This case-based course explores the use of contact lenses as therapeutic, rehabilitative, optical, & prosthetic tools for patients with ocular disease, congenital abnormalities, corneal irregularity, ocular surface disease, and visual disability. Using real-world cases, we'll compare corneal GP, scleral, specialty soft, hybrid, prosthetic/tinted, impression-based, & bandage contact lens strategies. Focusing on clinical decision-making: defining goals, selecting initial lens modality, modifying lens design for abnormal anatomy, recognizing complications, & determining when an alternative approach is warranted.