Brian Tompkins, a practicing optometrist and an contact lens expert begins with introducing the reasons why we generally have to fit scleral lenses. We quickly review how the scleral lens practice has changed during the COVID-19 pandemic.

Primarily empirical fitting of the scleral lenses. He signifies the importance of right equipment and notes the basic principle in fitting sclerals is appropriate central and limbal clearance. We also discuss the scleral landing in terms of lens fitting.

Next, we learn about the eye geography and the devices we can use to measure the topography of the cornea. We also learn about the eye surface profilometry and how it is important to get excellent tear quality to ensure good measurements.

It is also important to open the eyes well to get good measurements and Mr. Tompkins demonstrates exactly how we can get the patients to open their eyes for ideal measurements. We learn about the different corneal and scleral shapes and how this affects scleral contact lens fitting.

We learn the different scleral profiles and how they differ from patient to patient. These measurement help empirically determine if a scleral fit would work well for the patient. Later, we see a series of cases where these techniques improved a patients empirical scleral lens fit. We also learn the advantages of using the anterior segment OCT for scleral lens fitting.

Lastly, we review some of the upcoming changes in the area of scleral lens fitting and how we can make customized lenses for the patients. We learn about the precision of the impression technique and how it can be useful for special corneas. We conclude the session with a Q and A session for the live audience.