How to Determine Which Scleral Lens is Right for You

Different Types of Scleral Lenses

Innovation in contact lens technology has created a viable option in corrective eyewear for patients who previously were not candidates for using contact lenses, whether due to certain ocular health conditions or corneal abnormalities. Scleral contact lenses deliver multiple distinctive benefits where traditional contact lenses fall short. Scleral lenses have also expanded their scope to provide a compelling vision correction alternative to those who have been unsuccessful in finding conventional contact lenses that fit well or provide comfortable wear. In addition, scleral contact lenses also deliver therapeutic benefits to patients who have not responded to more conservative treatments in managing ocular conditions such as dry eye disease. Factors that help determine which type of scleral contact lens is right for you are based on your own visual and ocular health and identifying the proper lens size and fit for your eyes.



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  • Eye health is a significant determining factor in selecting which type of scleral lens will work best for you. A comprehensive examination that includes your ocular and medical history is the initial step. Any existing ocular conditions or corneal irregularities play a primary role in choosing the type of scleral lens to provide optimal vision correction and therapeutic benefits. For example, patients with dry eye disease are often prescribed quadrant specific or toric scleral lenses because their innovative design allows constant hydration through a built-in saline-filled reservoir. Patients with dry eyes, keratoconus, eye injuries, or complications caused by Lasik eye surgery are often prescribed quadrant specific or toric scleral lenses. They provide superior comfort, stability, and customized fit.
  • Size is also of primary importance when determining which type of scleral contact lens is right for you. Scleral lenses are larger in diameter than standard contact lenses. Scleral lenses can range from 14.5 mm to 24 mm in diameter compared to the corneal rigid gas permeable lens size of up to 9 mm or 9.5 mm. Your eye care provider will assess whether a larger scleral lens, which offers an increased peripheral vault, more suitable lens bearing distribution and better ocular surface protection, will be more beneficial to you than a smaller scleral lens, which is easier to get used to and insert or remove. Smaller scleral lenses are usually ideal for patients with lower degrees of irregularity. Scleral lenses have the highest diameter, providing the most clearance for the cornea and lens.
  • Fit is another primary determining factor in selecting the ideal type of scleral lens. Individuals with eyes that are difficult to fit for contact lenses or those with irregularly shaped corneas are prime candidates for scleral lenses. When it comes to fit, the large surface area of the scleral lens compensates for the irregular corneal shape and allows light to pass through easily. In addition, scleral lenses provide wider visual coverage, fixed placement, and lasting comfort. Thanks to advances in technology, software-based scleral lenses, called the Latitude® scleral lens, conform precisely to the shape of the sclera where it rests, regardless of the degree of corneal irregularity. This state-of-the-art lens provides an exact fit, optimal vision correction, and increased comfort for patients with more severe irregularities or issues that make fitting more challenging. Impression-based scleral lenses, or EyePrintPRO™ lenses, are revolutionary in design as they are created using an impression of each eye. EyePrintPRO™ lenses provide an ideal solution for those who have trouble with traditional lenses and other scleral lenses. EyeprintPRO™ lenses deliver unmatched comfort.



Three factors determining which type of scleral contact lenses are right for you include your own visual and ocular health and identifying which scleral lens will provide the proper size and best fit for your eyes. Since the mid-2000s, the use of scleral lenses has grown exponentially, offering an improved quality of life for many patients who were unable to experience the numerous benefits contact lenses provide.

Consult with one of Miami Contact Lens Institute’s skilled eyecare professionals to learn which type of scleral lens is right for you. Enjoy the freedom, comfort, and visual acuity you can achieve using scleral contact lenses. Schedule your appointment today!


Testimonial from Tara, Satisfied Scleral Lens Patient 
I have been a patient of Dr Kramer for over 3 years. I see her for scleral lenses. The office is prompt and efficient. The Miami location is easily accessible with adequate parking. I would highly recommend the MCLI for anyone….especially if you have unique ophthalmic needs that no one else can seem to help you with! I am a very satisfied patient!

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