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Link: The Beginner's Guide to Fitting Scleral Contact Lenses

Posted by Amanda Dexter on August 9, 2016 at 9:00 AM
Amanda Dexter
Dr. Amanda K. Dexter received her optometric training at Southern California College of Optometry in Fullerton, California, where she was Class of 2010 Valedictorian. She also completed a residency in Primary Care and Ocular Disease at the Veteran's Affairs Hospital in San Diego, California. Dr. Dexter is the Manager and Program Coordinator for OptoPrep, the premiere online study resource for the NBEO Part I & II.


Here is a great guide to the beginner's guide to Fitting Scleral Contact Lenses written by Aimee Jacobs, O.D.

Be sure to check out our other Link Posts.


This is a basic approach to fitting scleral lenses that you can tweek with time and experience. Remember to be patient with the process. Practice makes perfect!

Read the full article from newgradoptometry.com


Dr. Dexter's Take

I have always heard about the amazing benefits of scleral contacts lenses for patients with irregular corneas, severe dry eye, high prescriptions, and other ocular surface diseases, but I never felt super comfortable prescribing and fitting these lenses for my own patients. I never had the opportunity to fit a patient with scleral lenses as an optometry student or resident. My only experience with sclerals was that I maybe held one in my hand once in school... maybe. 

Well, last week I had the perfect candidate for scleral lenses walk into my office. He had irregular corneas secondary to keratoconus, he had previously underwent corneal collagen cross-linking surgery, he tried gas permeable contacts in the past (but could never get over the discomfort), and had poor best corrected vision with his spectacles. I brought up the idea of scleral lenses and he was open to it. I confessed that I had a fitting set, but never used it. After a long discussion, we both decided to go on a scleral lens fitting journey together! 

What an experience that was! I didn't realize how easy the scleral lens fitting process could be. After finding a lens that allowed an adequate amount of vault (confirmed by anterior segment OCT), evaluation of the secondary and peripheral curves, and an over-refraction, lenses were ordered for the patient. It was so easy, and the patient immediately appreciated the improvement in comfort and vision. A win, win! 
Moral of the story... don't be afraid of fitting scleral contact lenses (like me). This article from NewGradOptometry does a great job of breaking down the process, making it simple and straight forward.

Good Luck! 

The Top 15 Tips and Tricks for Studying for Part I of NBEO®

NBEO-Tips-large.pngWe’ve put together a ton of great tips and tricks for studying for Part I of NBEO along with two tailored study programs that will help you thoroughly prepare for the big day. Remember, you’ve made it this far and you can totally do this!

Some of the Top 15 Tips include:

  • Familiarize Yourself with the Test Format
  • Tackle the Weak Subjects Early
  • Start Sooner and Ease Into It
  • ...and 12 more!

NBEO Part I Study Guide The Top 15 Tips and Tricks for Studying for Part I

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