As optometrists, one of the most common questions we get is about how to properly insert and remove scleral lenses. These large-diameter contacts can be tricky to work with, but with a little practice and the right technique, they can be a great option for those with certain eye conditions. One thing to keep in mind is that these are general instructions, and our optometrist may recommend slightly different instructions based on the lens that you have been prescribed.
When dealing with any type of contact lenses including scleral lenses, whether you're putting them in or taking them out, you're going to be touching around your eyes, so make sure you wash your hands thoroughly. Use mild soap so as not to irritate the eyes.
Tap water should never come in contact with your contact lenses as it can lead to serious eye infection. After you have washed your hands, dry them thoroughly. To reduce the chances of getting lint on your lens, use a towel that is lint free.
Next, you want to identify which contact lens you're going to be putting in. It is recommended to insert the contact lens on the dominant hand side, as it is typically more comfortable and easy to control. For example, if you are right-handed, it is recommended to start with the right eye. By doing this, you don't have to worry about remembering which lens is which if you mix them up. Some brands do have little laser markings on them, including little dots that will tell you which eye belongs to which, usually there's one dot for the right eye and sometimes you'll see two dots for the left eye. But ultimately, if you do mix them up and you're not sure, contact our eye clinic at (661) 775-1860 for help.
There are a few different ways to insert scleral lenses, however, most patients prefer to use a little plunger with a suction cup also called a DMV. A pro tip is if you get a plunger and it has a rounded of bottom, you can go ahead and use the scissors to snip that off because afterward you will have a DMV that has a little hole in the bottom. And with this little hole you can see a light passing through it and it acts as a guide for you when you're putting in the lens. Another benefit of cutting out the bottom is to make sure that there is no suction on the lens when putting it in. If you are doing this method you will need one plunger for inserting the lens and another for removing the lens.
If you prefer using your fingers or cannot find your plunger/DMV tool, we recommend using three fingers like a tripod to keep your scleral lens steady and flat.
It is always a good idea to visually check your lens for any chips, scratches, cloudy deposits or buildup or damage before putting them in your eye. As a general rule scleral lenses that are responsibly cleaned and maintained should last you for a year or longer, but it is a good idea to get in the habit of visually checking your lens. If you notice any build up, follow the instructions our eye doctor provided you for cleaning your lenses. If you notice any damage at all, visit our optometrist before using your lenses to prevent possible abrasions, pain, or infections.
Many patients find it easier to place a mirror on their table and look down at the mirror when inserting their scleral lens.
Now put the lens on the plunger or at the tip of your finger.
It is very important not to use a multipurpose solution such as those used for other types of contact lenses, that solution will have preservatives and these preservatives will get trapped on the eye and that can lead to a chemical burn and irritation. Speak with our eye doctor about the recommended non-preserved saline solution.
Now you'll need to fill the bowl of the lens completely all the way to the top. That way you can kind of see a bubble of fluid forming on the top. If you don't fill the bowl completely, then you're likely going to get a bubble when you apply the lens and then you're not going to see well and the lens is going to move and it won't be as comfortable.
Now inserting the Scleral Lens you want to have your face completely parallel to the floor or table. Some people find using a mirror or something as a fixation target on the counter can help you with inserting the lens.
Use your non-dominant hand to hold your eyelids open, while using your dominant hand to either hold the plunger or use your fingers as a tripod.
Place the lens in your eye and as soon as you feel the saline coming in contact with your eye press gently and then let go of the lens. Then you can repeat this step with the other eye.
Start by washing your hands thoroughly with soap and water to remove any dirt, oils or other substances that may have come into contact with your hands. This is important because anything on your hands can easily transfer to your eyes and cause irritation or infection.
Find a well-lit area, and look straight ahead. This will help you see what you're doing and prevent you from accidentally poking or scratching your eye. If desired, you can position yourself in front of a mirror for better visibility.
Choose the removal method you prefer: either with your fingers or with the aid of a plunger. Both methods are effective and it's up to you which one you find easiest to use.
If you're using a plunger, wet the tip with saline solution. This will help prevent the plunger from sticking to your lens, and also help loosen the lens from your eye. Place the plunger onto the lower third of the lens, making sure it's securely attached.
Gently press the plunger onto your eye, and then pull up and out to remove the lens. This method uses suction to release the lens from your eye. It's important to be gentle and not to pull too hard, as this can cause discomfort or even damage to your eye.
If you're using your fingers, place two fingertips on either side of the lens. This will give you good control over the lens and help you avoid accidentally poking or scratching your eye.
Gently break the seal from your eye and remove the lens by lifting it off the eye. This can be done by gently sliding your fingers under the edge of the lens and lifting it up. It's important to be gentle and not to pull too hard, as this can cause discomfort or even damage to your eye.
Be ready to catch the lens as it pops out. Scleral lenses are large and can be somewhat difficult to handle, so it's important to have your hands ready to catch the lens as it comes out.
Repeat the process for the other eye if necessary.
After removing both lenses, clean and store them as directed by your eye care professional. Proper care and storage of your lenses will help ensure they last a long time and remain comfortable to wear.
If you're considering scleral lenses as a solution to improve your vision, it's important to schedule a comprehensive contact lens exam with our eye care professional. This exam will ensure that scleral lenses are the right choice for you and that they will be properly fitted to ensure optimal comfort and vision. Our optometry clinic is dedicated to providing top-notch eye care and we have a team of experienced eye care professionals who are ready to assist you. Don't hesitate to reach out to us at (661) 775-1860 to schedule your contact lens exam today and start your journey towards better vision!
Patients looking for a contact lens exam visit our clinic from all over California, and we are proud to be a leading contact lens practice for patients from Santa Clarita, Palmdale, Lancaster, and San Fernando Valley.
My eight year old daughter was terrified to go to the eye doctor for fear of her eyes being dilated. The doctor was SO KID friendly! He immediately made her comfortable by engaging her in conversation. It was a geat experience.
Dr. Garbus spent an amazing amount of time to solve my very complicated visual problems. Over the years he has continually achieved results beyond what others felt possible. He is always up to date on the latest science. He is great!
Family Vision Care Valencia makes it so easy. Staff is knows what they are doing and Dr. Garbus is thorough and kept me well informed during the exam.
I have been coming to Family Vision Center for almost 20 years. Dr. Garbus has been able to help my vision when other doctors could not. Now my kids see him as well. I highly recommend this office!
The Doctor is very good. I felt on this visit he seemed rushed. I had questions to ask him but he was already with another patient. I still do not know if my eyes are the same , worse, or better.
All the staff is friendly, helpful and knowledgeable, and has been for all the years I have been going there.
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