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Not all scleral lenses are created equal. Think of them on a spectrum from “standard suit” to “bespoke
couture.” The type of patient you are dictates which level of lens capability you need.
Here is the breakdown based on the technology:

Feature Conventional Scleral Lenses EyeFit Scleral Lenses EyePrintPro Scleral Lenses
Fitting Method Based on corneal topography and diagnostic trial lenses (trial-and-error). Physical impression (mold) of the entire ocular surface (cornea and sclera). Lenses have 40,000 data points and can be as large as 18 mm in diameter. Physical impression (mold) of the entire ocular surface (cornea and sclera). Lenses can be as large as 22 mm in diameter.
Fit Precision Good. Matches the general curve of the sclera. Very good. Uses topographer data in combination with impression data to create a more personalized curve. Around 40,000 data points can be individually modified. Near-perfect. Predicts your exact eye shape down to 1-micron detail, due to the availability of 80,000 modifiable data points.
Landing Zone Relies on the average scleral shape in that size. Matches your actual, physical sclera, including bumps, scars, and asymmetries. Matches your actual, physical sclera, including bumps, scars, and asymmetries.
Best For… Standard keratoconus, simple post-graft, basic dry eye, smaller eyes. Complex corneas, moderate scleral asymmetry, moderate dry eye, patients who can’t achieve all-day wear in conventional lenses. Extreme scleral asymmetry, scarred sclera, failed conventional fits, severe ocular surface disease, diplopia, extreme dry eye (need larger lens for more coverage).

What Type of Patients Need “More Lens Capability”?

Patients who need the advanced capability of EyeFit or, ultimately, EyePrintPro are those who:

  1.  Have Already Reached the limitations of Conventional Sclerals: The lens moves, pinches, or
    causes pain at the edge, patient experiences chronic fogging and/or is unable to get adequate
    wear-time or desired visual acuity.
  2. Have Scleral Asymmetry: Their eyes are not perfectly round; one side of the sclera is flatter or
    steeper than the other (very common).
  3. Have Post-Surgical or Traumatic Scars: The white of the eye has bumps or depressions from
    stitches or injury.
  4. Need for Prism to Correct Double Vision: Patients with double vision (diplopia) often require
    prism in their contact lenses. Prism adds a small amount of weight to the lens. Larger-diameter
    impression-based scleral lenses are exceptionally stable and distribute that extra weight evenly,
    preventing rotation or shifting, which makes them the preferred lens type for patients needing
    prism.
  5. Need Higher Order Aberration (HOA) Correction: HOA lenses correct glare and halos. A
    perfectly stable EyeFit or EyePrint lens provides the ideal platform for HOA optics; something
    harder to achieve in conventional scleral lenses due to the rotation of the lens on the eye.
  6. Suffer from Severe Dry Eye/Graft-Versus-Host Disease: The lens must have minimal
    movement on the eye. A conventional lens might shift; while an impression-based lens locks in
    place.

The Bottom Line: Conventional lenses are a great starting point, EyeFit is a significant upgrade in
comfort and vision capabilities, and EyePrintPro is the “final destination” for the most challenging eye
conditions.