CORNEAL AND EXTERNAL DISORDERS: Edited by Shahzad I. MianScleral lens use in dry eye syndromeBavinger, J. Clay; DeLoss, Karen; Mian, Shahzad I.Author Information Department of Ophthalmology and Visual Sciences, W.K. Kellogg Eye Center, University of Michigan Medical School, Ann Arbor, Michigan, USA Correspondence to Shahzad I. Mian, Department of Ophthalmology and Visual Sciences, W.K. Kellogg Eye Center, University of Michigan Medical School, 1000 Wall St., Ann Arbor, MI 48105, USA. Tel: +1 734 7635506; e-mail: [email protected] Current Opinion in Ophthalmology: July 2015 - Volume 26 - Issue 4 - p 319-324 doi: 10.1097/ICU.0000000000000171 Buy Metrics Abstract Purpose of review Dry eye syndrome can be difficult to manage in severe or refractory cases. In patients in whom traditional treatments have limited efficacy, alternative treatments may be considered for dry eye syndrome, including scleral lenses. The present review summarizes the evidence regarding scleral lens use in dry eye syndrome. Recent findings Scleral lenses have become a viable option for severe dry eye syndrome, and have been shown to be efficacious and well tolerated, with most reports citing improved visual acuity and relief of symptoms. Currently, there are 18 manufacturers of scleral lenses, although published reports on scleral lenses primarily focus on the BostonSight PROSE and the Jupiter Lens. Summary Scleral lenses are efficacious and well tolerated for use in severe dry eye syndrome. Further research is needed to compare different sizes and types of lenses, and to standardize outcome measures. Copyright © 2015 Wolters Kluwer Health, Inc. All rights reserved.