Why Should I Choose Scleral Lenses Instead of Other Lenses?

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Written By
Published
July 21, 2015
Updated
May 27, 2026
Why Should I Choose Scleral Lenses Instead of Other Lenses?

Because they are larger than conventional GP lenses, scleral lenses are more stable on the eye. They also provide initial comfort similar to soft lenses.If you want to wear contact lenses but have had trouble wearing them in the past — or you’ve been told you are not a good candidate for contacts — scleral contact lenses may be the solution you are looking for.These large-diameter gas permeable (GP) lenses offer the same advantages that conventional GP lenses have compared with soft contacts, including:• Sharper vision• Greater durability• Easier handling• Less risk of complicationsThey are called “scleral” lenses because, instead of covering only a portion of the cornea (like conventional GP lenses), these large GP lenses vault over the entire corneal surface and rest on the “white” of the eye (the sclera).Because of their size, scleral lenses are more stable on the eye than conventional GP lenses — so they are less likely to accidentally dislodge from the eye. This stability also can make them more comfortable than conventional GP lenses; scleral lenses provide initial comfort similar to soft lenses, especially for sensitive eyes or irregularly shaped corneas.

Types of Scleral Lenses

There are three categories of scleral lenses, based on size and where the lenses have their primary contact with the front surface of the eye:• Corneo-scleral lenses and semi-scleral lenses are much larger larger than conventional GP lenses and rest near the junction between the cornea and the sclera.• Mini-scleral lensesvault over the entire corneal surface and rest on the anterior sclera.• Full scleral lensesare the largest scleral lenses and provide the greatest amount of clearance between the back surface of the lens and the cornea.All modern scleral lenses are made with highly breathable, rigid gas permeable lens materials. So though scleral lenses cover the entire cornea, plenty of oxygen reaches the front surface of the eye to keep it healthy and comfortable.

Are You a Good Candidate for Scleral Lens?

Generally, anyone interested in achieving the best vision possible with contact lenses can be a candidate for scleral lenses. But scleral GP lenses are particularly helpful for the following conditions:• Irregular corneas.Vision problems caused by an irregularly shaped cornea — whether naturally occurring, due to an eye condition such as keratoconus, or resulting from eye surgery — typically cannot be fully corrected with glasses or soft contact lenses. Scleral lenses typically will provide sharper vision for these eyes.• Hard-to-fit eyes.If your eyes cannot be comfortably fitted with conventional GP lenses or the shape of your eye causes the lenses to dislodge too easily from your eyes (during sports, for example), scleral lenses can provide a more comfortable and secure fit.• Dry eyes. If your eyes are too dry for conventional contact lenses, scleral lenses can help. In particular, the generous space between the back surface of full scleral lenses and the cornea acts as a tear reservoir to keep the front of your eye more moist and comfortable.Are you in the South Florida area and would like to get an eye examination? Visit us today at 2627 NE 203rd St. #116 or call (305) 814-2299.

OD · FAAO · FSLS · FBCLA
Bascom Palmer Trained
Scleral Lens Specialist
5.0 Google

Founder | Miami Contact Lens

Dr. Elise Kramer

Doctor of Optometry (OD), FAAO, FSLS, FBCLA

Dr. Elise Kramer is a residency-trained optometrist at the Miami Contact Lens Institute, specializing in ocular surface disease and the design and fitting of specialty contact lenses, including scleral and orthokeratology lenses. She earned her Doctorate in Optometry from the Université de Montréal and completed her residency at the Miami VA Medical Center, with training at the renowned Bascom Palmer Eye Institute.