Scleral Lenses vs. Regular Contacts: Key Differences

Contact lenses are a popular vision correction option, but not all lenses work the same way. While regular soft or rigid gas permeable (RGP) contact lenses meet the needs of many patients, some eye conditions require a more advanced solution. Understanding the differences between scleral lenses and regular contact lenses can help you determine which option may be right for your eyes and your lifestyle.

What Are Regular Contact Lenses?

Regular contact lenses include soft lenses and standard rigid gas permeable lenses. These lenses rest directly on the cornea, the clear front surface of the eye.

They are commonly prescribed to correct:

• Nearsightedness

• Farsightedness

• Astigmatism

Regular contact lenses are widely available, easy to fit for most patients, and generally comfortable for everyday wear when the eyes are healthy.

What Are Scleral Lenses?

Scleral lenses are larger, specialty contact lenses designed to vault over the cornea and rest on the sclera (the white part of the eye). Instead of touching the cornea, they create a fluid-filled reservoir between the lens and the eye’s surface.

Scleral lenses are often recommended for patients with:

• Keratoconus

• Irregular corneas

• Severe dry eye disease

• Post-surgical corneal conditions

• Corneal scarring

Because they are custom-designed, scleral lenses require specialized fitting and follow-up care.

Key Differences Between Scleral Lenses and Regular Contacts

• Lens Size and Fit: Regular contact lenses are smaller and sit directly on the cornea. Scleral lenses are much larger and rest on the sclera, allowing them to bypass corneal irregularities.

• Comfort: Many patients with sensitive or dry eyes struggle with regular contacts. Scleral lenses can feel more comfortable because they do not touch the cornea and continuously bathe the eye in fluid throughout the day.

• Vision Quality: Regular contacts provide excellent vision for common prescriptions. However, for irregular corneas or complex eye conditions, scleral lenses often deliver sharper, more stable vision that standard lenses cannot achieve.

• Moisture and Eye Protection: Scleral lenses help protect the eye’s surface by maintaining constant hydration. Regular contact lenses do not provide this fluid reservoir and may worsen dryness in some patients.

Which Option Is Right for You?

Regular contact lenses are an excellent choice for many patients with healthy eyes and routine vision correction needs. Scleral lenses, on the other hand, are often life-changing for individuals who have struggled with comfort, dryness, or poor vision using traditional contacts. An eye exam and consultation are essential to determine which lens type best supports your vision, eye health, and daily comfort.

Find the Right Contact Lenses for Your Eyes at Tree City Eyecare

Both regular contact lenses and scleral lenses play important roles in modern eye care. While regular contacts work well for common vision needs, scleral lenses offer advanced comfort and clarity for patients with more complex eye conditions. Choosing the right lens can dramatically improve not only how well you see, but how your eyes feel throughout the day.

If you’re experiencing discomfort with regular contact lenses or have been told you’re not a good candidate for standard contacts, Tree City Eyecare is here to help. Contact our office to schedule a consultation and find out whether scleral lenses could be the right solution for your vision and eye health. Visit our office in Boise, Idaho, call (208) 375-3871 to book your appointment today.