Graduating optometry student perceptions of their scleral lens fitting knowledge
Jennifer Harthan1, Jennifer Fogt2, Muriel M Schornack3
1Illinois College of Optometry, Chicago, Illinois, United States.
Optometric Education
|September 1, 2023
Summary
Graduating optometry students report limited practical experience with scleral lens (SL) fitting, with most completing fewer than 10 fits. Further training, like residency, is recommended for developing proficiency in scleral lens evaluations.
Area of Science:
- Optometry and Vision Science
- Ophthalmic Technology
- Medical Education
Background:
- Scleral lens (SL) fitting education is increasingly integrated into optometry curricula.
- However, the depth of practical student experience with SL fitting remains largely uncharacterized.
- Variability in educational outcomes necessitates an evaluation of current training effectiveness.
Purpose of the Study:
- To survey graduating optometry students in the US regarding their scleral lens fitting and training experiences.
- To quantify the extent of practical experience obtained during optometric education.
- To identify potential gaps in SL fitting competency development.
Main Methods:
- A survey was distributed to fourth-year optometry students graduating in 2020.
- Data collected included the number of scleral lens evaluations and fittings completed.
- Response rate was 19% with 323 participants.
Main Results:
- The median number of scleral lens evaluations completed by graduating students was 5 (range: 0-110).
- A significant majority (63%) reported performing fewer than 10 scleral lens fittings.
- This suggests a potential deficit in hands-on SL fitting experience.
Conclusions:
- Graduating optometry students often possess insufficient practical experience in scleral lens fitting.
- Students interested in specializing in SL fitting may require additional post-graduate training, such as a residency.
- Enhanced training opportunities are crucial for developing adequate proficiency in scleral lens application.


