Ling JJ, Mian SI, Stein JD, et al. - In the present study, the researchers sought to explore the correlation of scleral contact lens (SCL) use on the risk for keratoplasty for people with keratoconus. Between August 1, 2012, and December 31, 2018, the electronic health records of patients receiving eye care at the University of Michigan Kellogg Eye Center, were reviewed. It involved patients with a diagnostic code for keratoconus or corneal ectasia, with no prior history of keratoplasty, and for whom both eyes had data available. Two thousand eight hundred six eyes fulfilled the requirements for inclusion. Black race relative to the white race, younger age, and lower socioeconomic status were factors associated with increased risk of keratoplasty. Gender, insurance, or maximum keratometry were not associated with keratoplasty. The use of scleral or rigid gas permeable contact lens (CL) should be maximized by physicians because patients who use CL effectively have almost one-fifth of the risk of keratoplasty.