5 Key Takeaways

• 1

  Custom soft contact lenses (SCLs) provide a versatile and cosmetically appealing alternative for treating diplopia.

• 2

  Monocular diplopia can be treated with standard toric SCLs, while irregular astigmatism requires custom SCLs with increased center thickness.

• 3

  Custom SCLs can address binocular diplopia through monovision, occlusion, or directional prism, targeting specific mechanisms.

• 4

  Eyelid-stabilized designs induce nearly 0 PD of prism, while custom sclerals can incorporate up to 5.0 PD in any direction.

• 5

  SCLs improve visual function and comfort for diplopia patients, but monovision and occlusion may sacrifice binocular depth perception.