5 Key Takeaways

• 1

  Specialized contact lens fitting is evolving, presenting unique challenges that exceed traditional scleral lens designs.

• 2

  Megalocornea, characterized by a horizontal iris diameter over 13 mm, poses significant fitting challenges for clinicians.

• 3

  Standard scleral lenses may not provide adequate alignment or comfort for megalocornea, necessitating larger lens diameters.

• 4

  Diagnostic fitting sets are crucial for assessing lens behavior on atypical ocular shapes, despite limitations of advanced imaging.

• 5

  Successful management of megalocornea requires clinicians to adapt tools and principles, emphasizing confidence and flexibility.