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pellucid marginal degeneration

7 Tips for Using Scleral Contact Lenses

Scleral contact lenses are larger diameter Rigid Gas Permeable (RGP) lenses. The larger size of scleral contact lenses fits vaults over the cornea of the eye.

They are often a good option for patients with corneal diseases like keratoconus and pellucid degeneration.

Scleral contact lenses can be customized for each individual patient providing a more comfortable fit. Other benefits of scleral contact lenses are clear vision and improved dryness. 

Be patient as you learn to adjust to wearing scleral contact lenses. It will take a bit of practice. 

1. Not the Same as Other Lenses

Scleral Contact Lenses are inserted and removed differently than regular contact lenses. This can take some time to adjust to. This video provides some tips on inserting and removing scleral contact lenses as well as caring for them, we also have a video here. You may need to try several insertion and removal methods before finding the one that works well for you.

2. Cleaning Regularly

Like any contact lens wearers, regular cleaning is essential. Make sure you’re washing your hands thoroughly before inserting scleral lenses and for lens removal.

Use only recommended products to keep lenses and your eyes in the best condition. Follow instructions from your eye doctor on proper lens care and cleaning methods.

Regularly clean your contact lens case as well.

Good hygiene will prevent eye infections.

3. Removing Scleral Contact Lenses

A drop or two of preservative-free artificial tears or saline into the eye before removing and a gentle massage can help to loosen the lens. For most wearers, it is best to remove their lenses about one hour before going to bed. 

4. UV Protection

We recommend wearing sunglasses with your custom scleral contact lenses to protect your eyes from UV rays. 

5. When Wearing Makeup

For those that would like to wear makeup while wearing scleral lenses, there are a few minor adjustments.

Put your custom scleral contact lenses in before applying your makeup. Choose cream rather than powders and eye-friendly, hypoallergenic products. Don’t use eyeliner on the inside rims of the eyes.

Remove lenses before cleaning off makeup. 

6. Facial Moisturizer

Avoid oil-based moisturizers on the eyelids.

7. Avoid Wearing Lenses on a Plane

For anyone wearing contact lenses, wear your glasses when flying if you are able to. The air in aircraft cabins is very low causing your eyes to become dry and uncomfortable. Put them in as soon as you land when you are able to do so. 

There are many benefits to custom scleral contact lenses for patients. With a bit of time and practice, scleral contact lenses will become part of your routine. A scleral lens fitting may take more time but patients often find them more comfortable.

They will help to keep the cornea healthy and with their wider diameter are often more comfortable for better patient vision and comfort. Fitting scleral lenses properly can also help with dry eyes as the scleral lens design is to vault over the eye, protecting the cornea underneath. Follow all of the recommendations provided to you by our optometrists

Contact our Albuquerque office if you are having any issues or to book an appointment for a custom scleral contact lenses consultation and fitting.

Photo by Nataliya Vaitkevich from Pexels

Corneal Crosslinking: What to Expect

Corneal crosslinking or corneal collagen crosslinking (CXL) is a minimally invasive procedure that can halt or slow the progression of eye conditions such as keratoconus and pellucid marginal degeneration. Corneal collagen crosslinking, using riboflavin and UV light, received FDA approval on April 18, 2016. This is the only treatment that can prevent the condition from progressing. Doctors at Eyes of New Mexico Family Optometry and Contact Lenses can determine if you’re a good candidate for this procedure.

If you’re a candidate for corneal crosslinking, as discussed with your optometrist, it can be exciting to have a method that can keep your eyesight from getting worse. It is also normal to feel some anxiety over the procedure. Here’s what you can expect from your corneal crosslinking procedure.

Preparing for Corneal Crosslinking

Typically, we will treat only one eye at a time. The other eye will have the procedure after several weeks or months. 

Depending on the contact lenses you wear, your doctor may advise you to not wear your lenses for about two weeks before the procedure. 

The Day of Your Corneal Crosslinking Procedure

  • Don’t wear eye makeup, perfume or aftershave.
  • Bring a pair of sunglasses with you to wear after the procedure.
  • Do not have vitamin C before or after the procedure (including in foods high in vitamin C like orange juice).
  • If you’d like, bring a pair of headphones to listen to music or podcasts during the procedure.

During the Procedure 

  1. Your doctor will place drops in your eyes to numb them.
  2. You will then lie back while the procedure is being done. Your eyelid will be kept open during the procedure using a special tool. Riboflavin (Vitamin B12) eyedrops are then applied to your eye. These drops will allow your cornea to better absorb light and will take about 30 minutes to soak into your cornea.
  3. A UV light is then applied for up to 30 minutes and you’ll look into the light.
  4. Your doctor will place a contact lens in your eye to help with healing.
  5. The whole procedure will take about 60-90 minutes. You shouldn’t feel any pain.

After the Procedure

  • You won’t be able to drive. Please make arrangements for someone to pick you up to take you home. Expect to not be able to drive for about a week following the procedure.
  • You may experience some sensitivity to light. Bring a pair of sunglasses with you to wear afterwards and continue wearing while you’re healing.
  • You will be given a prescription for eyedrops to prevent infection. Carefully follow instructions for using them.
  • You may experience some discomfort for a few days. Cold compresses and ice packs may help.
  • For the first few hours you may want to keep your eyes closed and rest. It’s best not to plan any other events for the day.
  • Contact us if the contact lens falls out and don’t try to put it back in. It will be removed at your post-procedure appointment.
  • Don’t rub your eyes for at least 5 days following your procedure. Keep your eyes from coming into any contact with water. Also avoid wearing makeup.
  • Avoid computer screens, television and reading for the first 24-48 hours.
  • Contact your doctor if you experience severe or worsening pain.

It can take several weeks for your eyes to heal and your vision may not be fully functioning during that time. Most people will return to work about a week after corneal crosslinking, but you may choose to take more time. After your doctor has given you approval, you can return to wearing your glasses or contact lenses you wore before the procedure. During this period, you may notice your vision improving, worsening or changing. It should stabilize after about 3 months.

For the 2-4 weeks following your procedure

  • Avoid dusty, smoky environments for the first two weeks.
  • Put off that vacation for at least a month after the procedure and avoid flying.
  • Avoid sun exposure.
  • Stay away from swimming pools and chlorinated water.
  • Avoid makeup for at least 2 weeks.
  • After 3-6 months, you may need new glasses or contact lenses as your vision prescription may have changed.

Doctors at Eyes of New Mexico Family Optometry and Contact Lenses are experienced with corneal crosslinking and assessing patients for the procedure. If you suffer from keratoconus or pellucid marginal degeneration, or your family has a history of these conditions, contact our office for a consultation. We can treat children and adults using corneal crosslinking. Call 505-828-3937 or schedule an appointment online.