This document discusses cosmetic scleral lenses and shells that can be used to cover disfigured or abnormal eyes. It notes that scleral shells can make a strabismic eye appear orthophoric. Rigid cosmetic lenses may cover a central scar but not the entire cornea, and movement can be a cosmetic issue. Hydrophilic cosmetic lenses fully cover the cornea but will not change a strabismic eye. The document provides steps for fitting a scleral shell, including determining iris position and color with a trial lens and taking pupil measurements. Several manufacturers of cosmetic contact lenses are listed that offer colored, opaque, and custom designed lenses.