
If traditional contact lenses feel uncomfortable, move around too much, or fail to provide the clear vision you need, the problem may not be contact lenses in general. Some eyes simply require a more customized approach. At I. David Nestorowicz, OD, we offer specialty contact lens care for patients in Freehold, NJ, including options designed for complex and hard-to-fit eyes. Custom scleral lenses can provide improved stability, comfort, and visual clarity for patients who have struggled with conventional soft or rigid contact lenses.
Scleral lenses are larger than standard contact lenses. Instead of resting directly on the cornea, they vault over it and rest on the white portion of the eye, known as the sclera.
The space between the lens and the cornea is filled with sterile saline solution. This creates a smooth optical surface while maintaining a layer of fluid over the cornea. For patients with irregular corneas or significant dryness, this design can make scleral lenses more comfortable and provide clearer, more consistent vision. Because every patient's eyes are different, custom scleral lenses require a detailed fitting process to determine the appropriate size, shape, and prescription.
Scleral lenses in Freehold may be recommended when standard contact lenses cannot provide adequate comfort or vision. They can be especially helpful for patients experiencing:
• Keratoconus or other irregular corneal conditions
• Moderate to severe dry eye symptoms
• Corneal scarring or irregularities
• Difficulty achieving stable vision with traditional contacts
• Discomfort or poor lens positioning with conventional lenses
A specialty contact lens evaluation allows us to examine your eyes and determine whether scleral lenses are suitable for your specific vision needs.
An irregular corneal surface can make it difficult for glasses or standard contact lenses to properly focus light. Since a scleral lens vaults over the cornea, the lens and fluid reservoir can create a more uniform refractive surface.
For some patients, this can provide sharper and more stable vision than they have been able to achieve with other correction methods. The larger design also helps keep the lens centered on the eye, which can be beneficial for people whose traditional contacts shift or become uncomfortable during the day.
Dry eye can make contact lens wear especially challenging. Traditional lenses may contribute to irritation when the eye's surface does not remain adequately lubricated. The fluid reservoir beneath a scleral lens keeps the cornea continuously bathed in saline while the lens is worn. For appropriate patients, this can create a more comfortable contact lens experience while also providing vision correction.
Successful scleral lens wear begins with careful evaluation and customization. At our Freehold eye care office, we assess your corneal shape, prescription, eye health, and previous contact lens experiences before recommending a specialty lens solution.
Schedule a specialty contact lens evaluation with I. David Nestorowicz, OD to find out whether custom scleral lenses can help you achieve clearer, more comfortable vision. Contact our office in Freehold, NJ, by calling (732) 431-1004 to book an appointment.