What are Scleral Lenses?

Understanding Scleral Lenses

Understanding Scleral Lenses

This section explains how scleral lenses work and the different designs available.

The lens vaults completely over the cornea, placing no pressure on the corneal surface. The liquid reservoir beneath the lens keeps the eye bathed in sterile saline, which supports healing and reduces irritation. Because the lens sits on the less sensitive sclera, it remains steady and is unlikely to dislodge during normal activities.

Scleral lenses are grouped by size and where they rest on the eye.

  • Corneo-scleral and semi-scleral lenses rest near the junction of the cornea and sclera.
  • Mini-scleral lenses vault over the entire cornea and land on the anterior sclera.
  • Full scleral lenses are the largest option and create the greatest clearance between lens and cornea.

Comfort and Vision Advantages


Here we look at why many patients prefer scleral lenses to traditional contacts.

Patients often report that they barely feel the lenses once fitted. Traditional small lenses move with each blink and can cause lid irritation, limiting wear time. The broad, stable surface of a scleral lens avoids this problem, protecting the cornea from friction and delivering consistently sharp vision throughout the day.

The larger diameter spreads the lens’s weight across a wide, less sensitive area. Combined with oxygen-permeable materials, this design keeps the cornea well supplied with oxygen, promoting long-term eye health.

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Candidacy and Conditions

Candidacy and Conditions for Scleral Lenses

Many people can benefit from scleral lenses, but they are especially helpful in certain situations.


Anyone seeking the clearest possible vision from contact lenses may consider scleral designs, particularly when other lenses fail to give adequate clarity or comfort.

  • Keratoconus
  • Astigmatism
  • Dry eyes
  • Giant papillary conjunctivitis (GPC)
  • Post-refractive surgery such as LASIK or PRK
  • Presbyopia


The fluid reservoir beneath a full scleral lens keeps the ocular surface moist, allowing people with chronic dryness to wear lenses comfortably for extended periods.


Children as young as six months with ocular surface disease, severe dryness, or high refractive error can benefit. Mini-scleral designs are often chosen for younger patients who need the comfort of a larger lens but have normally shaped corneas.

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Fitting and Care

Fitting and Care

Proper fitting and maintenance are key to success with scleral lenses.

An eye care professional maps the cornea with advanced topography. These measurements guide the custom design of each lens to match the unique curvature of the eye.

Insertion can be challenging at first, but with guidance most patients master the technique quickly. The lenses are durable and easy to handle once the routine is learned.

After adaptation, many people describe clearer detail, brighter color, and all-day comfort that lets them enjoy work, recreation, and daily tasks without interruption.

Because scleral lenses require precise customization, choose a practitioner experienced in their design and troubleshooting, especially if you have significant corneal irregularities.

Frequently Asked Questions


Below are answers to a common question about scleral lenses.

Coverage varies widely. Some plans pay for the examination and fitting, others pay a portion of the lens cost, and some require documented failure of other treatments. Check with your insurance provider for specific details.

Your Partner in Clear and Comfortable Vision

Our clinic is committed to helping every patient find the best solution for their visual needs. If you are exploring specialty lenses, know that knowledgeable care and advanced technology are available to support your journey toward clearer, more comfortable sight.

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