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For those suffering from myopia overload there is plenty on offer in the concurrent educational streams including scleral contact lens fitting, management of keratoconus and corneal transplantation.
This ocular complication can be well-managed by an optometrist fitting a scleral contact lens, (25,26) since this allows good protection from the atmosphere and retention of the tears between the lens and the anterior ocular surface.
An example of a scleral lens is the Boston lens, a proprietory scleral contact lens now known as PROSE (Prosthetic Replacement of Ocular Surface Ecosystem) since it is used as a prosthesis for conditions of corneal ectasia including keratoconus.