Life with Scleral Contact Lenses: What You Can and Can’t Do

Scleral contact lenses have become an increasingly popular solution for individuals with complex vision issues or chronic eye discomfort. These lenses offer a unique design and set of benefits that go far beyond what traditional contacts can provide. Whether you are new to scleral lenses or considering them as a treatment option, it’s important to understand what they are, how they work, and what you should and should not do while wearing them.
 

Understanding Scleral Contact Lenses

Scleral lenses are large-diameter gas-permeable lenses that rest on the white part of the eye called the sclera. Unlike standard contacts that sit directly on the cornea, scleral lenses vault over the cornea and create a fluid-filled reservoir between the lens and the eye’s surface. This design provides enhanced comfort, stability, and moisture retention.
 

What Can Scleral Lenses Help Treat?

Scleral lenses are especially helpful for individuals with:

  • Keratoconus and other corneal irregularities

  • Severe dry eye disease

  • Post-surgical corneal complications

  • High astigmatism

  • Difficulty achieving clear vision with traditional contacts or glasses
     

By providing a smooth optical surface and maintaining consistent hydration, scleral lenses can significantly improve visual clarity and eye comfort.
 

What You Can Do with Scleral Lenses

  • Enjoy Clear, Stable Vision: The design of scleral lenses offers exceptional visual clarity and reduces distortions.

  • Stay Active: Many wearers comfortably participate in activities like walking, driving, and even light sports.

  • Wear Them for Long Hours: Scleral lenses are often worn for 10 to 14 hours a day without discomfort, thanks to the hydrating layer they provide.

  • Use Them with Dry Eyes: The fluid reservoir created by the lenses helps protect the cornea and relieve symptoms of dryness.
     

What You Shouldn’t Do with Scleral Lenses

  • Don’t Sleep in Them: Scleral lenses are not intended for overnight wear and should be removed before sleeping to avoid complications.

  • Don’t Skip Hygiene Steps: Always follow your eye doctor’s cleaning and disinfecting instructions carefully to avoid infections or irritation.

  • Don’t Ignore Discomfort: If your eyes feel painful, red, or irritated, do not continue wearing the lenses. Reach out to your eye care provider for evaluation.

  • Don’t Use Tap Water: Never rinse or store your lenses in tap water, as it can contain harmful organisms. Always use the recommended saline and cleaning solutions.
     

The Importance of Regular Eye Exams 

Regular eye exams are essential for individuals wearing scleral lenses to ensure ongoing eye health and optimal lens performance. Because scleral lenses cover a large portion of the eye and create a fluid reservoir, consistent monitoring helps detect any early signs of complications such as corneal swelling, deposits, or changes in eye shape. Your eye doctor can assess the fit of the lenses, and ensure that your eyes remain healthy and comfortable over time. These routine visits also provide an opportunity to update your prescription and address any concerns you may have with comfort, vision, or lens care.
 

Are Scleral Lenses Right for You?

Scleral lenses can be life-changing for individuals who have struggled with traditional contacts or glasses. They provide both visual clarity and comfort for a wide range of eye conditions. However, proper care and following professional guidance are key to getting the most out of them.
 

At Downtown Vision in Reno or Carson City, we specialize in fitting scleral lenses for patients with unique vision needs. Schedule your eye exam to find out if these lenses are right for you and take the first step toward better vision and eye health.  Call us at (775) 322-4061 or (775) 883-3977, our use this link, to book an appointment today.