Who Would Benefit

Sclerals have retained a unique role in contact lens practice, but clinical practice techniques feature only minimally in the current training programme for optometrists and ophthalmologists. As a consequence, there is poor recognition of the occasions when sclerals are indicated, and difficulty finding suitably experienced practitioners. Traditional methods are perceived to be cumbersome, but the introduction of RGP materials has reduced sequelae, and has enabled simple and predictable fitting process. The application of sclerals can now be considered as a feasible option for a range of visual and therapeutic conditions, and for lower grades of pathology, rather than only at a stage which would be described as end point pathology.

 

There is a substantial role for sclerals in Keratoconus management, which in recent years has accounted for just over 50% of the total requirement for sclerals.

 

Given reasonable contact lens visual potential, RGP sclerals offer a valuable alternative to corneal transplantation.

There are also many applications following corneal transplantation.

 

High Myopes or Aphakes may find sclerals the lens of choice, and the retention of a pre-corneal liquid reservoir offers unique therapeutic potential for some dry eye conditions.

 

We estimate that there are about 2,000 patients using our RGP lenses for a variety of corneal conditions, and many report their quality of life has been significantly improved