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Fill the lens excessively with non-preserved saline.

Scleral lenses are inserted much differently than conventional soft contact lenses or corneal gas permeable lenses.įig. This is especially true of patients who have never previously worn any type of contact lenses. Detailing this during the first visit eliminates potential patient frustration, and will define their expectations for the scleral lens fitting process appropriately.īecause most scleral lens fittings involve patients who are new to the modality, it is inevitable that there will be some insertion difficulties. Patients new to contact lens wear, and those who have never worn specialty lenses, need to be informed of the complex fitting and follow-up care involved. Finally, inform patients that there will be additional follow-up visits after the initial fitting. Be sure to inform the patient of just how long each appointment will be, and discuss the schedule of a typical scleral lens patient.įor example, a common schedule may begin with a one-hour diagnostic fitting, followed by a 30-minute dispensing visit, which is then followed by a one-hour training session on insertion and removal techniques. When a patient comes in for a consultation, referral or comprehensive exam, and scleral lenses are found to be the best option for that particular patient, discussing the entire fitting process is critical to their success with scleral lenses. DON’T forget to explain the entire fitting process. This article will highlight 10 important “do’s and don’ts” of scleral lenses.ġ. 2 Despite these advantages, some difficulties can lead to dissatisfaction in your scleral lens wearers. Scleral lenses offer some distinct advantages, including superb comfort, stability of fit and excellent vision. Improved materials and technology for fitting and manufacturing have helped create the renaissance this modality is currently experiencing. 1 Over the past decade, clinicians have started to consider scleral lens designs as an option for all contact lens patients. The use of scleral contact lenses has grown exponentially since 2006.