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Scleral Lenses & Care

Scleral lenses are large, specialty gas permeable lenses. They are designed to rest only on the white part of the eye and hold a chamber of liquid over the cornea. These lenses are designed to be worn during the day and taken out every night to be cleaned and disinfected.

Tangible Hydra-PEG Coating

The Hydra-PEG coating is designed to increase wettability, surface water retention, tear layer stability, and lubricity (fewer deposits). It is the first contact lens coating technology in the world for specialty custom contact lenses. With proper care and maintenance, it can last 1 year.

  • Your lenses have the Tangible Hydra-PEG coating

Follow-Up Schedule

With scleral lenses, follow-up care is essential to assure your satisfaction and wearing success.

  • Dispensing visit – Lenses must be worn for 45-60 minutes during the initial try-on to evaluate how they settle on to the eyes. Insertion and removal training, lens care and wearing schedule will be discussed.
  • 2 weeks
  • 1 month
  • 3 months
  • 6 months
  • 1 year *

It is recommended that scleral lenses be replaced on an annual basis. Throughout this follow-up schedule, your lenses can be sent in for cleanings and re-coatings if necessary.

Inserting and Removing the Lenses

Tools can be used to insert lenses easier. We will go over your options in the office during your insertion and removal training.

  • DMV Scleral Cup
  • DMV Vented Scleral Cup
  • EZI Scleral Ring Applicator
  • See Green Plunger Stand
  • DMV Ultra Remover

Filling the Lenses

The primary concern when inserting lenses is to ensure that there is enough solution filling the lens so that there are no bubbles between the lens and your eye when the lens is in place. You lenses should only be filled with preservative-free saline. Never fill lenses with contact lens solution or water.

  • Medudose/ Addipak – Small individual vials good for a single use. We recommend keeping a few of these with you at all times.
  • LacriPure – Small individual vials good for a single use. We recommend keeping a few of these with you at all times. Buffered to match the pH of your eyes.
  • Purilens – Larger bottle good for 14 days after opening. Good for home use.

Preventing Complications

  • Always wash your hands before handling contact lenses. Use mild, basic soap and avoid antibacterial, deodorant, fragranced or moisturizing liquid soaps (many liquid soaps have moisturizers that can contaminate your contacts from handling).
  • Contact lenses should be cleaned when removed from the eye.
  • Do not re-use old solution or “top-off” the liquid in the lens storage case. Empty the storage case daily and always use fresh solution.
  • Do not use lens care products beyond their expiration dates. Discard opened bottles after 28 days. (14 days for Purilens, 1 day for Addipak, Medudose and LacriPure)
  • Do not allow the tip of the solution bottle to come in contact with any surface, and keep the bottle tightly closed when not in use.
  • Do not transfer contact lens solution into smaller travel-size containers.
  • Keep your contact lens storage case clean (inside and out).
  • All lens storage cases should be emptied, rinsed, wiped, and air-dried between uses.
  • Keep the contact lens case clean and replace it regularly, every one to three months.
  • Do not use cracked or damaged lens storage cases.
  • Take care to remove residual solution from surfaces of lens case and solution bottles.
  • Do not wear your lenses during water activities (swimming, hot tubs, showering, etc.).
  • Do not put your lenses in your mouth.
  • Wear and replace contact lenses according to the prescribed schedule.
  • Do not change lens care products without first checking with your eye care practitioner.
  • Do not sleep in your contact lenses.
  • Apply makeup after inserting lenses.

If the above protocols are followed, the risk of ocular complications are extremely small.

Cleaning and Storing

Oils, mucous and other secretions can adhere to your lens surface. It is important to remove these deposits at the end of each wearing day. After removing lenses, drop a few drops of cleaning solution on the the lens and rub both the inside and outside with your finger to remove any stuck on deposits. After rubbing, store lenses overnight in a peroxide-based disinfectant solution.

    • Lobob ESC – Cleaning only. Not to be used with Hydra-PEG coatings
    • Unique pH – Cleaning and storing
    • Clear Care (Not Clear Care Plus) – cleaning and storing
    • PROSE case – Large storage case for larger scleral lenses
    • Progent – Biweekly enzyme cleaner for protein buildup. Not to be used with Hydra-PEG coatings

Where to Order Supplies

When your lenses are dispensed, you will get a starter kit with everything you need to take for you new lenses. At some point you will need to restock on supplies.

  • We have every product listed in this brochure stocked and available for purchase.
  • www.DryEyeShop.com Great resource for all of your scleral lens supplies.
  • www.MeniconWebstore.com Lowest price for Unique pH and LacrPure using our office code 013-415-P
  • www.Amazon.com Just make sure you type the name of the products in correctly to ensure you are choosing the right products.

Other Tips

  • If you do not plan to wear your lenses for an extended amount of time they can be stored in a conventional contact lens case. Store them dry if you do not have a Hydra-PEG coating and wet
  • If you are inserting and/or removing your lenses over the sink, make sure you use a soft towel or a rubber catch mat to prevent breaking or loss from dropping your lenses.
  • High magnification mirrors can be helpful, especially if you are low vision or if you’re still learning insertion and removal technique.
  • For lenses that fog up during the day, try adding 3-4 drops of Refresh Celluvisc to the lens before inserting it.
  • A spare pair of lenses is recommended and can be purchased at a discounted price. A spare pair is useful in case one pair needs to be sent in to be cleaned or re-coated or is lost or broken.

Red Flags
It is expected that some days with your scleral lenses will be better than others, but if you experience any of the following symptoms, schedule a visit with Dr. Jackson to check the health of your eyes.

  • Eye pain
  • Consistently blurred vision
  • Crusting on your lids or lashes
  • Excessive mucus
  • Sensitivity to light
  • Too much suction when removing lenses
  • Painful eyes after removing lenses
  • Excessive redness