Scleral lenses in DED management

In theory, fitting scleral lenses for my dry eye patients was a logical evolution for both my dry eye and rigid gas permeable (RGP) contact lens practice specialities, but there were a few obstacles to making it a success in practice. Time was a significant issue. Dry eye patients typically have numerous return visits, so dragging them back for even more contact lens appointments was a barrier to fitting them with scleral lenses. It also adds to the cost of treatment, which can be quite significant for patients with severe dry eye disease (DED).