Scleral contact lenses are a game-changer in the world of vision and aesthetics, offering unparalleled visual impact. But with great impact comes great responsibility, especially when it comes to care and maintenance.
Designed to cover more than just the cornea, these lenses demand a unique approach to ensure they remain safe and comfortable for your eyes.
In this comprehensive guide, we’ll discuss the ins and outs of scleral lens care, equipping you with practical tips and expert advice. Whether you’re a cosplay enthusiast, a patient with specific eye needs, or simply curious about these novelty lenses, our goal is to provide you with the knowledge you need for a healthy and comfortable scleral lens experience.
What Are Scleral Contact Lenses?

Scleral lenses cover the entire visible part of the eye, including the sclera, or the white area, which gives them their name. This unique design creates stunning visual effects, making them a favorite in the world of cosplay, movie production, and among those seeking a distinctive look.
Scleral lenses may also serve therapeutic purposes, aiding in the management of certain eye conditions like severe dry eyes or irregular corneas.
What sets scleral lenses apart is their larger diameter and the way they rest on the eye. Unlike traditional contacts that sit on the cornea, scleral lenses vault over it. This difference in size and fit means they require special attention and care.
How to Prepare and Handle Scleral Contact Lenses

Before you can enjoy the unique experience of wearing scleral lenses, it’s essential to prepare and handle them correctly. This initial step is crucial for both your eye health and the longevity of the lenses.
Preparing for First Use
- Clean your scleral contact lenses using only the recommended lens solution for cleaning.
- Gently place the lens in the palm of your hand, apply a few drops of the solution, and lightly rub the lens in a circular motion with your finger. Repeat for the other lens.
Hand Hygiene
- Always wash your hands thoroughly with soap and water before handling scleral lenses. Dry your hands with a lint-free towel to avoid transferring any debris onto the lenses.
- Avoid using moisturizing soaps or hand sanitizers that contain lotions or oils, as these can leave a residue on your lenses.
Correct Handling
- Scleral lenses are larger and more rigid than standard contacts, making them a bit trickier to handle. Practice proper techniques for insertion and removal to prevent damaging the lenses or causing discomfort to your eyes.
- Use a contact lens case specifically designed for scleral lenses. These cases have a larger well to accommodate the size of the lenses and ensure they maintain their shape when not in use.
Remember: the first step in scleral lens care is ensuring they’re clean, safe, and ready for wear. Taking the time to prepare your lenses properly sets the stage for a comfortable and enjoyable wearing experience.
Daily Care Routine for Scleral Contact Lenses

Wearing scleral lenses can be a unique experience due to their size and coverage. Here are some tips to make their application, wear, and removal as comfortable and safe as possible:
Easy Application
- Before attempting to insert the lens, ensure it is properly oriented. Scleral lenses should have a bowl-like shape, not turned inside out.
- Use a mirror and a well-lit area. You might find it easier to insert scleral lenses while seated, looking downward into a mirror.
- Hold your eyelids open with one hand, and gently place the lens on your eye with the other. Once the lens is in place, release your eyelids and blink a few times to settle the lens.
Maintaining Comfort While Wearing
- Scleral lenses may take some time to get used to. Start by wearing them for a few hours at a time, gradually increasing the duration as your eyes adjust.
- If you feel discomfort, dryness, or irritation, use a lubricating eye drop recommended for use with scleral lenses. This can help alleviate discomfort and keep your eyes moist.
Safe Removal
- Just like with insertion, ensure your hands are clean and dry before removing your scleral lenses.
- Look up and gently pull down your lower eyelid. Carefully slide the lens down to the white part of your eye and gently pinch the lens between your thumb and index finger to remove it.
- Never rush the removal process. Scleral lenses require gentle handling to avoid damaging the lens or causing eye irritation.
General Wearing Advice
- Always follow the wearing schedule prescribed by your eye care professional (ECP). Overextending the wear beyond recommended times can lead to eye health issues.
- If you experience any persistent discomfort, redness, or vision changes while wearing scleral lenses, remove them immediately and consult your eye care provider.
By following these tips, you can ensure a more comfortable and enjoyable experience with scleral lenses. Remember, patience and practice are key to mastering the art of wearing these unique lenses.
Recognizing and Addressing Potential Issues With Scleral Contact Lenses
Even with proper care and maintenance, it’s possible to encounter issues with scleral lenses. Being able to recognize and address these problems promptly is crucial for maintaining both your eye health and the integrity of the lenses.
Signs of Potential Problems
- Redness, itching, or irritation can indicate an allergic reaction, infection, or that the lens is not fitting properly.
- Blurry vision or discomfort might suggest that the lens is dirty, damaged, or incorrectly positioned.
- Excessive tearing or a feeling of something being in your eye could be a sign of a foreign object under the lens or a fit issue.
Immediate Steps to Take
- If you experience any discomfort or signs of a problem, remove your scleral lenses immediately.
- Inspect the lens for any tears, cracks, or debris. Clean and rinse the lens thoroughly before attempting to reinsert it.
- If discomfort persists after cleaning and reinserting the lens, or if you notice signs of an eye infection (like persistent redness, pain, or discharge), do not reinsert the lens. Seek advice from an ECP.
Preventing Issues
- Regularly replace your scleral lenses as recommended by the manufacturer or your eye care provider. Old lenses can degrade and become more likely to cause problems.
- Ensure your lens case is clean and replace it every three months to reduce the risk of contamination.
- Attend regular check-ups with your ECP to ensure the lenses are fitting correctly and not causing any harm to your eyes.
By being vigilant and responsive to any issues that arise, you can safely enjoy the benefits of scleral lenses while protecting your eyes. Remember: when in doubt, always consult with an ECP to address any concerns or questions you may have.
Long-Term Care and Maintenance of Scleral Contact Lenses
To ensure the longevity and safety of your scleral lenses, it’s important to adhere to a long-term care and maintenance routine. This not only extends the life of your lenses but also protects your eye health over time.
Regular Lens Inspection
- Periodically inspect your scleral lenses for any signs of wear and tear, such as scratches, cracks, or thinning. These imperfections can affect the comfort and safety of the lenses.
- If you notice any damage, consult your ECP for advice. It might be time to replace the lenses.
Professional Check-ups
- Schedule regular appointments with your eye care provider. These check-ups are crucial for ensuring the continued proper fit and condition of your scleral lenses.
- During these visits, your eye health will be assessed, and any necessary adjustments to your lenses or care routine can be made.
Replacing Lens Cases
- Replace your lens case every three months, or sooner if it becomes cracked or damaged. A clean case is vital for preventing bacterial growth and contamination.
- Always use fresh lens solution in the case. Never “top off” old solution with new, as this can lead to a buildup of contaminants.
Managing Lens Hydration
- Scleral lenses need to be kept hydrated. When not in use, ensure they are stored in a lens case filled with the appropriate storage solution.
- If your lenses dry out, they may become brittle and lose their shape. Follow the manufacturer’s instructions for rehydrating dried-out lenses.
Handling and Usage
- Practice good hygiene and proper handling techniques every time you insert or remove your lenses. This reduces the risk of introducing bacteria to your eyes.
- Stick to the wearing schedule recommended by your ECP. Overwearing scleral lenses can lead to complications such as eye fatigue, irritation, or infection.
By following these long-term care and maintenance tips, you can enjoy the benefits of your scleral lenses for as long as possible. Remember: the key to successful scleral lens wear is a commitment to ongoing care and attention to your eye health.
Bottom Line
Scleral contact lenses offer a unique and visually striking option for those seeking a dramatic change or needing specific eye care solutions. However, their distinct design necessitates a dedicated approach to care and maintenance.
By adhering to the guidelines outlined in this guide — from initial preparation to long-term maintenance — you can ensure a safe and enjoyable experience with your scleral lenses.
Regular consultations with your ECP are also essential to ensure your lenses are in good condition and continue to fit correctly.




