Clinical Report: Insights on Modern Scleral Lens Practice from GSLS 2026

Overview

At the 2026 Global Specialty Lens Symposium, experts highlighted the importance of managing patient expectations and monitoring ocular health in scleral lens wearers. They emphasized a shift toward dynamic, longitudinal assessment of fit, vision, and eye health to optimize outcomes.

Background

Scleral lenses offer transformative comfort benefits, especially for long-term rigid lens wearers, though visual performance improvements may vary. Patient satisfaction depends heavily on realistic expectations and thorough education prior to lens fitting. Additionally, ocular physiology can change over time, necessitating ongoing monitoring beyond initial fitting success.

Data Highlights

Dr. Lotoczky presented clinical imaging showing mild conjunctival compression and changes in lens clearance after 8 hours of scleral lens wear. Visible alterations in iris position, crystalline lens, and anterior chamber angle were noted, suggesting mechanical or suction-related effects that warrant further research.

Key Findings

• Patient experiences with scleral lenses vary based on visual history and baseline correction.
• Long-term rigid lens wearers often gain comfort benefits but may not see improved visual performance.
• Managing patient expectations before fitting is critical to prevent dissatisfaction.
• Dynamic, longitudinal assessment of fit, vision, and ocular health is essential due to potential physiological changes over time.
• Eye health should be monitored after lens removal, including dilated exams as indicated.
• Clinical imaging reveals conjunctival compression and anterior segment changes during lens wear, highlighting the need for further research.

Clinical Implications

Clinicians should prioritize patient education to set realistic expectations about scleral lens outcomes. Regular follow-up exams, including post-removal ocular health assessments, are vital to detect and manage physiological changes. Awareness of potential mechanical effects during lens wear can guide fitting and monitoring strategies.

Conclusion

Modern scleral lens practice requires a comprehensive, patient-centered approach that balances comfort, vision, and ocular health through ongoing evaluation and education. Continued research into the physiological impacts of lens wear will enhance clinical management.

References

1. Michaud, Lotoczky, Nau / GSLS 2026 -- Insights on the Modern Era of Scleral Lenses