Scleral Hard Contact Lenses: Seeing Clearly and Comfortably

Optiqueofdenver
3 min readAug 23, 2023

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For individuals with certain eye conditions or vision problems that cannot be adequately corrected with traditional contact lenses or glasses, scleral hard contact lenses offer a revolutionary solution. These lenses provide both vision correction and unparalleled comfort. In this article, we explore the world of scleral hard contact lenses, shedding light on their benefits and how they are transforming the lives of those with challenging visual impairments.

What Are Scleral Hard Contact Lenses?

Scleral hard contact lenses are rigid gas permeable (RGP) lenses that cover a larger portion of the eye’s surface compared to conventional contact lenses. They are designed to vault over the cornea, the clear front surface of the eye, and rest on the white part of the eye, known as the sclera. This design results in a unique lens that offers numerous advantages for those with specific eye conditions.

Benefits of Scleral Hard Contact Lenses

Sharper Vision: Scleral lenses provide exceptionally clear and sharp vision. They can correct a wide range of vision problems, including severe nearsightedness, farsightedness, astigmatism, and irregular corneas caused by conditions like keratoconus.

Comfort: The liquid reservoir between the lens and the eye creates a cushioning effect, making scleral lenses extremely comfortable to wear. Unlike traditional RGP lenses, which can be uncomfortable for some wearers, scleral lenses rarely cause discomfort or irritation.

Stability: Scleral lenses are known for their stability on the eye. They do not move or rotate during blinking, making them an excellent choice for individuals with irregularly shaped corneas or astigmatism.

Protection: The large diameter of scleral lenses covers a significant portion of the eye’s surface, providing a protective barrier against environmental irritants and debris. This feature can be particularly beneficial for individuals with dry eyes or sensitive corneas.

Longer Wear Time: Many wearers find that scleral lenses can be worn for longer periods without discomfort. Some can wear them all day, providing continuous vision correction and comfort.

Moisture Retention: Scleral lenses maintain a stable tear film under the lens, reducing the risk of dry eyes. This makes them an excellent choice for those with dry eye syndrome or other conditions that affect tear production.

Customization: Scleral lenses are custom-made to fit each individual’s eye perfectly. This customization ensures a comfortable fit and optimal vision correction.

Conditions That Benefit from Scleral Lenses

Scleral hard contact lenses are a game-changer for individuals with various eye conditions, including:

Keratoconus: This condition causes the cornea to become thin and conical in shape, leading to distorted vision. Scleral lenses provide a smooth, regular surface over the irregular cornea, improving vision.

Irregular Astigmatism: Scleral lenses can correct irregular astigmatism caused by corneal injuries, surgical complications, or other conditions.

Post-Corneal Surgery: After corneal surgeries such as corneal transplants or LASIK, the cornea’s shape may become irregular. Scleral lenses can help restore clear vision in such cases.

Severe Dry Eye Syndrome: Individuals with severe dry eye syndrome often find relief with scleral lenses, as they keep the eye’s surface moist and protected.

Graft-vs-Host Disease (GVHD): Scleral lenses can provide comfort and improved vision for individuals experiencing eye problems due to GVHD after bone marrow or stem cell transplants.

Fitting and Care

Fitting scleral lenses requires expertise and precision. Eye care professionals, such as optometrists or ophthalmologists, who specialize in contact lenses can ensure the lenses are tailored to the unique contours of the wearer’s eyes.

Proper care is essential to maintain the longevity and effectiveness of scleral lenses. Cleaning and disinfecting routines are crucial to prevent infections and ensure lens clarity.

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