KeratoScoop (Rebecca's blog)

This is one of those studies where just reading the title makes me go "Ahhhh" as I feel muscles relaxing:

Scleral Contact Lenses as an Alternative to Tarsorrhaphy for the Long-Term Management of Combined Exposure and Neurotrophic Keratopathy.

...especially since I've been noticing this year, to my horror, that tarsorrhaphy seems to be coming back into vogue. My emphases below:

PURPOSE:: Most ophthalmologists are unaware of the therapeutic applications

...

There's a lot going on out there in scleral-land. Did you know?

For those who don't know what I'm talking about, sclerals are extra-large gas permeable contact lenses. Unlike normal contacts, which, soft or hard, basically drape across the cornea, sclerals vault the cornea entirely and their edges rest on the sclera (white of the eye). They can hold a fluid layer over the cornea.

Sclerals have been around for a long time and while never in common use, historically ...