Episode Details
Back to EpisodesMastering the Scleral Lens Fit: Dr. Randy Charrier on the Power of the Heidelberg Engineering ANTERION
Description
In this OptoCribs segment of the Four Eye Professor podcast, Dr. Randy Charrier breaks down how Heidelberg Engineering’s ANTERION® has streamlined the scleral lens fitting process. By using swept-source OCT technology, practitioners can replace manual guesswork with objective, micron-level data. Host Dr. Chris Lievens joins Dr. Charrier to discuss how this technology, paired with efficient clinical systems, secures better outcomes for patients with complex corneal disease.
Table of Contents
The Evolution of Scleral Lens Fitting: From the Navy to Private Practice
Scleral lens practice has shifted from a niche “last resort” for trauma to a primary medical intervention. Dr. Charrier’s expertise was forged at the Naval Medical Center in San Diego, where he managed extreme corneal trauma and advanced keratoconus. Seeing the impact of these lenses in a high-stakes environment taught him that specialty fits are about restoring function, not just checking boxes.
Today, Dr. Charrier emphasizes that a successful practice is not built on a doctor’s intuition, but on repeatable clinical systems. This approach enabled him to relocate his practice 40 miles and maintain a near-100 % patient retention rate. Patients followed the system and technology, which delivered consistent, predictable results year after year.
Professional Tip: Framing the Conversation
To manage the “chair time” often associated with sclerals, Dr. Charrier uses mindset screening. Before the patient enters the exam r