Scleral Lens Education Society

04/15/2026

A 48 year-old male patient with keratoconus came for scleral lens fitting. He came in wearing his old scleral lenses fitted from a different practice. He complained of his eyes being always red.

Upon evaluation, the patient was wearing very tight fitting lenses which caused conjunctival hypertrophy and limbal neovascularization to develop.

To enable us to have a more accurate fit, we asked the patient to stop wearing his lenses for 1 week and come back for an evaluation. Even after a week of lens wear cessation, his eyes were still very red.

He was fitted with a more customized design to remove the pressure of the haptics from his sclera. With his new lenses, best corrected visual acuity was 20/25 for OD and 20/40 for OS.

The images below are a comparison of his eyes while wearing the old lenses, and first follow-up visit after wearing the new lens for one month. We may do some more changes for the fit as his conjunctiva hypertrophy improves. Patient noted his eyes are more comfortable now, and he was happy to finally wake up with whiter eyes.

This case highlights the impact of tight-fitting lenses on the conjunctival tissue and the role of understanding the altered scleral shape in designing the lens haptics to relieve pressure on eyes with conjunctival hypertrophy.

Submitted by: Dr. Millette Romualdez, FPCO, FIACLE, FAAO, FSLS, FBCLA Gold Heart Optical Centre Philippines

04/13/2026

Join the Scleral Lens Education Society for our monthly webinar series! 📚 Everything in the Tool Belt… Comprehensive Keratoconus Management

Date: Wednesday, May 6, 2026
Time: 8:30 pm - 9:30 pm

📖 Learning Objectives

1. Understanding the classic and clinical definition of keratoconus (KC)
2. Learn the key clinical diagnostic findings required to diagnose KC
3. Understand the key clinical diagnostic findings to detect progression of KC
4. Learn the contribution of genetics and environment on KC
5. Determine the most current thoughts on KC prevalence and the clinical implications associated
6. Understand developing technologies for even earlier diagnosis of KC
7. Review the treatment strategies and future developments to control progression of KC
8. Learn the medical and optical treatment options to optimize vision in KC
9. Understand the methods and applications of surgical options in KC
10.Learn how to comprehensively approach the management of KC

S. Barry Eiden, OD, FAAO
Andrew Morgenstern, OD, FAAO, FNAP

🔗 Register now https://shorturl.at/jiwXG

04/13/2026

Look at this beauty! ✨
Photo:

04/11/2026

We are proud to have hosted the Scleral Program 2026, bringing together a community committed to advancing scleral lens education and clinical excellence.

An evening focused on real-world challenges, hands-on learning, and meaningful exchange, from clinical insights to practical application across every workshop station. This is what advancing scleral lens education truly looks like.

Thank you to our speakers, preceptors, and every attendee who contributed to such a dynamic and engaged environment.

We are also grateful for the support of our sponsors, Bausch + Lomb, Visionary Optics, TruForm Optics, Oculus, and CooperVision, whose partnership makes initiatives like this possible.

Proud to continue supporting education, collaboration, and innovation in scleral lens care. 🙌

04/03/2026

We hosted our very first SLS workshop in Canada at the University of Waterloo 🇨🇦

It was an incredible milestone for the Scleral Lens Education Society, bringing together passionate professionals dedicated to advancing scleral lens education and patient care.

We’re grateful to everyone who joined us and helped make this event so memorable, this is just the beginning!

03/19/2026

Join the Scleral Lens Education Society for our monthly webinar series! 📚 Scleral Lens Grand Rounds from GSLS Poster Session 2026

Date: Wednesday, April 8, 2026
Time: 8:30pm-9:30pm Eastern Time
Presenters: Cherie Nau, OD, FAAO, FSLS
Vincent Vu and Alexa Le

Register now: https://tinyurl.com/k95ts537

03/17/2026

An 11-year-old male with a history of corneal perforation repair, lensectomy, and vitrectomy
presented with aphakia and visual acuity of CF @ 1 feet. The fellow eye had 20/20 vision. A soft
contact lens trial did not improve vision due to the irregular corneal surface. A scleral lens was fitted with minimal vault to maximize oxygen permeability considering the compromised endothelium, improving visual acuity to 20/100 and providing functional visual rehabilitation. This case highlights the role of scleral lenses in managing complex post-surgical aphakia with irregular cornea.

Credit: Dr. Zalak Shah (PhD.,M.Optom., FAAO, FBCLA, FIACLE, FSLS)

03/16/2026

On behalf of the SLS, we would like to welcome a new fellow to our community

Dr. Zalak Shah (PhD, M.Optom, FAAO, FBCLA, FIACLE) is a consultant optometrist and academician at Shri C.H. Nagri Eye Hospital and Nagar School of Optometry, India, with 11 years’ experience.

Welcome Dr. Zalak! 👏

03/02/2026

We hope you can join us for our upcoming webinar, “Corneal Procedures and Scleral Lenses,” on Wednesday, March 4, 2026.

In preparation for the program, we invite you to participate in a brief questionnaire that Dr. John Gelles will incorporate into his presentation. Your input will help tailor the discussion to real-world clinical experiences.

Please click on the URL link to answer a few short questions: https://lnkd.in/dRHwZbrv

Thank you, and we look forward to your participation in this great virtual CE course! REGISTER NOW: https://lnkd.in/dmr2JCAF

Join the Scleral Lens Education Society for our monthly webinar series! 📚 Corneal Procedures and Scleral Lenses

Date: Wednesday, March 4, 2026
Time: 8:30pm-9:30pm Eastern Time

Presenter: John Gelles, OD, FAAO, FIAOMC, FCLSA, FSLS, FBCLA

Register now: https://shorturl.ad/mGHhi

02/25/2026

A recently diagnosed 25 year old male attended for a scleral lens evaluation. Unfortunately, due to the advanced nature of the keratoconus and advanced thinning of the cornea, corneal collagen cross linking was not an option. This patient was listed for a penetrating keratoplasty but wanted to explore non-surgical options available to him. Presenting vision in the right eye was counting fingers, with a bet corrected acuity of 20/400. A free form scleral lens was designed for this patient and he achieved corrected acuity of 20/30, avoiding the need for corneal surgery.

Submitted by: Mr. Cian Gildea, FBCLA, FIACLE, FSLS. Wellington Eye Clinic, Dublin, Ireland

If you have an interesting scleral lens case you’d love to share, this is your chance to be featured on SLS social media with credit.

📩 To submit a case, email [email protected]

02/22/2026

Join the Scleral Lens Education Society for our monthly webinar series! 📚 Corneal Procedures and Scleral Lenses

Date: Wednesday, March 4, 2026
Time: 8:30pm-9:30pm Eastern Time

Presenter: John Gelles, OD, FAAO, FIAOMC, FCLSA, FSLS, FBCLA

Register now: https://shorturl.ad/mGHhi

02/18/2026

“The correct scleral lens fit begins at the sclera 👁️

When fitting a scleral lens, the edges are everything.
Poor peripheral alignment can lead to redness, vascular compression, discomfort, hypoxia, or even lens discontinuation.

Every detail matters. A well-fitted scleral lens shouldn’t just look good centrally, it must also respect the ocular physiology in the periphery.

👨🏻‍⚕️ That’s why professional evaluation is essential to achieving ocular health, comfort, and long-term visual success.”