The fourth in a series of articles summarising the key findings of the BCLA CLEAR publication, a major review of the published evidence relating to all aspects of contact lens practice, Dr Melissa Barnett and Dr Karen G Carrasquillo offer an overview of the BCLA CLEAR section relating to scleral lenses. (C103226, suitable for one distance learning CPD point for optometrists, contact lens opticians and dispensing opticians)