{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,7,19]],"date-time":"2026-07-19T08:43:28Z","timestamp":1784450608885,"version":"3.55.0"},"reference-count":23,"publisher":"Elsevier BV","issue":"2","license":[{"start":{"date-parts":[[2025,4,1]],"date-time":"2025-04-01T00:00:00Z","timestamp":1743465600000},"content-version":"tdm","delay-in-days":0,"URL":"https:\/\/www.elsevier.com\/tdm\/userlicense\/1.0\/"},{"start":{"date-parts":[[2025,4,1]],"date-time":"2025-04-01T00:00:00Z","timestamp":1743465600000},"content-version":"tdm","delay-in-days":0,"URL":"https:\/\/www.elsevier.com\/legal\/tdmrep-license"},{"start":{"date-parts":[[2026,1,18]],"date-time":"2026-01-18T00:00:00Z","timestamp":1768694400000},"content-version":"vor","delay-in-days":292,"URL":"http:\/\/creativecommons.org\/licenses\/by\/4.0\/"}],"funder":[{"DOI":"10.13039\/501100001793","name":"Queensland University of Technology","doi-asserted-by":"publisher","id":[{"id":"10.13039\/501100001793","id-type":"DOI","asserted-by":"publisher"}]}],"content-domain":{"domain":["clinicalkey.com","clinicalkey.com.au","clinicalkey.es","clinicalkey.fr","clinicalkey.jp","contactlensjournal.com","elsevier.com","sciencedirect.com"],"crossmark-restriction":true},"short-container-title":["Contact Lens and Anterior Eye"],"published-print":{"date-parts":[[2025,4]]},"DOI":"10.1016\/j.clae.2026.102617","type":"journal-article","created":{"date-parts":[[2026,1,13]],"date-time":"2026-01-13T08:06:31Z","timestamp":1768291591000},"page":"102617","update-policy":"https:\/\/doi.org\/10.1016\/elsevier_cm_policy","source":"Crossref","is-referenced-by-count":1,"title":["Peripheral scleral lens modifications and tear exchange"],"prefix":"10.1016","volume":"49","author":[{"ORCID":"https:\/\/orcid.org\/0000-0002-5095-1248","authenticated-orcid":false,"given":"Asif","family":"Iqbal","sequence":"first","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Damien","family":"Fisher","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"David","family":"Alonso-Caneiro","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Michael J","family":"Collins","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Stephen J","family":"Vincent","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"78","reference":[{"issue":"3","key":"10.1016\/j.clae.2026.102617_b0005","doi-asserted-by":"crossref","first-page":"598","DOI":"10.1111\/opo.13450","article-title":"Quantifying tear exchange during rigid contact lens wear using corneoscleral profilometry: A proof of concept study","volume":"45","author":"Iqbal","year":"2025","journal-title":"Ophthalmic Physiol Opt"},{"issue":"6","key":"10.1016\/j.clae.2026.102617_b0010","doi-asserted-by":"crossref","first-page":"515","DOI":"10.1097\/00003226-199211000-00005","article-title":"Fluorophotometric assessment of tear turnover under rigid contact lenses","volume":"11","author":"Kok","year":"1992","journal-title":"Cornea"},{"issue":"2","key":"10.1016\/j.clae.2026.102617_b0015","doi-asserted-by":"crossref","first-page":"97","DOI":"10.1097\/ICL.0000000000000400","article-title":"Silicone hydrogel and rigid gas-permeable scleral lens tear exchange","volume":"44","author":"Paugh","year":"2018","journal-title":"Eye Contact Lens"},{"issue":"2","key":"10.1016\/j.clae.2026.102617_b0020","doi-asserted-by":"crossref","first-page":"88","DOI":"10.1016\/j.clae.2015.08.003","article-title":"Complications and fitting challenges associated with scleral contact lenses: A review","volume":"39","author":"Walker","year":"2016","journal-title":"Cont Lens Anterior Eye"},{"issue":"11","key":"10.1016\/j.clae.2026.102617_b0025","doi-asserted-by":"crossref","first-page":"460","DOI":"10.1097\/ICL.0000000000000929","article-title":"Tear exchange, intraocular pressure, and wear characteristics of quadrant-specific versus spherical haptic scleral lenses","volume":"48","author":"Nau","year":"2022","journal-title":"Eye Contact Lens"},{"issue":"2","key":"10.1016\/j.clae.2026.102617_b0030","doi-asserted-by":"crossref","first-page":"88","DOI":"10.1097\/ICL.0000000000000865","article-title":"Frugal method of notch modification of scleral contact lenses in the setting of complex ocular surface anatomy","volume":"48","author":"Patel","year":"2022","journal-title":"Eye Contact Lens"},{"key":"10.1016\/j.clae.2026.102617_b0035","doi-asserted-by":"crossref","first-page":"2013","DOI":"10.2147\/OPTH.S52483","article-title":"Scleral lens for keratoconus: Technology update","volume":"9","author":"Rathi","year":"2015","journal-title":"Clin Ophthalmol"},{"issue":"5","key":"10.1016\/j.clae.2026.102617_b0040","doi-asserted-by":"crossref","first-page":"530","DOI":"10.1080\/08164622.2024.2426823","article-title":"Contact lens fenestrations and channels in relation to tear exchange and corneal oedema","volume":"108","author":"Fisher","year":"2025","journal-title":"Clin Exp Optom"},{"issue":"7","key":"10.1016\/j.clae.2026.102617_b0045","doi-asserted-by":"crossref","first-page":"486","DOI":"10.1136\/bjo.54.7.486","article-title":"Fluid exchange under scleral contact lenses in relation to wearing time","volume":"54","author":"Ko","year":"1970","journal-title":"Br J Ophthalmol"},{"key":"10.1016\/j.clae.2026.102617_b0050","first-page":"56","article-title":"Contact lens case reports: Elevated conjunctival lesions and scleral lenses","volume":"32","author":"Caroline","year":"2017","journal-title":"Cont Lens Spectrum"},{"issue":"6","key":"10.1016\/j.clae.2026.102617_b0055","doi-asserted-by":"crossref","first-page":"517","DOI":"10.1016\/j.clae.2020.06.005","article-title":"Anatomical and physiological considerations in scleral lens wear: Conjunctiva and sclera","volume":"43","author":"Walker","year":"2020","journal-title":"Cont Lens Anterior Eye"},{"issue":"2","key":"10.1016\/j.clae.2026.102617_b0060","doi-asserted-by":"crossref","first-page":"298","DOI":"10.4103\/ijo.IJO_2098_22","article-title":"Fitting pearls of scleral contact lenses in keratoglobus","volume":"3","author":"Prabhu","year":"2023","journal-title":"Indian J Ophthalmol - Case Reports"},{"issue":"2","key":"10.1016\/j.clae.2026.102617_b0065","doi-asserted-by":"crossref","first-page":"205","DOI":"10.1016\/j.clae.2017.10.010","article-title":"An analysis of anterior scleral shape and its role in the design and fitting of scleral contact lenses","volume":"41","author":"Ritzmann","year":"2018","journal-title":"Cont Lens Anterior Eye"},{"issue":"5","key":"10.1016\/j.clae.2026.102617_b0070","doi-asserted-by":"crossref","first-page":"867","DOI":"10.1111\/opo.13324","article-title":"The effect of landing zone toricity on scleral lens fitting characteristics and optics","volume":"44","author":"Alexander","year":"2024","journal-title":"Ophthalmic Physiol Opt"},{"issue":"1","key":"10.1016\/j.clae.2026.102617_b0075","article-title":"Scleral lens landing zone toricity and tear exchange","volume":"49","author":"Iqbal","year":"2026","journal-title":"Cont Lens Anterior Eye"},{"issue":"4","key":"10.1016\/j.clae.2026.102617_b0080","doi-asserted-by":"crossref","first-page":"208","DOI":"10.1016\/j.clae.2017.04.004","article-title":"Qualitative assessment of tear dynamics with fluorescein profilometry","volume":"40","author":"Garaszczuk","year":"2017","journal-title":"Cont Lens Anterior Eye"},{"issue":"4","key":"10.1016\/j.clae.2026.102617_b0085","doi-asserted-by":"crossref","first-page":"792","DOI":"10.1111\/opo.13221","article-title":"Central and peripheral scleral lens-induced corneal oedema","volume":"44","author":"Iqbal","year":"2023","journal-title":"Ophthalmic Physiol Opt"},{"key":"10.1016\/j.clae.2026.102617_b0090","doi-asserted-by":"crossref","first-page":"697","DOI":"10.12688\/f1000research.55027.1","article-title":"rmcorrShiny: A web and standalone application for repeated measures correlation","volume":"10","author":"Marusich","year":"2021","journal-title":"F1000Res"},{"issue":"7","key":"10.1016\/j.clae.2026.102617_b0095","doi-asserted-by":"crossref","first-page":"1524","DOI":"10.1111\/opo.13380","article-title":"The central and peripheral corneal response to short-term hypoxia","volume":"44","author":"Iqbal","year":"2024","journal-title":"Ophthalmic Physiol Opt"},{"issue":"3","key":"10.1016\/j.clae.2026.102617_b0100","doi-asserted-by":"crossref","DOI":"10.1016\/j.clae.2024.102173","article-title":"Scleral lens induced short term corneal changes in eyes with Pellucid Marginal Degeneration","volume":"47","author":"Dutta","year":"2024","journal-title":"Cont Lens Anterior Eye"},{"issue":"3","key":"10.1016\/j.clae.2026.102617_b0105","doi-asserted-by":"crossref","first-page":"618","DOI":"10.1111\/opo.13489","article-title":"Regional variations in corneal oedema during open-eye fenestrated scleral lens wear","volume":"45","author":"Iqbal","year":"2025","journal-title":"Ophthalmic Physiol Opt"},{"issue":"4","key":"10.1016\/j.clae.2026.102617_b0110","doi-asserted-by":"crossref","first-page":"117","DOI":"10.1111\/j.1444-0938.1987.tb04223.x","article-title":"Comfort of fenestrated hydrogel lenses","volume":"70","author":"Ang","year":"1987","journal-title":"Clin Exp Optom"},{"issue":"1","key":"10.1016\/j.clae.2026.102617_b0115","doi-asserted-by":"crossref","first-page":"43","DOI":"10.1016\/j.clae.2018.11.016","article-title":"Tear dynamics under scleral lenses","volume":"42","author":"Tse","year":"2019","journal-title":"Cont Lens Anterior Eye"}],"container-title":["Contact Lens and Anterior Eye"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/api.elsevier.com\/content\/article\/PII:S1367048426000135?httpAccept=text\/xml","content-type":"text\/xml","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/api.elsevier.com\/content\/article\/PII:S1367048426000135?httpAccept=text\/plain","content-type":"text\/plain","content-version":"vor","intended-application":"text-mining"}],"deposited":{"date-parts":[[2026,3,14]],"date-time":"2026-03-14T03:36:36Z","timestamp":1773459396000},"score":1,"resource":{"primary":{"URL":"https:\/\/linkinghub.elsevier.com\/retrieve\/pii\/S1367048426000135"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2025,4]]},"references-count":23,"journal-issue":{"issue":"2","published-print":{"date-parts":[[2025,4]]}},"alternative-id":["S1367048426000135"],"URL":"https:\/\/doi.org\/10.1016\/j.clae.2026.102617","relation":{},"ISSN":["1367-0484"],"issn-type":[{"value":"1367-0484","type":"print"}],"subject":[],"published":{"date-parts":[[2025,4]]},"assertion":[{"value":"Elsevier","name":"publisher","label":"This article is maintained by"},{"value":"Peripheral scleral lens modifications and tear exchange","name":"articletitle","label":"Article Title"},{"value":"Contact Lens and Anterior Eye","name":"journaltitle","label":"Journal Title"},{"value":"https:\/\/doi.org\/10.1016\/j.clae.2026.102617","name":"articlelink","label":"CrossRef DOI link to publisher maintained version"},{"value":"article","name":"content_type","label":"Content Type"},{"value":"\u00a9 2026 The Authors. Published by Elsevier Ltd on behalf of British Contact Lens Association.","name":"copyright","label":"Copyright"}],"article-number":"102617"}}