DryEyeCircle
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Scleral Lenses for dry eye

Large rigid contact lenses that vault the cornea and hold a fluid reservoir over the eye surface.

What is Scleral Lenses?

Scleral lenses rest on the white part of the eye and vault over the cornea. The space beneath the lens is filled with preservative-free saline, creating a fluid reservoir over the ocular surface.

How it works

A specialty contact-lens provider maps and fits the lens, then teaches insertion, removal, cleaning, and follow-up care.

Potential benefits

  • Protect and continuously hydrate the corneal surface while worn
  • Improve vision when the corneal surface is irregular
  • Support severe or complex ocular-surface disease

Risks and limitations

  • Requires careful fitting, daily handling, cleaning, and ongoing follow-up
  • Infection, redness, fogging, swelling, or poor fit can occur
  • Cost and adaptation time can be significant

Questions to ask a clinic

How often do you fit scleral lenses for ocular-surface disease?

What training and urgent-care support do you provide?

What findings from my eye examination support this treatment?

What alternatives should I consider first?

How will we measure whether it is helping?

What will the total treatment and follow-up cost be?

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Related treatments

References

  1. Scleral lenses in the management of ocular surface disease Eye & Contact Lens
  2. TFOS DEWS II Management and Therapy Report The Ocular Surface

Last reviewed June 11, 2026. This page is educational and does not provide medical advice. Discuss diagnosis, suitability, risks, and alternatives with a qualified eye-care professional.