Scleral contact lenses may help where other modalities fail.

Purpose: To describe the vision-correcting and therapeutic benefits of gas-permeable scleral contact lenses (GP-ScCL) in the management of irregular corneal surface disorders and ocular surface diseases.

Methods: The charts of 48 consecutive patients (66 eyes) whose management included the use of GP-ScCL were reviewed.

Results: The most common indication for fitting the lenses was keratoconus in patients who had to stop wearing other types of corneal lenses (44 eyes, 74.