I’m looking for CE that goes deep on measurement‑driven scleral lens fitting — profilometry + AS‑OCT — to dial in initial central clearance (e.g., 200–250 µm at 30 minutes) and optimize landing zone toricity for comfort. Any recent courses or workshops you’ve found worthwhile (virtual or at Vision Expo) that truly improved first‑fit success and reduced follow-ups?
I’ve boosted first‑fit success by using AS‑OCT at 30 minutes to set vault around 300 µm so it settles to 200–250 µm by day 1, and I only add toric haptics when profilometry shows >150–200 µm sagittal asymmetry at a 16 mm chord; this matches what’s taught in the GPLI scleral/OCT content: Scleral Lens Care Tips, Application and Removal Card - GPLI. If the conjunctiva looks boggy, I’ll dial down toricity a touch and widen the landing zone instead — does that track with what you’re seeing?
Best deep-dive I’ve taken lately was the Scleral Lens Education Society’s hands-on at Vision Expo — solid on profilometry + AS‑OCT to hit that 200–250 µm at 30 minutes and translate scleral shape into landing‑zone toricity; https://sclerallens.org/education. Concrete step: use your profilometer’s meridional sag delta at 15–16 mm to pre-set toric haptics (often about 80–120 µm) and then confirm with OCT at 30 minutes. Are you capturing your own maps or leaning on lab scans?