Form Predicts Function: When Corneal Architecture Writes the Visual Script

Modern anterior segment imaging doesn’t just show us the damage—it shows us the roadmap back to function.

By: Randy Charrier, OD, FAAO, Dipl CCLRT

Optometric Management October 1, 2025

Randy Charrier

Bio: Randy Charrier, OD, FAAO, Dipl CCLRT, is an optometrist whose clinical writing focuses on specialty contact lens care, including complex scleral lens fitting. His Optometric Management work discusses the use of high-resolution anterior segment swept-source OCT to evaluate lens-tissue relationships in challenging cases involving corneal pathology, irregular scleral anatomy, glaucoma surgery, and filtering blebs.

Contributions:

https://www.optometricmanagement.com/issues/2026/march-april/looking-deeper-for-success-oct-in-complex-scleral-lens-fitting/

Dipl CCLRT

Bio: Dipl CCLRT is an author published in Optometric Management on anterior segment imaging for anatomically narrow angles. In the March 2026 article "Imaging the Anterior Segment for Narrow Angles," Dipl CCLRT discussed the use of high-resolution anterior segment SS-OCT imaging to evaluate angle anatomy and guide management decisions such as laser peripheral iridotomy, cataract extraction, topical therapy changes, or observation. The article emphasized imaging-guided clinical decision-making in patients with narrow angle glaucoma risk, including interpretation of angle measurements and assessment of anterior chamber crowding.

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Optometric Management

Form Predicts Function: When Corneal Architecture Writes the Visual Script

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