Mastering Scleral Lens Care: Your Comprehensive Guide to Cleaning, Insertion, and Removal

Scleral lenses have gained popularity as an effective solution for various vision problems, including keratoconus, irregular corneas, and severe dry eye syndrome. These large, gas-permeable lenses vault over the entire corneal surface, resting on the sclera, providing clear and comfortable vision. However, proper care and maintenance are essential to ensure the longevity of scleral lenses and protect the health of your eyes. In this guide, we'll explore essential tips for cleaning, insertion, and removal of scleral lenses to help you navigate your lens-wearing journey with confidence.

Cleaning Your Scleral Lenses

1. Wash Your Hands: Before handling your lenses, wash your hands thoroughly with mild, fragrance-free soap and dry them with a lint-free towel to prevent transferring dirt, oils, or bacteria to the lenses.
2. Use Recommended Solutions: Follow your eye care professional's recommendations for cleaning and disinfecting solutions specifically formulated for scleral lenses. Avoid using tap water or homemade saline solutions, as they may contain impurities that can damage your lenses or irritate your eyes.
3. Rub and Rinse: Gently rub each lens with a few drops of the recommended cleaning solution using your fingertip to remove debris, protein deposits, and bacteria. Rinse the lenses thoroughly with the same solution to ensure all residues are washed away.
4. Soak Overnight: Store your scleral lenses in a clean, dedicated lens case filled with fresh disinfecting solution overnight to keep them hydrated and free from contamination. Replace the solution in your lens case daily and never reuse the old solution.
5. Avoid Excessive Heat: Keep your lens case away from heat sources, direct sunlight, and extreme temperatures, as heat can damage the lenses and compromise their effectiveness.

Inserting Scleral Lenses

1. Inspect Your Lenses: Before inserting your lenses, carefully inspect them for any chips, cracks, or debris. If you notice any damage or irregularities, do not use the lenses and consult your eye care professional.
2. Fill the Bowl: Fill the bowl of each lens with preservative-free saline solution or recommended lubricating drops to create a cushion of fluid between the lens and the eye for comfortable wear.
3. Positioning: Hold your upper eyelid open with one hand and use your other hand to gently place the lens on your eye, making sure it is centered and positioned correctly over the sclera. Use a mirror for assistance if needed.
4. Check for Air Bubbles: After inserting the lens, carefully inspect your eye for any air bubbles trapped beneath the lens. If you notice any bubbles, gently massage the lens with your fingertip to release them or remove the lens and reinsert it.
5. Remove Excess Solution: Once the lens is properly positioned, blink several times to ensure optimal alignment and to remove excess solution from the eye.

Removing Scleral Lenses

1. Wash Your Hands: As with insertion, begin by washing your hands thoroughly with soap and water and drying them with a lint-free towel to prevent contamination.
2. Use Suction Tools (Optional): Some individuals find it helpful to use specialized suction tools or plungers designed for scleral lens removal. Place the suction cup on the center of the lens and gently apply pressure to release the vacuum and lift the lens off the eye.
3. Lid Manipulation Technique: Alternatively, you can use the lid manipulation technique to remove the lenses. With clean fingers, hold your upper eyelid open and look down. Use your other hand to gently press on the edge of the lens and maneuver it downwards, away from your eye.
4. Empty the Bowl: Once the lens is removed, empty the bowl of any remaining solution and rinse it thoroughly with saline or recommended cleaning solution.
5. Inspect and Store: Inspect your lenses for any signs of damage or debris, and store them in a clean, disinfected lens case filled with fresh saline or disinfecting solution until your next use.

Conclusion

Proper care and handling of scleral lenses are essential for maintaining clear vision, preventing eye infections, and ensuring long-term comfort. By following the tips outlined in this guide for cleaning, insertion, and removal, you can enjoy the benefits of scleral lenses with confidence and peace of mind. If you have any questions or concerns about scleral lens care, don't hesitate to consult your eye care professional for personalized guidance and support.

Expert Scleral Lens Care Guidance at Park Professional Eyecare

Navigating the care and maintenance of scleral lenses can seem daunting, but with the right guidance and support, you can confidently manage your lens-wearing routine. At Park Professional Eyecare, Dr. Ralph Paternoster and our experienced team are here to address any concerns you may have about scleral lens care and provide personalized solutions to ensure your comfort and eye health.

Whether you're a seasoned scleral lens wearer or considering them for the first time, our commitment to exceptional patient care and comprehensive eye health services sets us apart. We're dedicated to empowering you with the knowledge and resources needed to optimize your vision and enjoy life to the fullest.

If you have questions or need assistance with scleral lens care, don't hesitate to reach out to our office at (718) 577-1094 or visit our website. Let us partner with you on your journey to clear, comfortable vision with scleral lenses.