Embrace the cone: Corneal RGP fitting in keratoconus

About the session

CPD ref: C-108393


This workshop will briefly outline the principles underpinning corneal RGP fitting in keratoconus followed by a practical focus on how to achieve an optimal fit. Subject to the provision of keratoconus volunteers, and in their absence, the simulation of keratoconus on normal corneas, delegates will observe how the adjustment of RGP parameters including diameter, base curve and edge lift can be implemented to achieve the desired fitting outcome. Where possible, the need for, toric peripheries and quadrant specific designs will be demonstrated along with the use of piggybacking to further optimise lens fitting.

Target Audience

  • Optometrist
  • Contact Len Optician

Domains and learning outcomes


1.2 Listen to patients and take account of their views, preferences and concerns regarding keratoconus, responding honestly and appropriately to their questions.

Clinical practice

5.3 Be aware of current good practice with regards to keratoconic lens fitting, taking into account relevant developments in clinical research, and apply this to the care you provide.

6.2 Be able to identify when you need to refer a keratoconic patient in the interests of the patient’s health and safety, and make appropriate referrals.

Specialty CPD - contact lens optician

Keep up to date with the latest contact lens fitting possibilities and treatments, and use this knowledge to manage keratoconic patients appropriately


Dr Jonathon Jackson PhD FBCLA MCOptom DipTp(IP)

Jonathan is a qualified optometrist with many years experience working in a secondary care hospital environment providing optometric cover in Corneal & Contact Lens clinics. His PhD from Queens University Belfast was on corneal endothelial morphology. He is a BCLA Fellow and has recently obtained BCLA Dry Eye Certification. His clinical and academic interests include Therapeutic Contact Lenses, Keratoconus and Paediatric Contact Lenses.


Aneel Suri BSc FBCLA MCOptom DipTp(IP) Prof Cert Glauc

Aneel Suri is currently principal contact lens optometrist and principal cornea & external disease optometrist at Moorfields Eye Hospital. He has almost 20 years experience in all aspects of medical lenses and currently leads in both the corneal and scleral lens clinics. He brings 15 years experience in management of corneal disease within the external disease service. Post graduate qualifications include independent prescribing, and a masters in clinical optometry amongst others. 

He is actively involved in teaching all aspects of medical lens management and regularly lectures at national and international conferences. Previous work includes numerous other hospital extended roles and community practice.


Cian Gildea FBCLA

Cian Gildea works at the Wellington Eye Clinic and the Royal Victoria Eye and Ear Hospital. He is the head of medical contact lens services in both locations with 10 years of experience in fitting complex corneal conditions. Cian holds Fellowships with the BCLA and the International Association of Contact Lens Educators. Aside from working in busy clinics, Cian is also heavily engaged in education, lecturing and training, having delivered workshops and lectures internationally.

Nick Howard FBCLA

Nick Howard qualified as a Contact Lens Optician in 1984, working primarily with challenging ocular conditions and complex contact lenses. Part time lecturer, trainer and presenter at conferences, hospitals and universities at local, national and international events, having authored of a number of articles published in the professional optical journals.

Winner of prestigious Contact Lens Optician of the Year award in 2012, received Fellowship of the BCLA and currently a BCLA Council member and Faculty speaker. Now working in two Lancashire hospitals fitting specialty contact lenses, also independent practice, developing innovative techniques for the management of myopia and dry eye.