The unique design creates a uniform refractive surface that neutralizes irregular astigmatism and minimizes higher order aberrations.

With their larger diameter and vaulting mechanism, scleral lenses distribute weight evenly over the less sensitive sclera, reducing discomfort during prolonged wear.

By avoiding direct contact with the surgical cornea, these lenses reduce the risk of mechanical trauma or further damage, which is especially important if the cornea is healing or has residual irregularities.

The saline reservoir works as a constant source of moisture, alleviating the symptoms of dry eye that many patients experience post-surgery.

Scleral lenses are highly customizable. Their shape, diameter, optical design, and mid-peripheral clearance can be fine-tuned based on your specific eye topography and the nature of your corneal irregularities.

Although scleral lenses offer numerous advantages, it is important to approach their use with well-informed expectations, particularly after refractive surgery. One common concern is the development of corneal edema, a mild swelling of the cornea, which might occur if the lens is worn for extended periods. For healthy eyes, short periods of wear might show a slight (1-2%) increase in corneal edema; however, the impact can be more significant in post-surgical eyes.

To minimize risks, our eye doctors take several precautions during the fitting process:

• Regular Monitoring: Patients fitted with scleral lenses are encouraged to attend regular follow-up appointments to monitor corneal health, endothelial cell counts, and overall ocular response.
• Material and Design Optimization: Selecting lenses made from the highest oxygen-permeable material (Dk/t) and reducing lens thickness as much as possible helps prevent hypoxic complications.
• Individualized Adjustments: In cases where the corneal clarity is compromised or where there is significant corneal edema, modifications such as increased mid-peripheral clearance or a fenestrated design might be recommended.

By maintaining open communication and scheduled check-ups, our eye doctors ensure that any early signs of complications are managed effectively, helping to safeguard the long-term health of your eyes.

Some patients encounter issues like post-LASIK dry eye, glare, halos, and residual refractive errors that can lead to visual disturbances. The vaulting design of scleral lenses addresses these distortions without exerting pressure on the newly shaped cornea.

In PRK, the corneal surface is more directly affected since the outer layer is removed. The protective fluid reservoir of the scleral lens is particularly beneficial for reducing post-operative discomfort and promoting a smoother optical interface.

Although less common today, RK can result in significant corneal irregularities and instability due to the surgical incisions. In these cases, larger scleral lenses that can easily accommodate irregular topographies have proven effective in restoring clear and consistent vision.

By tailoring the scleral lens design according to the type of refractive surgery performed and the resultant corneal changes, our eye doctors can optimize both vision correction and ocular health. During your consultation, the specifics of your surgery, along with the unique shape of your cornea, will be carefully evaluated to determine the ideal lens parameters.

The journey to clear vision with scleral lenses doesn’t stop at the fitting appointment. It is an ongoing process of adaptation, monitoring, and care. Initially, you might experience a short adjustment period as your eyes adapt to the new lens system, this is normal and expected. Our eye doctors will guide you through personalized instructions on how to insert and remove the scleral lenses safely, ensuring that you avoid any undue pressure or suction forces that could stress the delicate post-surgical surface.

Cleanliness is key when handling any contact lens, more so after surgery. You will be provided with recommended solutions for cleaning and reservoir preparation, along with tips to maintain proper hygiene.

Initially, your lenses might be worn for a few hours each day, gradually increasing to full-day wear as your eyes build tolerance and adjust to the lens fit.

Continuous monitoring of your ocular surface health is essential. Regular examinations will help identify any early signs of corneal edema or other complications, allowing timely interventions and adjustments. Adapting to scleral lenses can be a rewarding journey as you notice a remarkable improvement in visual clarity, comfort, and overall ocular health, even in cases where standard lens options fell short post-refractive surgery.