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Understanding scleral lenses

Vision for difficult eyes.

Scleral lenses vault over the cornea and rest on the white of the eye. For patients with keratoconus, severe dry eye, post-surgical corneas, or other complex cases, they're often a game-changer.

Vaults with moisture reservoir
Vaults with a moisture reservoir saline reservoir irregular cornea lands on sclera lands on sclera Smooth optical surface over irregular eye

A reservoir of comfort.

Unlike regular contacts, sclerals don't touch the cornea at all. They span across and land gently on the sclera (white of the eye). This creates a chamber between the lens and the cornea filled with preservative-free saline โ€” like a permanent moisture bath.

Because the lens doesn't flex with your cornea, it creates a perfectly smooth optical surface โ€” masking even severe corneal irregularity. Vision is often remarkably sharp.

Here's the plan โ€”
and why it works.

Visit 01

Measurements

Detailed corneal scans map your eye's topography. We select trial lenses.

Visit 02

Trial fitting

We try different diameters and curves. You practice insertion and removal.

Visit 03

Final lens

Custom lens dispensed. Vision check, comfort check, wear schedule.

Follow-up

Fine-tuning

Any adjustments over the first month. Annual visits after that.

Take them out if

You have persistent pain, redness, or vision changes. Also: if the lens suctions too tight on removal (rare), don't force it โ€” call us or apply more saline first.

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Common questions

Honest answers to common questions.

Do they hurt?+

Usually no. Because they don't touch the cornea, there's no foreign body sensation like with rigid contacts. Most patients don't feel the lens at all after fitting.

How long do they take to fit?+

Expect 2โ€“4 visits over a few weeks. We customize the lens shape to your specific eye topography. Patience during fitting pays off for years of comfortable wear.

How do I put them in?+

You fill the bowl with preservative-free saline, then apply with a special plunger or tripod grip. Sounds tricky โ€” takes about a week to master. Most patients are pros within 2 weeks.

How long can I wear them?+

Most patients wear 10โ€“14 hours daily. Some remove and refill mid-day, especially if tear film issues persist. A few wear them all day without removal.

How often do I need new ones?+

Typically 1โ€“2 years, depending on fit changes, scratches, and prescription updates. Our annual visit assesses lens condition and fit.

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