Adverse Events Associated with Scleral Lens Wear Proceedings of the International Forum on Scleral Lens Research

Main Article Content

Muriel Schornack


Adverse Events, Scleral Lens Wear, International Forum on Scleral Lens Research


Although the original description of scleral lenses fabricated from rigid gas permeable materials was published in 1983,1 the benefits of scleral lenses used to treat corneal irregularity and severe ocular surface disease were not immediately recognized by the eye care community at large. However, the past decade has witnessed an explosion of interest in scleral lenses.

Abstract 879 | pdf Downloads 760


1. Ezekiel DF. Gas permeable haptic lenses. J Br Contact Lens Assoc 1983:6:158–61.
2. Nau CB, et al. Demographic characteristics and prescribing patterns of scleral lens fitters: The SCOPE Study. Eye Contact Lens 2017. doi: 10.1097/ICL.0000000000000399.
3. Shorter E, et al. Scleral lenses in the management of corneal irregularity and ocular surface disease. Eye Contact Lens 2017.
4. Jedlicka J, Malooley M, and Reeder R. Semi-scleral applications for healthy eyes. Contact Lens Spectrum 2011(October):34–42.
5. Doughty MJ. Goblet cells of the normal human bulbar conjunctiva and their assessment by impression cytology sampling. Ocul Surf 2012;10(3):149–69.
6. Weber SP, et al. Conjunctival impression cytology evaluation of patients with dry eye disease using scleral contact lenses. Cont Lens Anterior Eye 2017.
7. Giasson CJ, et al. Oxygen tension beneath scleral lenses of different clearances. Optom Vis Sci 2017;94(4):466–75.
8. Michaud L, et al. Predicting estimates of oxygen trans-missibility for scleral lenses. Contact lens & anterior
eye. J Br Contact Lens Assoc 2012.
9. Carracedo G, et al. Short-term effect of scleral lens on the dry eye biomarkers in keratoconus. Optom Vis Sci 2016;93(2):150–7.
10. Zimmerman AB. and Marks A. Microbial keratitis secondary to unintended poor compliance with scleral gas-permeable contact lenses. Eye Contact Lens: Sci Clin Pract 2014;40(1):e1–4.
11. Fernandes M and Sharma S. Polymicrobial and mi-crosporidial keratitis in a patient using Boston scleral contact lens for Sjogren’s syndrome and ocular cicatricial pemphigoid. Cont Lens Ant Eye: J Br Cont Lens Assoc 2013;36(2):95–7.
12. Bruce AS and Nguyen LM. Acute red eye (non-ulcer-ative keratitis) associated with mini-scleral contact lens wear for keratoconus. J Austral Optometr Assoc 2013;96(2):245–8.
13. Schornack MM, Pyle J and Patel SV. Scleral lenses in the management of ocular surface disease. Ophthal-mology 2014.
14. Severinsky B, et al. Scleral contact lenses for visual rehabilitation after penetrating keratoplasty: Long term outcomes. Cont Lens Anter Eye 2014;37(3):196–202.
15. Kalwerisky K, et al. Use of the Boston Ocular Surface Prosthesis in the management of severe periorbital thermal injuries: a case series of 10 patients. Ophthal-mology 2012;119(3):516–21.
16. Rosenthal P, Cotter JM, and Baum J. Treatment of persistent corneal epithelial defect with extended wear of a fluid-ventilated gas-permeable scleral contact lens. Am J Ophthalmol 2000;130(1):33–41.
17. Lim P, et al. Treatment of persistent corneal epithelial defect with overnight wear of a prosthetic device for the ocular surface. Am J Ophthalmol 2013;156(6):1095–101.
18. Nixon AD, Barr JT, and VanNasdale DA. Corneal epi-thelial bullae after short-term wear of small diameter scleral lenses. Cont Lens Anter Eye, 2017;40(2):116–26.
19. Caroline P and Andre M. “Life” beneath a scleral lens; epithelial bogging. Cont Lens Spectr 2015.