Development of scleral contact lens correction: from the Renaissance era to modern lens designs

A. V. Myagkov; V. V. Averich

doi:10.33791/2222-4408-2025-1-54-63

Development of scleral contact lens correction: from the Renaissance era to modern lens designs

A. V. Myagkov, V. V. Averich

https://doi.org/10.33791/2222-4408-2025-1-54-63

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Abstract

Scleral contact lenses are considered one of the most effective methods of optical correction for induced ametropia, particularly in cases of irregular corneal surface. Advancements in scleral lens materials and design have significantly expanded the indications for their fitting. However, ophthalmologists have insufficient awareness of this correction method and its potential in the optical rehabilitation of patients. Objective: to review and summarize the literature on the historical milestones in the development of scleral contact lenses and their application in modern ophthalmic practice. Methods. A literature analysis was conducted using the eLibrary and PubMed databases, covering publications from the last 30 years. Over 200 relevant articles were reviewed, of which 50 were included in this study. Results. This review outlines the history of scleral lens development, detailing key stages in their evolution. The characteristics of modern scleral lenses, including the materials used and the equipment for their fabrication, are described. The indications and contraindications for scleral lens fitting are also discussed. Conclusion. Scleral lenses are now widely available and are custom-manufactured based on individual patient parameters using highly gas-permeable materials. Their use enables optimal visual outcomes even in challenging clinical cases where other correction methods prove ineffective.

Keywords

scleral contact lenses, gas-permeable material, keratoconus, irregular corneal surface

About the Authors

A. V. Myagkov

National Myopia Institute; Krasnov Research Institute of Eye Diseases
Russian Federation

Alexander V. Myagkov, Dr. Sci. (Med.), Professor, Director of the National Myopia Institute; Professor at the Department of Ophthalmology, Krasnov Research Institute of Eye Diseases

7, Deguninskaya Str., Moscow, 127486

11 a, b, Rossolimo Str., Moscow, 119021

V. V. Averich

National Myopia Institute; Krasnov Research Institute of Eye Diseases
Russian Federation

Veronika V. Averich, Cand. Sci. (Med.), Researcher at the Department of Ocular Media Pathology, Krasnov Research Institute of Eye Diseases; Senior Researcher at the Department of Contact Lens Vision Correction, National Myopia Institute

7, Deguninskaya Str., Moscow, 127486

11 a, b, Rossolimo Str., Moscow, 119021

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Review

For citations:

Myagkov A.V., Averich V.V. Development of scleral contact lens correction: from the Renaissance era to modern lens designs. The EYE GLAZ. 2025;27(1):54-63. (In Russ.) https://doi.org/10.33791/2222-4408-2025-1-54-63

ISSN 2222-4408 (Print)
ISSN 2686-8083 (Online)

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The EYE GLAZ

Development of scleral contact lens correction: from the Renaissance era to modern lens designs

Full Text:

Abstract

Keywords

About the Authors

References

Review

For citations:

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