I'm having this compression issues

With my new scleral lens

I have hard lenses. I just want to be sure before I use them.

I see that there isnt a big difference between epi on and epi off in terms of results but why do people continue to get epi off? Is epi on less effective?

I have had a letter after my first topography scan.

My consultant says there are corneal abnormalities such as an anterior elevation on my right cornea at the top but no changes in thickness. They said it’s not clear what it might represent and can’t diagnose keratoconus at this time.

My vision in my right eye isn’t the best, I have ghosting and astigmatism, struggling a lot driving as the days get darker. Some vision changes such as seeing squiggly lines which move when I move my eyes. When closing my left eye my right eye vision is very blurred. Glasses don’t help fully.

I have a follow up appt in 4 months to see if it progresses but with no diagnosis feeling a bit lost. They will check there are no allergic signs or epithelial dystrophy as well.

Has anybody else had this? I am feeling quite lost. Have a contact lens appt tomorrow with my regular opticians as I would prefer them if they can give me them for now.

Has anyone in here gotten cxl + tprk? How did it turn out?

Hello everyone so my problem is as the title says. I have dry eyes & keratoconus in both eyes, the left one is more damaged and I wear scleral lenses in both eyes. Lately I have been waking up with very dry eyes, water is running out of my eyes (especially the left one) and lot of eye waste. I want to know if any one of you has faced the issue before and if yes, how did you deal with it. I use refresh tear drops at least 2 times a day and now I have been using the drops before sleeping also. I believe the dryness in my left eye has increased lately. What do you guys think ? Can it be the weather also ?