Pucker A, Jones L, Redfern R. Latest Development and the Future of Dry Eye Management - Day 2 NCC, Veldhoven, Netherlands, Mar 11, 2024

Qiu S, Fadel D. The Future of Scleral Lenses: Empirical Fitting and Customization American Academy of Optometry Meeting, Indianapolis, Nov 8, 2024

Qiu S, Fadel D. Rethinking the Limbus: Evidence-based Strategies to Improve Scleral Lens Fitting
American Academy of Optometry Meeting, Anaheim, CA, Sept 30, 2026 [ Show Abstract ]

Description: The limbus plays a critical yet often underappreciated role in modern scleral lens fitting. Despite consensus that scleral lenses should avoid disturbing the limbal region, limbal fit-related complications remain common. This course explores why these issues persist by examining the lack of a standardized limbal definition and the mismatch between the limbal shape and scleral lens limbal zone designs. Using evidence-based insights from different anterior segment imaging modalities, practical strategies for improving limbal fitting and protecting long-term corneal health will be presented.

Learning Objectives:
• To describe the different limbal fit-related complications in scleral lens fitting and compare the different definitions of the limbus
• To interpret anterior segment imaging findings, including corneoscleral topography, anterior segment OCT, and ocular impression data, to identify clinically relevant limbal shape that for scleral lens limbal zone design
• To apply evidence-based strategies for limbal zone customization and lens centration to improve scleral lens fit, patient comfort and vision, and long-term corneal health

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Shukla M. Contact Lenses as a platform for ocular drug delivery Controlled Release Society – Ocular Delivery Focus Group, Webinar, Feb 10, 2023

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