Scleral lens patients can have binocular misalignments that results in diplopia. Loss of fusion can be secondary to a longstanding tropia or result from acute or chronic decreased vison in one eye.
Manitoba-oculo-tricho-anal syndrome (MOTA), is a distinct autosomal recessive multiple malformation syndrome caused by mutations in the FREM1 gene  resulting ocular coloboma.
Eric Marshall is the VP of Manufacturing and Lead Consultant at Visionary Optics. He has worked with scleral lenses for more than 21 years and brings immeasurable experience in technology, design, manufacturing, and customer care to the Visionary Optics team.