Charlotte Contact Lens Institute

Charlotte Contact Lens Institute Charlotte Contact Lens Institute is an independent practice providing custom & personalized care.

Not Sure Which Specialty Lens Is Right for You?Not all contact lenses are created equal—and finding the right fit can ma...
08/29/2025

Not Sure Which Specialty Lens Is Right for You?

Not all contact lenses are created equal—and finding the right fit can make all the difference.

Whether you’ve had trouble with soft lenses, struggle with dry eyes, or have a complex prescription, you don’t have to figure it out alone.

At Charlotte Contact Lens Institute, we specialize in custom contact lens fittings using advanced imaging and diagnostic technology—plus we place trial lenses on your eyes during the visit so you can feel the difference firsthand.

RGP, scleral, hybrid, or custom soft? We’ll help you find the lens that fits your vision and lifestyle best.

📞 Call us at 704-800-5230 or check out our website, charlottecontactlens.com, to learn more.

“I’ve never seen this clearly before.”It’s a phrase we’re lucky to hear often as specialty lens practitioners. When we a...
08/20/2025

“I’ve never seen this clearly before.”

It’s a phrase we’re lucky to hear often as specialty lens practitioners. When we add higher-order aberration (HOA) correction using our .us aberrometer, we can take vision to the next level.
Take this 15-year-old patient for example. He had undergone corneal cross-linking and was referred to us for a specialty lens consultation. For his left eye, his best-corrected vision in glasses was 20/150. With scleral contact lenses, he improved to 20/40, but we knew we could do better.

So what was holding him back?

Despite having no corneal scarring, his Ovitz scan (see “before” image) showed a total HOA RMS of 1.67 µm. Scleral contact lenses primarily improve vision by neutralizing anterior corneal curvature irregularities; however, light still must pass through the posterior corneal surface. For this patient, his posterior corneal elevation is highly irregular. You can see that his wavefront map mirrors the posterior elevation map almost exactly. His most significant aberrations were coma and spherical aberration, which are common in keratoconus.

Using the Zenlens Chroma lens design guided by Ovitz aberrometry, we reduced his HOAs to normal levels (see “after” image), and he’s now seeing 20/20.

This is the power of true wavefront-guided correction.

08/12/2025

Don’t have a topographer? A simple GP lens can still reveal a lot about corneal elevation.

The way it aligns (or doesn't) tells a story—pretty amazing what we can learn with just a lens!

With the rise in childhood myopia, we're all seeing the need for proactive solutions like MiSight, axial length tracking...
07/23/2025

With the rise in childhood myopia, we're all seeing the need for proactive solutions like MiSight, axial length tracking, and personalized care plans.

Incredible to be surrounded by colleagues who are pushing the boundaries on how we care for our littlest patients' eyes! 🤗



Here’s a case that required a little creativity! 🤩This patient needed an ( ) EyePrintPRO lens to vault over a tube shunt...
07/17/2025

Here’s a case that required a little creativity! 🤩

This patient needed an ( ) EyePrintPRO lens to vault over a tube shunt with a peak elevation of nearly 700μm. Our initial fit was a textbook success—perfect vault over the tube—but that beautiful clearance came with a catch. The elevated area was rubbing against the inner eyelid, causing significant discomfort throughout the day.

To solve this, I teamed up with the incredible consultation team to redesign the lens. By decreasing the vertical diameter, we reduced how much vault was needed while still clearing the tube. Because the patient also has severe ocular surface disease, it was essential to maintain full coverage of the eye for comfort—cue the elegant oval shape you see here!

We still have some fine-tuning to do, but I couldn’t resist sharing this beautiful piece of art. Isn’t she pretty? ✨

A big thank you to Dr. for co-managing this case with us. We appreciate you! 🙇‍♀️

Continuing education is what we love at Charlotte and Raleigh Contact Lens Institute ( )✨This year, our team was fortuna...
07/11/2025

Continuing education is what we love at Charlotte and Raleigh Contact Lens Institute ( )✨

This year, our team was fortunate enough to attend ICSC () , or the International Conference of Scleral Contact Lenses. This is a wonderful meeting that brings together all the trailblazers and leaders within the scleral lens world. Topics covered include fitting philosophies, new research, along with fitting tips and tricks. It’s a meeting that our doctors love! 💡

As an added bonus, our doctors—Dr. Moss ( ), Dr. Helin ( ) and Dr. Cerenzie ( )—were able to share some of their own knowledge while speaking at this conference! 🙌

Not only do our doctors have the knowledge, but they also love learning more each day about the latest and greatest within the scleral lens world. ❤️

Myopia: The Growing Pandemic…When it comes to myopia, there are some important topics to cover! Although new glasses wit...
07/08/2025

Myopia: The Growing Pandemic…

When it comes to myopia, there are some important topics to cover! Although new glasses with updated (STRONGER) prescriptions are relatively common, there are a few options to slow down the progression of myopia! Myopia control can come in different forms, but the goal is always the same: To stop the progressive nearsightedness in children and adolescents.

⚠️ High nearsightedness can increase the risk of retinal detachment, glaucoma, and macular degeneration in the future.

🔵 MiSight:
An FDA-approved myopia control mechanism using peripheral defocus. This design lens is “dual focus” to allow for myopic defocus on the retina to prevent eye growth and therefore myopia.
Limitations: High astigmatism or high Rx may make this design not ideal for some patients.

🌙 Ortho-K:
A nighttime myopia control option. Rigid gas-permeable lenses are worn while sleeping to reshape the cornea and flatten it. This creates peripheral myopic defocus overnight, slowing myopia progression.
✨ Bonus: Many patients can go glasses-free during the day!
Limitations: Comfort issues, very high myopia, or severe astigmatism may limit success.

💧 Atropine:
A nightly eye drop used in both eyes to slow down myopia. While the exact mechanism isn’t perfectly understood, it’s thought to act on muscarinic receptors that influence eye growth.
🧪 Concentrations: Range from 0.01–0.05%, with 0.05% offering the strongest effect.
Limitations: May cause mild light sensitivity and stinging upon insertion.

🔴 Low-Level Red-Light Therapy:
NEW! Still under study… It may influence dopamine levels and alter retinal and choroidal thickness. Not yet available at CCLI!

📍 Stop by our locations Charlotte Contact Lens Institute or to determine if you or your kiddo is a good candidate for myopia control!

Is it keratoconus… or not quite yet?This 14-year-old was referred by a local doctor to rule out early keratoconus.Over t...
07/03/2025

Is it keratoconus… or not quite yet?

This 14-year-old was referred by a local doctor to rule out early keratoconus.
Over the past 14 months, her astigmatism shifted 1.50 D, remaining with-the-rule — a pattern that’s less typical in keratoconus. But that change alone raised concern, and they were absolutely right to dig deeper.

We ran full Pentacam imaging and found:
✔️ Inferior-temporal steepening on axial curvature
✔️ Posterior elevation up to +57 µm
✔️ A BAD-D score of 1.96
✔️ TKC: KC Stage 1
✔️ ABCD: A0 B1 C0 D0 (suggesting early posterior changes)

During her visit, we also witnessed aggressive eye rubbing — a well-documented risk factor in keratoconus progression.
While she doesn’t meet the criteria for frank keratoconus, these subtle signs — especially in someone so young — warrant close observation. And that’s our plan: monitor every 4–6 months with Belin Progression Display and tomography.

Given her excellent vision and comfort with glasses, we ultimately decided to continue with spectacles rather than pursue contact lens wear. The patient was happy with this plan, especially given her hesitancy around touching her eyes.

🧠 Clinical pearl: Diagnoses like these sit in the gray zone. The most responsible action isn’t to jump to labeling — it’s to monitor, educate, and be ready to act if/when progression appears.

👏 Kuddos to the referring OD for catching early shifts and advocating for advanced imaging.

📊 The power of biometry in action 💪This amazing patient first came to us in May 2023, and her initial axial length measu...
06/19/2025

📊 The power of biometry in action 💪

This amazing patient first came to us in May 2023, and her initial axial length measurements using the Pentacam AXL Wave placed her above the 95th percentile for eye growth—a clear marker of rapid progression and increased risk for future myopia-related complications.

At the time, she was on low-dose atropine 0.01%, but progression continued. With precise biometry guiding our clinical decisions, we initiated combination therapy using MiSight daily lenses and atropine 0.05%.

✨ The result? Her eye growth has dramatically slowed and is now approaching emmetropic rates (~0.1 mm/year).

Her axial length data tells the story:
📈 5/2023 → 5/2025
▫️ OD: 26.438 ➡️ 26.550 mm (+0.112 mm)
▫️ OS: 25.901 ➡️ 26.125 mm (+0.224 mm)

Her prescription has remained stable, and her family is thrilled with her progress.

This case highlights why biometry matters in myopia management. It gives us a clear picture of anatomical change—beyond refraction—and ensures we’re taking the best possible care of our patients' long-term visual health.

📸 (Photos posted with the patient’s consent)

🌟 New Treatment Alert! 🌟We’re excited to now offer LacriFill, a cutting-edge option for dry eye relief! If you're someon...
06/17/2025

🌟 New Treatment Alert! 🌟

We’re excited to now offer LacriFill, a cutting-edge option for dry eye relief!

If you're someone who:
✅ Frequently reaches for artificial tears
✅ Struggles with ongoing dry, irritated eyes
✅ Is currently on medications for dry eye
✅ Wants a more lasting, drop-free solution

…LacriFill may be the answer you've been waiting for!

✨ What is LacriFill?

LacriFill is a soft, dissolvable insert placed in the tear drainage canals (puncta) to help retain your own natural tears—offering long-lasting hydration and relief from dry eye symptoms. The procedure is quick, gentle, and performed right in our office.

📹 Curious how it works? Check out this short video for a behind-the-scenes look:

🔗 Watch Here: https://www.youtube.com/watch?v=TNxCawFl-dc

💬 Why Our Patients Love It:
✔️ Non-surgical & drop-free
✔️ Quick appointment time
✔️ Comfortable, long-lasting moisture
✔️ Great for patients already using drops or other therapies

Whether you're already being treated for dry eye or just starting to experience symptoms, LacriFill can be a great addition to your care plan. Talk to your doctor or our team at your next visit to see if it’s right for you!

📍Now offered at both our Charlotte and Raleigh offices.
Ask us more during your next appointment or call to schedule a consult.

Can scleral lenses be used for more than vision improvement? ABSOLUTELY! ✨Scleral lenses can provide an ocular environme...
06/12/2025

Can scleral lenses be used for more than vision improvement? ABSOLUTELY! ✨

Scleral lenses can provide an ocular environment that is suited for healing of the cornea as well. This is used in general for dry eye patients, but also patients with non healing defects!

For our patient, she had an epithelial defect that would not heal for a whole year! Imagine a cut on your skin that would not close for 365 days. This is painful and frustrating. 😣

She tried everything:

⚫ Multiple amniotic membranes

⚫ Blood serum eye drops

⚫ Lots of bandage contact lenses

None of these treatments seemed to work, until scleral lenses! 🙌

The scleral lens provided an adequate ocular environment for healing to occur. After 1.5 months, the defect had closed! Her comfort has improved dramatically, and her vision is near 20/20. ✅

The possibilities of scleral lenses are growing year by year, and we are on the front lines at Charlotte Contact Lens Institute and ! ✨

Address

5950 Fairview Road Suite 708
Charlotte, NC
28210

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