Scleral contact lenses are a specialty large hard contact lens used to help with severe dry eyes or any other corneal pathology that make soft or smaller rigid contact lenses more difficult to fit. Most often medically necessary for certain people, they are large enough that they sit on the sclera--the white part of your eye--making them less moveable and more comfortable for your eye compared to a small rigid gas permeable contact lens. The true magic of the scleral is the liquid reservoir created under the contact when you fill the contact with preservative free solution prior to insertion--the liquid helps your eye to breathe and smoothes out any corneal imperfections to create an even refractive surface and thus, a better image for seeing!
If you’ve never worn contact lenses, it can feel a bit intimidating. You’re inserting something into your eye, after all! Let’s ease your mind about the first step – your contact lens exam. This blog will walk you through what’s involved in a contact lens exam and what you can expect every step of the way.
Your eye doctor will first determine your overall eye health and vision. This includes a discussion of your health history and then a series of standard eye tests. These tests will evaluate eye focusing, eye teaming, depth perception, color vision, peripheral vision, and response of pupils to light. The doctor will also measure your eye’s fluid pressure to check for glaucoma, evaluate your retina and optic nerve, and test your vision with different lenses to assess whether contact lenses can improve your vision.
If contact lenses are appropriate for you, it’s time to talk about your contact lens preferences. Ask about the benefits or drawbacks of each contact, so you make the best decision. If you’re over 40, your doctor will likely discuss age related vision changes and how contact lenses can address these issues.
Contact lenses require precise measurements of your eyes to fit properly. Using an instrument called a keratometer, your doctor will measure the curvature of your eyes clear front surface. This is your cornea. Next, the size of your eyes pupil is measured using a card or ruler showing different pupil sizes, as well as corneal diameter. This is held next to your eye to determine the best match. Once a diagnostic lens is selected based on measurements, we will special order your first contact lens trial based on these measures to start the rest of the fitting process.
If you have dry eyes, your eye doctor will perform a tear film evaluation to measure the amount of tear film on the surface of your eye. If your tear film is insufficient or you have chronic dry eyes, contact lenses may not be a good option for you. However, some newer contact lenses deliver moisture to the surface of the eye, making them a better choice for individuals with dry eye issues.
The final step is to try on the trial pair of contact lenses we ordered from the diagnostic fit exam. Once inserted, your eye doctor will examine the lenses in your eyes to ensure a good fit. He/she will check the alignment and movement of the lenses on the surface of your eye. If the fit looks good, the last step is to ensure the prescription is correct with several tests.
Your contact lens exam is over, but you’ll need to come back. Your doctor will usually have you wear the trial lenses for a week or two. Then you’ll have a short follow-up exam to confirm that the lenses are working well for you. If the lens is great, the lens is yours for a whole year!
If this is your first contact lens exam, don’t worry. Choose a qualified optometrist and they’ll answer all your questions as you go. Just be sure to let them know you’re interested in contact lenses. That way, they can allow extra time in your appointment for the specialized tests and consultation