Scleral lens fitting is both an art and a science—and until a decade ago, it’s been heavy on the art. Diagnostic fitting sets, trial-and-error, and multiple follow-up appointments were once the norm. But today, profilometry is reshaping what’s possible, helping specialty lens fitters improve efficiency, reduce chair time, and deliver better patient outcomes.
Streamlined Scleral Lens Fitting from the Start
I’ve been using Visionary Optics’ sMap3D™ and sMap Pro software for nearly a decade. With the recent launch of the iContour® profilometer and oScan software, the process has become even more streamlined.
Now, my typical scleral lens fitting process includes just three appointments. During the first visit, I capture detailed measurements using iContour®, analyze the 3D ocular maps in the oScan fitting software, and perform an over-refraction with the recommended diagnostic lens. Sharing the composite 3D model with patients during this visit has become an unexpected benefit—patients are impressed by the technology and feel more engaged in their care. After evaluating the scan and confirming the lens design, I upload the data to Visionary Optics. Their expert consultants provide a fast, detailed email confirmation—including feedback on scan quality using intuitive, color-coded indicators.
The next two visits are for dispensing the lens and follow-up. Most patients require only minor tweaks, and often, their final lens can be sent directly to their home.
Scleral Lens Customization that Matches Case Complexity
One of the most valuable aspects of profilometry is the ability to tailor the lens design strategy to the needs of each individual eye. For patients with more regular ocular shapes—such as mild keratoconus or dry eye disease—I typically opt for an Europa or Europa Tangent lens. These designs are customized using profilometry data, providing precision and comfort without unnecessary complexity or cost.
For patients with more severe corneo-scleral irregularity—such as post-surgical eyes or high scleral toricity—I turn to the fully freeform Latitude® lens. The level of customization possible with these designs has allowed me to achieve exceptional fits even in the most challenging cases. By evaluating the maps generated during the initial scan, I can quickly determine which approach will yield the best result and proceed with confidence.
Better Experience for Patients and Providers
Patients notice the difference immediately. Instead of feeling like they’re going through a trial-and-error process, they see advanced technology in action—offering both reassurance and clarity. Fewer visits, fewer remakes, and faster results make the experience smoother and less frustrating, which in turn drives satisfaction, loyalty, and referrals. It’s not uncommon for patients to share their positive outcomes with friends and family, helping to grow the practice organically.
For the practitioner, the advantages are just as clear. The ability to delegate portions of the process—like measurement capture and initial lens selection—to trained technicians has freed up my time and increased efficiency. Chair time is reduced, remakes are minimized, and the overall process is more predictable. In a high-demand specialty, that consistency is key to building a thriving, scalable practice.
Why Adoption Profilometry Matters
Ultimately, adopting profilometry isn’t just about upgrading your tools—it’s about elevating your entire workflow. With devices like iContour® and smart-fitting platforms like oScan, you’re not only delivering better care; you’re doing it more efficiently. That’s the kind of transformation that benefits both your patients and your bottom line.
Learn more about the iContour® scleral profilometer.
