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Tips For Wearing Scleral Lenses

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Scleral lenses are ideal for patients with corneal irregularities, dry eyes, and hard-to-fit eyes. Their uniquely large circumference offers the best in visual comfort and clarity. But wearing and caring for your scleral lenses can take some getting used to.

Below are our top 5 tips for anyone who wears scleral lenses. If you have questions about scleral lenses or any other optometric matter, Lakeline Vision Source's Scleral Lens & Keratoconus Center in Cedar Park is here for you.

1. Lens Hygiene is Top Priority

Keeping your scleral lenses hygienic and free of buildup is key in ensuring the clearest possible vision. When you remove them from your eyes, rub them for several seconds with lens cleaner to remove surface debris and bacteria. Then, rinse them on both sides with saline solution before storing them.

Another hygiene tip: Before handling your lenses, be sure to wash your hands with soap and water, and to rinse and dry them with a lint-free cloth or paper towel. Good hygiene will significantly minimize possible complications and keep your eyes feeling fresh.

2. Manage Your Dry Eye

Many patients with dry eye syndrome (DES) choose to wear scleral lenses for their hydrating and soothing properties. While sclerals can offer substantial relief from their dry eye symptoms, patients shouldn’t forget to seek treatment for their DES.

That’s because scleral lenses help manage dry eye, but don’t actually treat it. So, it’s best to follow up with your eye doctor about any eye drops, medications, or at-home remedies to support healthy tears.

3. Use a Cotton Swab For Cleaning

Patients with long fingernails can find it challenging to thoroughly clean their scleral lenses. Rubbing the inside bowl of the lens with a cotton swab and cleaning solution can effectively remove the buildup from the lens. Then, rinse off the cleaning solution with saline to remove the cleaning solution and any lint from the cotton swab.

4. Try Different Insertion Tools

Is your current insertion method not working as smoothly as you’d like? No worries! Ask your eye doctor about different tools you can use, such as the O-ring or applicator ring.

But please only insert your lens with tools that your eye doctor recommends!

5. Follow Up With Your Eye Doctor

Because scleral lenses are customized, they often require a few visits with your optometrist to optimize their fit. Even after the fitting process is complete, follow-ups will help ensure that your lenses are still in good condition.

If your scleral lenses are giving you any trouble at all, we can help. To schedule your scleral lens consultation, call us today!

Lakeline Vision Source's Scleral Lens & Keratoconus Center serves patients in Austin, Cedar Park, Brushy Creek, Round Rock, and throughout Austin.

Frequently Asked Questions with Our Scleral Lenses Expert in Austin, Texas :

Q: How do scleral lenses work?

  • A: Scleral lenses rest and vault over the entire sclera (white of the eye), encasing a hydrating reservoir in between the lens and the cornea (front surface of the eye). This allows people with irregular corneas to wear contact lenses, since the lens isn’t in direct contact with the cornea itself.

Q: How long do scleral lenses last?

  • A: Scleral lenses generally last 1-2 years, depending on how well you care for them and how your tear film reacts with them. Even so, check-ups every 6 months are recommended to ensure they still fit well and provide clear vision.


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What are Scleral Lenses?


Scleral contact lenses are rigid gas permeable lenses with an extra-wide diameter. As opposed to traditional contacts, scleral lenses vault over the entire cornea, leaving a gap between the lens and the corneal surface before coming to rest on the white part of your eye (your sclera).

Their unique design has taken scleral lenses to the top of the charts for ultimate wearing comfort, healthy eyes and excellent vision for people of all ages.

They are custom-fit to your eye and are perfect for those with hard-to-fit eyes, astigmatism, keratoconus, severe dry eye, or for those simply seeking more comfort when wearing contact lenses.

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What Are The Advantages Of Wearing Scleral Lenses?

With scleral lenses, you’ll experience consistently clear vision—even if you have an irregular cornea. Here are some of the benefits provided by scleral lenses:

  • Their super-size diameter ensures that they stay centered and stable on your eye, which also prevents them from popping out easily, even if you play sports or lead an active lifestyle.
  • They are made up from high quality, durable materials to last for the long haul.
  • The large size of the lens protects your eyes from debris, dust, and allergens, providing a perfect solution if you suffer from eye allergies.
  • They are composed of highly breathable gas permeable material, which ensures that ample oxygen reaches the eye, leading to healthy eyes and comfortable lens wear.
  • These lenses have a pocket that fills with moisturizing tears. This wet, lubricating cushion leads to a very comfortable wearing experience, as well as healthier eyes.

Ready to say goodbye to all those contact lenses that felt uncomfortable and didn’t give you sharp vision? Call Drs. Laurie Sorrenson, OD, FAAO, Eric Hammond, OD, & Dipa Kodukula, OD in Austin for more info.

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Who Wears Scleral Lenses?


Some wear them for increased comfort, while others choose sclerals because specific eye problems prevent them from wearing regular contact lenses or glasses.

Scleral lenses are extremely helpful in managing the following conditions:

Dry Eyes: For people with gritty, itchy and dry eyes, wearing traditional contact lenses are an added irritation. In contrast, the tear reservoir between the back of the scleral lens and the cornea, the front surface of the eye, allows your eyes to remain moist and comfortable all day long. This makes scleral lenses ideal for those with dry eye syndrome.

Hard-to-Fit Eyes: Those with irregularly shaped cornea, whether due to natural causes, an eye condition (i.e. keratoconus), or complications following surgery (such as LASIK), can at times develop vision problems that cannot be corrected using glasses or soft contact lenses. In such cases, scleral lenses provide a more comfortable, secure fit, and sharper vision.

Scleral lenses are particularly useful for managing these eye conditions:

  • Keratoconus
  • Astigmatism
  • Dry Eyes
  • Giant papillary conjunctivitis (GPC)
  • Post-refractive surgery (i.e. LASIK, PRK)
  • Presbyopia

Whatever your case, we welcome you to call Drs. Laurie Sorrenson, OD, FAAO, Eric Hammond, OD, & Dipa Kodukula, OD to discuss your needs and assess whether scleral lenses are a suitable and effective solution for your unique case.

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medical-plus medical-plus How do Scleral Lenses Help with Dry Eye Syndrome?

Scleral lenses tackle three factors simultaneously: they provide vision correction, they protect the eye, and they serve a therapeutic purpose by lubricating the eye. 

By filling the bowl of the lens with unpreserved saline solution prior to inserting it in the eye, you ensure that your eyes are always in a hydrated and comfortable environment. This provides relief from unpleasant dry eye symptoms such as pain, discomfort, eye redness, and itchiness while providing sharp, clear vision.

medical-plus medical-plus Why Do Scleral Lenses Offer Superior Comfort?

Scleral lenses are custom-fit to each person’s unique eye shape, corneal curves, and contours, providing unparalleled comfort. Their size and shape also ensure stability.

To design the lenses, Drs. Laurie Sorrenson, OD, FAAO, Eric Hammond, OD, & Dipa Kodukula, OD will take exact measurements of your cornea through a process called corneal topography. This process ensures that your personal pair of scleral lenses allows the right amount of light in and sits stably on the eye, thus offering superior vision, all-day ocular hydration, and increased comfort. 

If other contact lenses haven't worked for you, don’t despair — you may be a candidate for scleral lenses. Talk to Drs. Laurie Sorrenson, OD, FAAO, Eric Hammond, OD, & Dipa Kodukula, OD to determine your best course of action.

medical-plus medical-plus Does Insurance Cover Scleral Lenses?

When it comes to scleral lenses, every insurance company is different. Some cover the eye exams and custom fitting, but not the actual lenses. Others may cover a portion of the cost or 100% of the cost, but only if other treatment methods have been exhausted. It’s important that you consult with your  insurance provider to understand the particulars of your scleral lens coverage.

It is our strong belief that one’s quality of life is profoundly associated with one’s vision. Vision problems, whether due to keratoconus, LASIK, ocular trauma corneal irregularities, or dry eye syndrome, affect all aspects of a patient’s life.

Relieve your discomfort by scheduling a consultation with Drs. Laurie Sorrenson, OD, FAAO, Eric Hammond, OD, & Dipa Kodukula, OD and we’ll help you find the best solution for your condition and lifestyle.

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Who Wears Scleral Lenses?

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Melodi Esmaili, OD, FAAO

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Dr. Melodi Esmaili graduated in 2010 with High Honors from the University of Houston with her bachelor’s degree in nutrition. She went on to attend the University of Houston College of Optometry, graduating in 2014 with her doctor of optometry degree. In her final year, Dr. Esmaili completed disease dense clinical rotations in Oklahoma, becoming adept at providing minor laser procedures to patients, and also in Fort Worth, where she worked for a non-profit eye care facility that cared for lower income patients. Also closely involved with Volunteer Optometric Services to Humanity, Dr. Esmaili helped organize ocular missions in Kenya and Honduras.

After obtaining her doctor of optometry degree, Dr. Esmaili completed a residency at Omni Eye Specialists in Denver. While at her residency, Dr. Esmaili received extensive training in advanced diagnostic techniques and medical management of anterior and posterior segment ocular disorders and laser vision correction. During her residency, Dr. Esmaili completed a fellowship at the American Academy of Optometry where individuals are evaluated against the highest standards of professional competence.

Dr. Esmaili specializes in corneal irregularities, post corneal transplants, keratoconus, post Lasik / post RK complications, and dry eyes. She fits specialty contacts lenses including scleral contact lenses and RGP lenses. She is also one of the few doctors nationwide to be certified to fit the EyePrintPro and EyefitPro, a custom scleral device designed to provide superior comfort and vision compared to any other scleral lens.

Dr. Esmaili has extensive experience in fitting Sclerals and eyeprint in Austin and the surrounding area. Because scleral lenses are an excellent option for a wide variety of patients including those with dry eye syndrome, Dr. Esmaili has been honored to co-manage patients closely with corneal specialist surgeons. Depending on the patient’s needs, Dr. Esmaili will design a contact lens that will provide the patient with the best vision and comfort. If you have been told that you cannot wear contact lenses you should schedule a consultation with Dr. Esmaili. You may be surprised!

Dr. Esmaili joined Lakeline Vision Source in 2017 and practices as a glaucoma specialist and therapeutic optometrist. In her free time Dr. Esmaili enjoys traveling, oil painting, and hiking. She is also a foodie and ardent coffee enthusiast.

Dipa Kodukula, OD

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Dr. Dipa Kodukula attended the University of Houston where she received her Bachelor of Science and Doctor of Optometry degrees. She completed her internships at Lakeline Vision Source and Bridge Builders in Dallas, TX. Bridge Builders is a non-profit clinic with a primary focus on Glaucoma. It offers free exams and glasses to low-income residents.

Dr. Kodukula specializes in operating the Dry Eye Clinic at Lakeline Vision Source. Keratoconjunctivitis sicca, or dry eye syndrome, is an inflammatory ocular disease that causes chronic lack of sufficient lubrication on the ocular surface. Dr. K prescribes Restasis and performs minor surgical procedures. She is particularly interested in fitting specialty lenses such as amniotic membranes and scleral lenses for patients with dry eyes and keratoconus. Her other interests include Lasik co-management and she also volunteers her time to the InfantSee program. She provides a comprehensive eye and vision assessment for infants within the first year of life regardless of the family’s income or access to insurance coverage.

Dr. Kodukula is presently licensed as a Therapeutic Optometrist and as an Optometric Glaucoma Specialist. She is a member of the Texas Optometric Association and the American Optometric Association.

Dr. Kodukula practiced in many offices over Texas and eventually moved to Austin. She enjoys spending time with her husband, Satish and their daughter and son. Her hobbies include cooking, Bollywood dance, and DIY projects.

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