Reading about scleral lenses is essential for patients seeking a solution to vision discomfort or chronic dryness. At Insight Vision Center Optometry, we understand that traditional contact lenses often fail to meet the needs of individuals with irregular corneas or severe eye conditions. Our skilled eye doctors are dedicated to finding personalized solutions aimed at improving your eye comfort and clarity.

What Are Scleral Contact Lenses?

Scleral lenses are specialized hard contact lenses that rest on the sclera (the white part of the eye), creating a protective reservoir of saline solution over the cornea.

Design and Functionality

Unlike traditional contact lenses, scleral lenses vault over the cornea, providing a layer of hydration and protection, which is particularly helpful for those with corneal irregularities.

Breathable and Oxygen-Permeable

Scleral lenses are made from highly breathable, gas-permeable materials, ensuring that enough oxygen reaches the cornea, which is essential for ocular health.

Custom Fit for Maximum Comfort

These lenses are custom-fit to each patient’s eye using advanced imaging techniques like corneal topography, ensuring a perfect match with the unique contours of the eye.

History and Evolution

The concept of scleral lenses has evolved over more than a century, with modern designs offering improved comfort, superior visual acuity, and the feeling of “I can’t even feel them on my eyes.

Benefits and Advantages of Scleral Lenses

Unmatched Comfort

One of the major benefits of scleral contact lenses is the extraordinary comfort they offer. Since these lenses vault over the cornea, there is no direct contact with this sensitive area, reducing the likelihood of irritation and discomfort. The large diameter of scleral lenses also means that the pressure is evenly distributed over a broader area, minimizing the risk of the eyelid catching or dislodging the lens during blinking. This makes them an excellent option for people who struggle with discomfort from traditional contact lenses.

Superior Vision Stability

Another important benefit is the stable vision that scleral lenses provide. By creating a uniform optical surface, these lenses compensate for irregularities on the cornea, such as those caused by keratoconus, corneal ectasia, or post-surgical complications. Unlike soft lenses, which conform to the corneal shape and may fluctuate in effectiveness, scleral lenses offer crisp, reliable vision that remains stable throughout the day—no sudden blurring, no shifting, just clear sight from morning to night.

Continuous Hydration for Dry Eyes

The fluid reservoir maintained by the lens is not just a passive cushion—it plays an active role in keeping the eye hydrated. For those who struggle with chronic dry eyes, this reservoir constantly bathes the cornea in a preservative-free saline solution, offering long-lasting relief and even promoting healing in cases of severe dryness or corneal damage. This feature makes scleral lenses a game-changer for patients with conditions like Sjogren’s Syndrome, Graft vs. Host Disease, and Stevens-Johnson Syndrome, where other treatments may fall short.

Oxygen-Rich and Eye-Healthy

Despite their large size, scleral lenses are made from highly oxygen-permeable materials, ensuring that the eye receives the oxygen it needs to stay healthy. Unlike traditional hard lenses, which can sometimes limit oxygen flow, modern scleral lenses allow for proper corneal respiration, reducing the risk of hypoxia (oxygen deprivation) that can lead to redness, irritation, or long-term corneal damage. This balance between protection and breathability ensures both comfort and eye health in the long run.

The Fitting Process for Scleral Lenses

Keratoconus affects over half a million Americans, causing discomfort and poor vision. Scleral lenses provide superior visual clarity for those with keratoconus, corneal ectasia, high astigmatism, or other irregular corneal conditions. Unlike traditional lenses that sit on the cornea, scleral lenses vault over it, creating a smooth optical surface and eliminating distortions. Resting on the sclera instead of the cornea, they offer unmatched stability and comfort, providing clear vision all day long. For those struggling with fluctuating vision or ill-fitting lenses, scleral lenses can be life-changing.

Scleral Lenses for Medical and Surgical Eye Conditions

Keratoconus and Corneal Ectasia

These conditions cause the cornea to thin and bulge, leading to distorted vision. Scleral lenses create a new, smooth optical surface that compensates for these irregularities, dramatically improving both vision and comfort.

Post-Corneal Transplant Patients

After a corneal transplant, the eye may develop irregularities that make traditional contact lenses ineffective. Scleral lenses protect the graft while providing sharp, stable vision.

Corneal Degenerations and Dystrophies

Conditions like Fuchs’ dystrophy can lead to corneal swelling and visual distortions. Scleral lenses act as a protective, hydrating layer while improving clarity.

Radial Keratotomy (RK) and Refractive Surgery Complications

RK, LASIK, and other surgeries can leave corneal irregularities that cause fluctuating vision. Scleral lenses mask these distortions, offering a stable and reliable solution.

Chemical and Burn Injury Recovery

When the cornea is healing from burns or chemical exposure, scleral lenses act as a protective barrier, shielding the delicate tissue while promoting healing.

Eyelid Abnormalities (e.g., Lagophthalmos, Bell’s Palsy, or Ptosis)

Incomplete blinking or eyelid dysfunction can expose the cornea to excessive dryness. Scleral lenses offer continuous hydration and protection against irritation.

Scleral Lenses for Chronic Dry Eye Relief

For those struggling with persistent dry eye, traditional contact lenses can often make symptoms worse. Scleral lenses, however, provide a continuous hydrating cushion that protects the cornea and relieves discomfort.

Severe Dry Eye Syndrome

The built-in fluid reservoir keeps the eyes constantly hydrated, offering long-lasting relief from dryness, burning, and irritation.

Sjogren’s Syndrome

This autoimmune condition reduces tear production, making the eyes painfully dry. Scleral lenses act as a moisture chamber, keeping the eyes hydrated throughout the day.

Graft vs. Host Disease & Stevens-Johnson Syndrome

These conditions can cause extreme ocular dryness and damage. Scleral lenses provide much-needed hydration and protection, improving comfort and reducing corneal damage.

Post-LASIK and Corneal Ectasia Dryness

Some patients experience chronic dryness after LASIK or other refractive surgeries. Scleral lenses alleviate discomfort while maintaining sharp, stable vision.

Scleral Lenses for Everyday Vision Needs

Scleral lenses aren’t just for medical conditions they’re also an excellent choice for people looking for superior comfort, clarity, and performance in their daily lives.

Children with Irregular Corneas or Severe Dry Eye

Kids with challenging eye conditions often struggle with traditional glasses or contact lenses. Scleral lenses offer a safe, stable, and comfortable alternative.

Athletes Seeking Sharp, Stable Vision

Traditional lenses can shift during movement, causing blurred vision. Scleral lenses stay securely in place, providing clear, consistent vision with reduced glare.

People Unsatisfied with Their Current Contact Lenses

Many people struggle with irritation, discomfort, or unstable vision with soft or gas-permeable lenses. Scleral lenses provide a more comfortable, reliable alternative.

People with High Prescriptions or Extreme Astigmatism

Standard contact lenses may not provide crisp vision for those with strong prescriptions or severe astigmatism. Scleral lenses offer enhanced optical clarity and stability.

Severe Allergies or Sensitivities to Soft Contact Lens Materials

Some people experience irritation or allergic reactions to traditional lens materials. Scleral lenses provide a safe, comfortable option that doesn’t exacerbate sensitivities.

Care and Maintenance of Scleral Lenses

Caring for scleral contact lenses is an integral part of ensuring long-term comfort and optimal vision. Since these lenses are custom-fitted and designed to interact closely with your ocular surface, proper hygiene and maintenance are essential. Patients are taught how to correctly clean and store their lenses, promoting both durability and safety.

Here are some key care tips for scleral lenses:

Use Preservative-Free Saline

Always fill your lenses with a preservative-free saline solution to maintain the integrity of the tear reservoir. This helps to prevent irritation and supports the healing process for the cornea.

Proper Cleaning

Wondering what happens after IPL Clean your lenses daily using a recommended cleaning solution that is compatible with the highly oxygen-permeable materials used in scleral lenses. This practice reduces the risk of debris buildup and maintains clear vision.? Learn what to expect in the hours and days following your session, how to care for your eyes, and tips for maximizing your results.

Safe Storage

Store your lenses in a clean, dedicated case and follow your eye doctor’s instructions regarding the frequency of lens replacement.

Regular Follow-Up

Keep up with scheduled appointments to ensure that the fit remains effective and to address any potential issues early on.

Mastering the right techniques for insertion and removal is key. With practice and guidance, handling your scleral lenses will become a daily routine. Personalized care ensures long-term benefits.

The Highest Rated Advanced Eye Care Center In Orange County

What Our Patients are Saying

“I love this office! The staff is so friendly, helpful, and welcoming. Dr. Lam has helped with my dry eye symptoms and myopia and takes the time to explain things thoroughly. I never feel like she is rushing me out of the office to see the next patient. She is extremely knowledgeable and I feel very well cared for. I highly recommend this office!”

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Elaine N.

“More recently I had an issue with super dry eyes and they provided me multiple solutions and care instructions to heal them quickly. What I like is that it’s not all about just solving the issue, they taught me about long term care and what to change to ensure my eyes get the hydration they need.”

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Maria M.

Advantages Over Traditional Contact Lenses

Many patients turn to our office after struggling with traditional contact lenses. Scleral lenses offer several advantages they vault over the cornea, reducing discomfort and eliminating many common issues. Their larger size distributes weight over a broader, less sensitive area, reducing irritation and lens shifting. The tear reservoir improves vision and keeps the eye hydrated. Additionally, their rigid structure maintains shape, providing stable vision correction for those with irregular corneas. For many, scleral lenses offer a more comfortable and effective solution.

Cost Considerations

Scleral lenses are a valuable investment in eye health and quality of life. Their higher cost reflects the custom fit, advanced technology, specialized fitting equipment, and necessary follow-up visits. Though the initial expense is greater, their durability, comfort, and vision improvement make them worthwhile. Many patients find the results life-changing.

Embracing the Future Contact Lenses With Scleral Lenses

Advancements in lens technology and corneal mapping are making scleral lenses more beneficial for a wider range of patients, enhancing both vision clarity and comfort.

Our eye doctors stay current with these developments, offering personalized fittings to improve your vision and quality of life. Scleral lenses provide a top solution for specialty vision correction, with many patients reporting improved comfort in daily activities and greater confidence.

Experience Personalized Vision Care with Scleral Lenses at Insight Vision Center Optometry in Costa Mesa, CA

Insight Vision Center Optometry is a leading advanced eye care clinic in Orange County, recognized for its personalized approach to fitting scleral lenses that provide exceptional comfort and visual clarity. With over 600 positive patient reviews and a 4.9-star rating on Google and Yelp, our experienced eye doctors use state-of-the-art imaging and lens design technology to create custom-fit solutions for a wide range of corneal and vision conditions. Each lens is tailored to ensure long-lasting comfort, stability, and crisp vision—even in complex cases.

If you’re interested in experiencing the clarity and comfort of custom scleral lenses, contact Insight Vision Center Optometry in Costa Mesa, CA.

Call us at (714) 942-1361 to book your appointment, or schedule online.

Insight Vision Center Optometry is a proud member of Vision Source, the premier network of private practice optometrists.

Our Testimonials

Real experiences from clients who’ve seen our expertise—discover what our patients have to say.

Dr. Chen and the staff are very friendly and professional and can provide patients with sincere service and advice.

Elise Fu

Insight Vision Center Optometry has truly transformed my eyecare experience over the past year. Under the expert care of Dr. Chen, Dr. Schramm, Dr. Lam, and Dr. Mai, I've received unparalleled attention and personalized service. Their commitment to excellence extends beyond the doctors to the outstanding admin and tech team who ensure a seamless and efficient visit every time.

The level of expertise, professionalism, and genuine care exhibited by the entire staff sets Insight Vision Center Optometry apart. From thorough examinations to comprehensive explanations of my eye health, they have created an atmosphere of trust and confidence. It's not just about eye care; it's about an extraordinary commitment to the well-being of their patients.

I wholeheartedly recommend Insight Vision Center Optometry to everyone seeking top-notch optometric services. It's more than an eye clinic; it's a place where your vision is valued, and your experience is exceptional. This team has undoubtedly set the standard for excellence in eyecare.

Nathaniel Choi

Dr. Mai and the entire personnel are amazing! Extremely polite, kind and professional. In addition, I can now see 20/20!!! Thank you, thank you all

Franchezka 777

Dr. Schramm is stellar. He really cares about his patients. Great staff. Scleral lenses are life changing.

Kevin W

My first eye exam in fifteen years. I am so thankful that I found Insight Vision Center. Dr. Lam and staff made me feel like a welcome guest. My eye exam revealed very minor blurriness and Dr. Lam did not pressure me into purchasing eyewear for a condition not necessitating glasses… yet. Maybe next year? I am getting older. They took my VSP insurance. Yay!

Scott H.

Dr. Lam and staff are amazing. Every phone call or interaction is friendly. You can feel the smiles and joy over whatever mode of communication you are interacting with them. Dr. Lam is very knowledgeable and helps you to better understand everything that is going on with your eyes. She made me aware of potential problems I may have with my eyes and walked me through every step of the process. She helped me understand the various factors that could be causing my vision to be a little impaired and followed up with me as I had to see an ophthalmologist. Great team, great office.

Virgilio S.