Compliance Using Scleral Lenses

Abstract

The rise in scleral contact lens (ScCL) use may increase the risk of complications including microbial keratitis. Patient understanding of hygiene as well as care and handling of ScCLs is crucial to prevent the increase of complications. This manuscript presents a review of the modalities and implications of the hygiene and the care of scleral lenses, storage case, and devices. Also, correct application and removal techniques are explained in detail and recommendations on instructions for ScCL wearers and verification of patient compliance are provided. Adverse events are rarely reported in literature but clinicians need to understand how to deliver appropriate information and instruction regarding basic rules of hygiene, contact lens care and handling to patients to prevent and minimize associated infections. It is fundamental that practitioners learn how to impart knowledge to their patients during every encounter including follow up visits regarding proper management and compliance with ScCLs. Also, a dialogue with the patient is essential to develop empathy allowing for greater collaboration and compliance raising the fitting rate, success and patient’s overall satisfaction.