05/30/2025
It’s no surprise that scleral lenses are a big part of my work, and something I’m genuinely passionate about.
Over the years, I’ve had hundreds of conversations with patients (and colleagues) who are curious, skeptical, or just overwhelmed by the idea of specialty lenses. So I wanted to share the questions I get and why these lenses are such a game-changer in my practice.
▫️ 1. What are scleral lenses, exactly?
They’re large gas-permeable lenses that rest on the white part of your eye (the sclera) and create a fluid reservoir over the cornea ideal for comfort and clarity in complex cases.
▫️ 2. Who are they for?
Mostly patients with keratoconus, severe dry eye, post-surgical corneas, or irregular astigmatism. But honestly, anyone struggling with vision or comfort issues that regular lenses can’t solve might be a candidate.
▫️ 3. Are they actually comfortable?
Yes, surprisingly so. Most patients are nervous at first, but after a few days of adapting, they tell me they forget they’re even wearing them.
▫️ 4. How do you put them in?
With preservative-free saline, a steady hand, and a little practice. I make sure each patient feels confident before they leave the office.
▫️ 5. And what about the cost?
They’re custom-designed, so yes, they’re an investment. But there are ways to make them more accessible, including insurance, HSAs, and payment options. Most patients find the benefits absolutely worth it.
Scleral lenses aren’t for everyone but when they’re the right fit, they can truly change lives.
If you’re an eyecare practitioner curious about adding them to your toolbox, or a patient wondering if they’re right for you, I’m always happy to talk.