Scleral lens fitting can be challenging in the presence of localized conjunctival/scleral elevations (pingueculae or filtering blebs) in the area of the lens landing zone. We report on a case that was virtually fit successfully with a new corneal-scleral topography system.
Objective was to examine new findings regarding conjunctival/scleral shape mapped with a novel wide field elevation topography device and software, to propose a new classification system for scleral shape.