A bridge between: Scleral and hybrid contact lenses and their application in the contact lens management of irregular corneas

About the session

CPD ref: C-108394


This workshop will briefly outline the theory and application of scleral and hybrid contact lenses and their place in the continuum of contact lens care for those with irregular corneas. This will be followed by a practical session whose focus will be on insertion, removal and how to achieve an optimal fit with both contact lens types. How and when to make adjustments to the parameters of each lens design will also be demonstrated. This will include but not limited to total diameter, lens sagittal height, inner landing zone, skirt curve, scleral landing zone and prolate vs oblate design. Irregular cornea volunteers would be preferred, however in their absence, the simulation of lens fitting will be carried out on delegates. 

Target Audience

  • Optometrist
  • Contact Len Optician

Domains and learning outcomes

Clinical practice

5.3 Be aware of current good practice, taking into account relevant developments in clinical research, and apply this to the care you provide allowing you to fit/recommend the appropriate contact lenses for a patient

7.5 Provide effective patient care and treatments based on current good practice, fitting the patient with a suitable contact lens.

Specialty CPD - contact lens optician

Consider which patients could benefit from being fitted with hybrid or scleral contact lenses and use this knowledge to know when to fit these patients or refer to another practitioner


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.


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.


Ian Sexton FBCLA

Mr Sexton is a Contact Lens Optician with many years’ experience fitting specialist contact lenses. He is Professional Services Consultant at CooperVision and has been speaking widely on Specialist lenses for a number of years and regularly carries out lens fitting workshops. He also works in the hospital eye service where he regularly fits contact lenses to patients with all types of corneal ectasia, post graft etc. He is a BCLA & IACLE Fellow.

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, 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.