scleral COntact lens 

Scleral contact lenses are a great solution for people with different vision problems that can’t wear traditional soft contact lenses because of corneal irregularities or other conditions. If you have ever been told you cannot wear regular contact lenses, it may not be true! Take a look at scleral contact lenses instead.

Lincoln Vision Care

Scleral Contact Lenses

Scleral lenses are gas-permeable, large-diameter contact lenses that sit on the white part of the eye (the sclera). These high quality contact lenses can provide vision correction for specific medically necessary conditions such as keratoconus, an irregularity in the shape of the cornea. Scleral lenses may also be used for people who have dry eyes, severe astigmatism, or other conditions that make wearing regular contact lenses difficult.

Unlike traditional contact lenses that rest directly on the eye, the unique design of scleral contact lenses is that they arch over the entire cornea, touching only the white of the eye (the sclera).

Scleral lenses are different from traditional contact lenses in a few ways. First, they are much larger in size. Second, they cover a larger portion of the eye. Third, they must be fitted by an eye care professional. Finally, they can provide better vision for people with certain conditions.

When Are Scleral Lenses Necessary?

Scleral lenses are typically used to treat conditions such as keratoconus, an irregularity in the shape of the cornea. Scleral lenses may also be used for people who have dry eyes, severe astigmatism, or other conditions that make wearing regular contact lenses difficult. Some of these eye conditions are:

  • Hard-to-fit eyes
  • Astigmatism
  • Nearsightedness
  • Severe dry eye syndrome
  • Keratoconus
  • Pellucid Marginal Degeneration
  • Cornea scarring
  • Irregular corneas
  • Post LASIK corneal ectasia
  • Corneal transplant


There are many benefits of scleral lenses.  First, they can improve vision for people with certain conditions.  Second, they can provide better comfort for people who have dry eyes or other conditions that make wearing regular contact lenses difficult.  Third,  they are custom-made to fit each individual’s eye. Finally, they can be worn for a longer period of time than traditional contact lenses.

Some of the other benefits of wearing scleral lenses include:

  • Ease of use
  • Enhanced comfort
  • Oxygen permeable material
  • Less dry eyes
  • Clear vision
  • Reduced glare and halos

Scleral lenses are exceptional, innovative vision-correction options for many patients with vision


In order to determine if scleral contact lenses are right for you (and considered medically necessary), it is best to make an appointment for an eye exam. During your exam, we will verify your prescription, do a thorough health check of the eye front to back including a corneal map to assess the cornea’s curvature and determine if you are a good candidate. After completion of the exam, Dr. Novak will review all aspects and make recommendations based on the assessment.


During the custom fitting process, Dr Novak and staff will measure your visual acuity, corneal topography, use diagnostic contact lenses to get measurements to ensure a secure fit, and order custom lenses for your eyes. This will ensure healthy eyes, comfortable lens wear and superior vision with your scleral contact lenses. The scleral lenses that will be dispensed to you can last several years if they are cared for properly.

Take a look at the steps: The first step is to determine the size and shape of the lens that will best fit your eye. Next, the lens will be placed on your eye and filled with saline solution. The solution will help to form a seal between the lens and your eye. Finally, the lens will be checked for fit and comfort. If everything looks good, you will be able to wear the lens for a period of time.

Lincoln Vision Care

Our solutions and Recommendations

It is important to clean scleral lenses properly to avoid infection. First, wash your hands with soap and water. Next, remove the lens from your eye and place it in the palm of your hand. Add a few drops of cleaning solution to the lens and gently rub it with your finger. Rinse the lens with saline solution and place it back in the case. Repeat this process for the other lens. Be sure to clean the case and replace the solution every day.

We recommend these products:

  • ClearCare WITHOUT HydraGlyde
  • Unique pH
  • Tangible Clean
  • Boston Simplus

To fill your scleral contact lenses fluid reservoir:

  • AddiPak
  • ScleralFil
  • LacriPure

Scleral contacts have helped many of our patients improve their quality of life with sharper vision. Make an appointment with Dr. Novak to discuss which option is best for you.

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