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Pediatric Scleral Lenses: 21-Year Retrospective Review
Karen G Carrasquillo1, Kellen Riccobono1,2, Jennifer Liao3
1Department of Ophthalmology, BostonSight, Needham, MA, 02494, USA.
Clinical Optometry
|January 10, 2025
Summary
Scleral lenses effectively improve vision in children with ocular surface disease or irregular corneas. Most pediatric patients successfully wore these lenses long-term, with larger diameters posing no issue.
Area of Science:
- Ophthalmology
- Pediatric Optometry
Background:
- Scleral lenses offer therapeutic and visual rehabilitation.
- Pediatric eye conditions require specialized management.
Purpose of the Study:
- To review scleral lens outcomes in pediatric patients.
- Evaluate long-term efficacy for ocular surface disease and irregular corneas.
Main Methods:
- Retrospective study over 21 years at a single center.
- Analyzed data from 209 pediatric eyes treated with scleral lenses.
- Assessed visual acuity, lens wear duration, and reasons for discontinuation.
Main Results:
- Mean visual acuity improved significantly (LogMAR 0.93 to 0.43, p < 0.05).
- 70% of eyes continued scleral lens wear long-term (mean 8.2 years).
- Larger lens diameters (mean final 18.2mm) were well-tolerated.
Conclusions:
- Scleral lenses are a viable option for pediatric visual and therapeutic rehabilitation.
- Long-term wear is successful, with larger diameters not hindering outcomes.
- Challenges with lens application/removal were primary discontinuation reasons.

