Calling all Guru's...

Here's a juicy rx I'm trying to fit for a scleral contact lens wearing patient with keratoconus:

R -15.00 -6.00 x 002
L -11.00 -5.75 x 120

PD OD 30.5 OS 28.5 OC 20 high
Frame Red Paris small oval Nero Thoreau 47-22-140 small metal, no pads (especially insists on this feature) saddle bridge.

Epidemiologist 49 year old who travels the world for work.

Good, better, best lens options?