What Can Cause Discomfort with Scleral Contact Lenses?

Comparing Scleral and Soft Contact Lenses

Comparing Scleral and Soft Contact Lenses

Scleral and soft lenses look similar at first glance, yet they differ in size, material, and care needs. Knowing these differences explains why scleral lenses sometimes feel different on the eye.


Scleral lenses are larger, rigid lenses that vault over the cornea and rest on the white part of the eye. Soft lenses are smaller, flexible lenses that rest directly on the cornea.


The vault of a scleral lens creates a fluid reservoir of saline between the lens and cornea, allowing constant tear flow. Soft lenses sit closer to the cornea and limit tear exchange.


Scleral lenses often last about a year with proper care, while soft lenses are usually replaced every two weeks or monthly.


Scleral lenses require daily cleaning with a lens cleaner, thorough rinsing, and filling with preservative-free saline before insertion. Soft lenses can be cleaned and stored in a multi-purpose solution overnight.

Sources of Discomfort


Discomfort can be localized, generalized, or related to specific events such as insertion and removal. Identifying the pattern helps target the cause.

If pain is always in one area, the lens edge may be too flat or steep at that location. Noting the exact “clock hour” of pain guides precise lens adjustments.

Pain across the entire eye often points to solution sensitivity, debris on the lens, or bacterial buildup. Changing solutions or improving cleaning can relieve these symptoms.

Discomfort that happens only when the lens goes on or comes off may signal poor technique or an incorrect fit that causes the lens to press on the eye.

Improper wear or rough removal can scratch the cornea, causing intense pain and light sensitivity. Although rare, prompt care is needed for healing and comfort.

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Working With Your Eye Doctor

Working With Your Eye Doctor

Partnering with your eye care team ensures the lens matches the unique shape and needs of your eyes.


Describe when the pain starts, where it is located, and how it feels. Specific details help the doctor fine-tune the lens design.


Your doctor can alter edge lift, vault, or diameter to relieve pressure points and improve comfort.


If irritation persists, a change in cleaning or filling solution may resolve hidden sensitivities.

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Frequently Asked Questions

Frequently Asked Questions

Patients often ask these questions when they experience discomfort with their scleral lenses.

Localized pain usually means the lens edge is pressing on the conjunctiva at that position. A minor adjustment to the edge shape can remove the pressure and relieve pain.

Yes. Some eyes react to preservatives or ingredients in certain solutions. Switching to a preservative-free saline or different cleaner often helps.

Most scleral lenses last about a year with diligent care, but replacement timing can vary based on lens wear, deposits, and changes in eye shape.

Remove the lens, rest the eye, and contact your eye doctor for evaluation. Minor abrasions typically heal in a few days with proper treatment.

Caring for Your Vision


Comfortable scleral lenses are possible with the right fit, cleaning routine, and open communication with our eye care team. Let us know how your lenses feel so we can keep your eyes healthy and your vision clear.

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