Sclerals continue to occupy the eye care journals. For a 'back to basics' discussion: in Contact Lens Spectrum the best lens option for keratoconus is debated between Bruce Anderson and Greg DeNaeyer with the respective titles: 'corneal (R)GPs for keratoconus: proven designs with high success' versus 'sclerals can offer better comfort and stability for keratoconus.' Lynette Johns reports on 'Fitting Scleral Lenses for Ocular Surface Disease' in the July issue of Contact Lens Spectrum, and Patrick Caroline and Mark André on using a scleral lens post herpes simplex keratitis in Spectrum's case report section. Or how about a prosthetic scleral lens for a patient with complete corneal opacification and exotropia by Greg DeNaeyer? Jeffrey Sonsino and Marsha Malooley look at implementing sclerals into your practice, also in Contact Lens Spectrum.  

Want to learn more about sclerals? The scleral lens educational society (SLS) published two new case reports in its latest newsletter. The first case report is on 'Success with Scleral Lenses for Post-LASIK Ectasia' by Melissa Barnett. Another case report looks at 'Mucin Deposits,' written by Langis Michaud. Consider becoming a member of the scleral lens society (free). Membership allows contact lens fitters access to the practitioners' section of the website that contains several outstanding scleral lens fitting resources. Or consider becoming a Fellow of the Scleral Lens Education Society (FSLS). Optometrists, ophthalmologists, and Fellows of the Contact Lens Society of America who have proven themselves in the field of scleral lens fitting can apply for status as a Fellow of the Scleral Lens Education Society, entitling them to be listed as a Scleral Lens Fitter on the SLS website, which is accessible to the public.

Fitting contact lenses in children remains a bit of a controversial topic. Jeff Walline from the Ohio State University (USA) continues to do groundbreaking work in the area of children and contact lenses. One of his latest findings, reported at ARVO (the association for research in vision & ophthalmology) was that long-term contact lens wear success is not contingent on patient age. Fitting children at younger ages has no harmful long-term effects, Jeff Walline reports in Optometric Management based on that study. Nathan Efron et al published a paper called 'Survey of Contact Lens Prescribing to Infants, Children and Teenagers' in Optometry & Vision Science. They report that orthokeratology represents 28% of all contact lenses prescribed to minors (age <18). Michael Lipson in Optometric Management looks at how to address parents' concerns about ongoing refractive change in myopia progression in kids and specifically covers the topic of overnight corneal reshaping in children.