If you’ve been struggling with standard contact lenses or have a complex eye condition, you may have heard about scleral lenses as an alternative. But who prescribes scleral lenses?
Scleral lenses are prescribed by optometrists or ophthalmologists who are trained to fit scleral lenses.
What Are Scleral Lenses?
Scleral lenses are specialized contact lenses designed to address specific vision needs. Unlike traditional lenses that rest on the cornea, scleral lenses vault over the corneal surface and sit on the sclera—the white part of the eye. This unique design keeps the lens stable and creates a reservoir of fluid between the lens and the cornea.
These lenses are often prescribed to individuals with keratoconus, corneal irregularities, severe dry eye syndrome, or other complex eye conditions. Because they are custom-made for each patient, scleral lenses are designed to provide enhanced comfort and clarity compared to standard lenses.
Who Prescribes Scleral Lenses?
Prescribing scleral lenses requires specialized training and expertise, typically beyond the scope of routine eye exams. Optometrists or ophthalmologists with advanced knowledge of corneal conditions and specialty contact lenses are the professionals who prescribe scleral lenses.
They conduct a thorough eye exam, including detailed measurements and mapping of the eye’s surface, to provide you with lenses tailored to your needs. Many practitioners offer follow-up consultations to monitor your progress and make any necessary adjustments.
At Eye Care Center of Colorado Springs, our team is trained in specialty contact lens fittings, meaning you can get your contact lenses fitted right here in our office!
Benefits of Scleral Lenses
Scleral lenses provide a range of benefits for individuals needing them. Here’s a closer look at why they’re often recommended by eye care professionals.
1. Improved Vision for Complex Eye Conditions
Scleral lenses can significantly improve vision for individuals with corneal irregularities, such as keratoconus, post-LASIK complications, or corneal scarring. The vaulting design smooths out distortions, offering a sharp, stable vision that glasses or regular contact lenses can’t always match.
2. Exceptional Comfort
Their larger size and how they rest on the sclera mean scleral lenses avoid direct contact with the sensitive corneal surface. This can result in minimal irritation and a more comfortable experience, even during extended wear.
3. Moisture Retention for Dry Eyes
For those with severe dry eye syndrome or other conditions, scleral lenses can provide relief. The fluid-filled reservoir can provide consistent hydration, offering relief from dryness, redness, and discomfort.
4. Custom Fit
Scleral lenses can be tailored to the exact shape and dimensions of the eye. Whether you have irregular corneas or a condition that makes standard lenses impractical, scleral lenses are custom-made to help give you the best possible fit.
5. Durability
Made from gas-permeable materials, scleral lenses are designed to allow oxygen flow to the eyes and provide durability with proper care.
How Long Do Scleral Lenses Last?
When properly maintained, scleral lenses can last anywhere from 1 to 3 years. That said, their lifespan largely depends on how well they’re cared for and the frequency of wear. Here are a few tips to help maximize their longevity:
- Clean them daily: Use the recommended cleaning solution to remove debris or buildup after each wear.
- Handle with care: Avoid dropping or mishandling the lenses to prevent scratches or cracks.
- Schedule regular check-ups: Visit your eye care provider for routine exams to check the lenses are in good condition and still fit well.
- Store them properly: Use a clean, disinfected storage case and replenish the solution with each use.
Remember, even with proper care, lenses may need periodic adjustments or replacements to maintain their fit and function. That’s why you must keep up with regular eye exams so your optometrist can monitor the fit and comfort of your scleral lenses.
How to Use Scleral Lenses
For those new to scleral lenses, inserting them might seem intimidating at first. However, with a bit of practice, it becomes second nature. Here’s a step-by-step guide to help you get started.
1. Wash Your Hands Thoroughly
Always start by washing your hands with soap and drying them with a lint-free towel to reduce the risk of introducing debris or bacteria to your lens.
2. Inspect the Lens
Before inserting, inspect the lens for any chips, cracks, or debris. This makes sure the lens is safe and comfortable to wear.
3. Fill the Lens with Preservative- Free Saline Solution
Place the lens on a scleral lens inserter or your dominant hand. Fill the lens bowl with preservative-free saline solution to eliminate air bubbles and help keep the cornea hydrated.
4. Position the Lens on Your Eye
Lean forward over a mirror and position the filled lens directly over your eye. Using your free hand, gently hold your eyelids open and move the lens onto your eye.
5. Release the Eyelid & Blink
Once the lens is in place, slowly release your eyelid and blink a few times to check that it’s positioned correctly and feels comfortable.
6. Check for Air Bubbles
If you notice any air bubbles beneath the lens, you may need to reinsert it. Air bubbles can interfere with comfort and vision quality.
If you’re unsure or having difficulty inserting the lens, reach out to your eye care provider for additional guidance.
Reach Clear & Comfortable Vision
For those with complex eye conditions or persistent dry eye syndrome, scleral lenses can offer a combination of comfort, clarity, and customization. While the process of obtaining and adapting to these lenses may seem daunting, many people find the benefits of scleral lenses to be worth the adjustment period. At Eye Care Center of Colorado Springs, our optometrists specialize in specialty contact lens fittings, so you can reach clear, comfortable vision with scleral lenses. Book an appointment today!
