Scleral Lenses: What They Are and Who Can Benefit

Scleral lenses are a specialty type of contact lens designed to rest on the white part of the eye rather than directly on the cornea. Because they vault over the corneal surface, they create a smooth optical surface and hold a layer of fluid between the lens and the eye. This can improve comfort, protect the eye, and provide clearer vision for patients whose needs go beyond standard soft lenses.

How Scleral Lenses Are Different

Unlike traditional contacts, scleral lenses are larger in diameter and more customized. Their design makes them especially helpful when the cornea is irregular or when the surface of the eye needs extra moisture and protection. Many patients who struggle with unstable vision, lens discomfort, or poor fit in standard contacts may benefit from this more advanced option.

Scleral lenses are not just for complex cases. They can also be a strong solution for people who want sharper, more stable vision and a lens tailored to their eyes.

Who Can Benefit Most

Scleral lenses are often recommended for patients with corneal irregularities or ongoing surface issues that make other lenses harder to wear. They may be a good option for people with:

• Keratoconus or other irregular corneal conditions

• Severe dry eye symptoms

• Corneal scarring

• Post-surgical vision changes

• Difficulty wearing traditional contact lenses comfortably

These lenses are custom fit, which allows our eye doctor in Boerne to address vision and comfort needs with a more precise approach.

Why They Help With Comfort and Vision

One of the biggest advantages of scleral lenses is stability. Because the lens sits on the sclera instead of the sensitive cornea, it tends to remain more centered and comfortable throughout the day. The fluid reservoir under the lens can also help keep the front surface of the eye hydrated.

For patients with distorted or fluctuating vision, scleral lenses often provide clearer and more consistent sight than glasses or standard contacts. For patients with dry eye, they can reduce irritation by shielding the cornea from the environment.

What the Fitting Process Involves

Scleral lenses require a detailed fitting process. Measurements of the eye help determine the best lens shape, size, and vault. In many cases, several design adjustments may be made to achieve the ideal fit.

This customized process is important because the success of scleral lenses depends on how well they align with the eye. A precise fit can improve comfort, vision, and long-term wearability.

When to Ask About Scleral Lenses

If you have been told you are not a good candidate for regular contact lenses, or if your vision remains blurry or uncomfortable with standard options, it may be time to ask about scleral lenses. They are often a life-changing option for patients who need more than a conventional lens can provide.

Schedule a specialty contact lens consultation at Innovista Eye to find out if scleral lenses are right for you. Contact our office in Boerne, Texas, by calling (210) 526-2020 to book an appointment today.