
• Maller K. Empirical Fitting of Specialty GP Lenses.
• Sabesan R et al. Wavefront-guided scleral lens prosthetic device for keratoconus.
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