Continuum of Care

Multiple Contact Lens Options for Keratoconus Patients

Today, we have a broad and ever-increasing number of viable options for keratoconus management including larger-diameter intralimbal corneal GPs, scleral lenses, hybrid lenses, and custom soft lenses. The benefits and increasing popularity of new and more comfortable contact lens designs, combined with CXL’s effect on progression, should continue to reduce the number of individuals needing some form of keratoplasty procedure.

The guide Continuum of Care for Keratoconus: Contact Lens Choices by Jeffrey Sonsino, OD, FAAO outlines current management options for keratoconus and presents a continuum of care with recommended contact lens options for the many different types of patients who exhibit this corneal disease.  This one-page guide was presented at the 2017 Optometry's Meeting and has been used in published articles and at subsequent optometry educational events.

The Guide covers

  • Contact lens choices for corneal conditions including Forme Fruste, Mild, Moderate, Severe and Surgical Corneal Conditions
  • Topography and pachymetry and K-reading guidelines for varying disease states
  • Soft, hybrid and scleral contact lenses choices

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Hybrid Contact Lenses

Hybrid Contact Lenses

Hybrid contact lens options for patients with keratoconus include SynergEyes KC, ClearKone and UltraHealth. 

UltraHealth lenses are the most advanced hybrid lens.  While indicated for keratoconus, the 'Continuum of Care' sweetspot is for patients with mild to moderate keratoconus.  UltraHealth is designed to vault the corneal ectasia, providing well-centered, gas permeable vision along with comfort from the soft skirt.


  • Most advanced hybrid lens for keratoconus
  • Prescribed to thousands of keratoconic patients
  • Made from high-Dk materials.
Screenshot 2019-05-23 at 4.38.08 PM

Read More About UltraHealth

Scleral Contact Lenses

SynergEyes VSTM Scleral Lenses

Scleral lenses completely vault the cornea and limbus landing entirely on the sclera.  The SynergEyes VS lens was designed to reflect the anatomy of the eye. The toric periphery of the lens may be precisely controlled in both the flat and steep meridians, aligning with the sclera for ease of landing and stability.


  • Linear landing zones align with the linear shape of the sclera.
  • Toric peripheries are standard in the fitting set to accommodate the sclera, which is toric in 95% of cases.
  • Independent parameter adjustments for more intuitive and predictable fitting.

Pillar-page-synergeyes-vs Read More About SynergEyes VS

Continuum Videos

Suggestions from your Peers

There are a variety of contact lens options for keratoconus patients.  Hear from four doctors as they share their approaches to prescribing contact lenses for the continuum of kerataconus.


Tiffany Andrzejewski, OD Melissa Barnett, OD Jennifer Harthan, OD Jeffrey Sonsino, OD

What types of contact lenses
do you use for emerging and moderate keratoconus?
– Tiffany Andrzejewski, OD

When do you reach for a
hybrid versus a scleral lens 
for keratoconus patients? 
– Melissa Barnett, OD


What types of contact lenses
do you use for the continuum
of keratoconus?  
– Jennifer Harthan, OD

What types of contact lenses
do you use for emerging and moderate keratoconus? 
– Jeffrey Sonsino, OD


Testimonial for UltraHealth Hybrid Lens

UltraHealth is great because it gives that superior gas permeable lens optics and it can provide better comfort than what (patients) may have had in the past from a gas permeable standpoint.

I find a hybrid can be a  really great lens for those early and moderate keratoconic patients because it is bridging that gap, especially if they are familiar with soft contact lenses, into something new that’s going to give them better vision versus going to a gas permeable lens, which sometimes patients have issues early on tolerating, from a comfort standpoint.


Tiffany Andrzejewski OD, FAAO

Testimonial for SynergEyes VS Scleral Lens

One of the great things about the SynergEyes VS scleral lens is the peripheral landing system. The toric haptics really allow the lens to center well on the patient and I have found that patients who do struggle with ocular surface disease don’t have as much fogging.


Jennifer Harthan OD, FAAO