Blog posts by Aubry Tackett, OD, FAAOMS

When clinical decisions fall into medicine’s grey areas, comprehensive diagnostic data can make all the difference. This case highlights how advanced corneal imaging helped guide a critical treatment decision for a young patient with progressive keratoconus—demonstrating the power of deeper data in balancing risk, safety, and long-term vision outcomes.

This case study explores the role of anterior segment OCT in fitting a scleral lens for a patient with keratoconus following corneal cross-linking. Despite being limited to one lens due to cost, the patient experienced significant visual improvement. The case underscores how OCT can streamline the fitting process, enhance precision, and support better clinical decisions in specialty contact lens care.