Objective:

To discuss pressing questions and issues in modern scleral lens practice.

Key Findings:

• Patient experiences with scleral lenses vary based on visual history and baseline correction.
• Long-term rigid lens wearers may find scleral lenses comfortable but not always visually satisfying.
• Educating patients about realistic expectations is crucial before lens delivery.
• New scleral lens patients with poor vision typically have more modest expectations.
• Dynamic, longitudinal assessments of corneal physiology and eye health are essential for scleral lens wearers.

Interpretation:

Managing patient expectations and monitoring eye health are critical for long-term satisfaction with scleral lenses.

Limitations:

• Further research is needed to understand the physiological changes in scleral lens wearers.
• Current findings are based on expert opinions and clinical observations rather than extensive studies.

Conclusion:

Ongoing assessment and patient education are vital for successful scleral lens fitting and maintenance.