Troubleshooting and Tips for Scleral Lens Wearers

Scleral lenses are a fantastic option for individuals with complex vision needs or conditions like keratoconus, severe dry eye, or irregular corneas. But as with any specialty lens, proper care and a little troubleshooting can make all the difference in comfort and vision. Here are our top tips for scleral lens wearers, drawn from years of experience helping patients navigate the challenges of scleral lens wear.

1.     Foggy Vision? Check the Reservoir

One of the most common complaints from scleral lens wearers is foggy vision. This often happens when debris or bubbles form in the saline reservoir under the lens. To troubleshoot:

• Start fresh: Remove the lens, clean it, and refill the bowl with our recommended filling solution before reinserting.
• Check your technique: Make sure you’re inserting the lens correctly. Tiny air bubbles can sneak in if the lens isn’t seated properly.
• Upgrade your saline: Consider switching to a solution like Nutrifill, which can reduce fogging and support ocular surface health.

2.     Dry Eye Symptoms? Refresh Your Hydration

While scleral lenses are designed to protect the eye from dryness, some wearers still experience symptoms.

• Reapply drops: Carry preservative-free saline or artificial tears designed for use with scleral lenses to refresh your eyes throughout the day.
• Optimize your environment: If you spend a lot of time in dry or windy conditions, use a humidifier or wraparound glasses for added protection.
• Reassess your fit: Persistent dryness might indicate a need to adjust the lens fit. If dryness doesn’t improve, schedule a follow-up visit.

3.     Discomfort or Redness? Check the Edges

Discomfort or redness can signal that the lens edges are rubbing against your eye. To address this:

• Inspect your lenses: Look for chips or damage along the edges of the lens.
• Consider lens fit: If you’re consistently uncomfortable, your lens may need a slight adjustment in its design. Don’t hesitate to schedule an appointment for an evaluation.

4.     Lens Troubles Down the Drain? Prevention First

Losing a scleral lens down the drain is frustrating and costly. To avoid this:

• Use a lens mat: Place a towel or silicone mat over your sink before handling lenses.
• Secure your lens: Practice handling lenses in a well-lit space over a soft, clean surface.

5.     Vision Not Quite Right? Update Your Prescription

Over time, changes in your eyes may mean your prescription needs updating. If your vision feels off:

• Check for deposits: Protein or debris can accumulate on lenses, distorting vision. Clean them thoroughly using a solution approved for your lenses.
• Review your prescription: Schedule a check-up to ensure your lenses are providing the correct correction.

Final Thoughts

Scleral lenses are life-changing for many, but they do require extra care and attention. By troubleshooting common problems and practicing good lens hygiene, you can enjoy clear, comfortable vision all day long. If you're struggling with your lenses or have questions, we’re here to help! Call our office to schedule a consultation—your eyes deserve the best care possible.

At 2020EyeMax, we specialize in fitting scleral lenses and providing ongoing support to ensure our patients achieve the best vision possible. Let us help you see your best!  Call (859) 787-0936 to book an appointment or visit our office in Lexington, Kentucky. Together, we’ll find the best solution for your vision needs.