Irregular astigmatism due to epithelial irregularities, epithelial and stromal dystrophies or corneal degenerations and ectasias cannot be sufficiently corrected with spectacles, and rigid gas permeable (RGP) contact lenses have become the mainstay of the treatment. This study was designed to find out Relation between lens wear and corneal surface changes, longstanding management of corneal irregularity with contact lenses without disturbing the corneal health.