The Effect of PROSE or Scleral Lenses on Mental Health

This study is examining whether fitting patients with PROSE or scleral contact lenses (large specialty contact lenses that vault over the cornea and are filled with saline) for severe dry eye and other ocular surface diseases leads to improvements in mental health, including depression and anxiety. **You may be eligible if...** - You are 18 years of age or older - You are proceeding with a PROSE or scleral lens consultation for an ocular surface condition — such as dry eye disease, Sjögren's syndrome, graft-versus-host disease affecting the eye, Stevens-Johnson syndrome, chemical eye injury, or similar conditions - Your depression screening score (PHQ-9) is greater than 4 - Your eye symptoms score (OSDI) is 13 or higher **You may NOT be eligible if...** - Your eye symptoms score is below 13 - Your depression screening score is 4 or below - You are under 18 Talk to your doctor to see if this trial is right for you.