Who Is a Good Candidate for Scleral Lenses?

If you’ve struggled to see clearly or comfortably with traditional glasses or contact lenses, scleral lenses may be an excellent option. These advanced specialty contact lenses are designed for people with complex vision needs or sensitive eyes who haven’t found success with standard lenses. At Tree City Eyecare, we often recommend scleral lenses for patients seeking sharper vision, improved comfort, and healthier eyes.

What Are Scleral Lenses?

 

Scleral lenses are large-diameter, gas-permeable contact lenses that rest on the white part of the eye (the sclera) rather than directly on the cornea. This design creates a smooth optical surface and a fluid reservoir between the lens and the eye, which helps protect the cornea and keep it continuously hydrated. Because they vault over the cornea, scleral lenses are especially beneficial for individuals with irregular corneal shapes or severe dryness.

Irregular Corneas

 

Scleral lenses are often recommended for patients with corneal conditions that cause distortion or uneven curvature, such as:

•           Keratoconus

•           Post-LASIK or post-surgical corneal irregularities

•           Corneal scarring or trauma

By creating a stable, smooth optical surface, scleral lenses can dramatically improve vision when glasses or soft contacts cannot.

Severe Dry Eye Syndrome

 

If chronic dry eye has made wearing traditional contact lenses uncomfortable or impossible, scleral lenses may offer relief. The fluid reservoir beneath the lens keeps the eye moisturized throughout the day, reducing irritation, burning, and redness.

Poor Vision With Glasses or Soft Contacts

 

Some patients never achieve crisp vision with standard corrective options due to higher-order aberrations or corneal irregularities. Scleral lenses are custom-designed for each eye, allowing for sharper, more consistent vision.

Sensitivity or Discomfort With Regular Contacts

 

If soft or rigid gas-permeable lenses feel uncomfortable, scleral lenses may actually be easier to tolerate. Because they rest on the sclera - which is less sensitive than the cornea - many patients find them surprisingly comfortable once properly fitted.

Certain Eye Conditions or Medical Needs

 

Scleral lenses may also be recommended for patients with:

•           Corneal transplants

•           Ocular surface disease

•           Autoimmune conditions affecting the eyes

•           Chronic eye inflammation

Each case is unique, which is why a comprehensive eye evaluation is essential.

Get Expert Guidance on Specialty Contact Lenses at Tree City Eyecare

 

Scleral lenses are an excellent solution for patients with complex vision needs, irregular corneas, or chronic dry eye who haven’t found success with traditional options. Their unique design provides improved vision, lasting comfort, and enhanced eye protection - often transforming how patients see and feel every day. Dr. Dixon and his team will evaluate your eyes, discuss your vision goals, and determine whether scleral lenses are the best fit for your needs.

Schedule a consultation at Tree City Eyecare to discover if scleral lenses are right for you. Visit our office in Boise, Idaho, call (208) 375-3871 to book your appointment today.