Scleral Lenses

Close-up of a person placing a contact lens onto a green eye

A Guide To Scleral Lenses

Scleral lenses are a specialized type of gas-permeable contact lens designed to vault over the cornea and rest on the sclera (the white part of the eye). These lenses create a fluid-filled reservoir that provides continuous hydration to the cornea while enhancing vision.

Despite their larger size, the lenses rest on the sclera rather than the sensitive cornea, often making them more comfortable than standard contacts.

Labelled diagram of a scleral lens over an irregular cornea, showing the sclera, the gentle shaping lens and the liquid reservoir
Three contact lenses of different sizes lined up on a fingertip for comparison

A Life-Changing Advantage

Scleral lenses are highly beneficial for patients with:

  • Keratoconus and Irregular Corneas: Help correct vision distortions caused by irregular corneal shapes.
  • Severe Dry Eye Syndrome: The fluid-filled chamber provides constant hydration, reducing discomfort and dryness.
  • High Prescriptions & Astigmatism: Those with strong prescriptions or high astigmatism can benefit from better vision and stability compared to traditional contact lenses.
  • Post-Surgical Vision Correction: Patients recovering from corneal transplants or other surgeries may use scleral lenses to enhance comfort and vision.


Many patients comfortably wear scleral lenses all day. However, proper care and regular check-ups are necessary to ensure long-term eye health.

Our experts specialize in custom scleral lens fittings for your specific eye shape. We ensure optimal vision correction and comfort by designing lenses that fit each patient’s eye shape perfectly.

Become one of the many patients who experience the life-changing benefits of Scleral Lenses with us, at Family Eye Center.

How We Fit Scleral Lenses

A scleral lens fitting involves taking highly specific measurements that are custom to each case. We use the latest technology including corneal topography, OCT (Optical Coherence Tomography), and TSAS (Tear Stability Analysis System) to customize a lens to fit your eye with perfection.

The lenses we fit

We specialize in fitting Ampleye scleral lenses. We are also certified in Paragon CRT lenses, an orthokeratology design worn overnight, and we fit rigid gas permeable lenses. Which design suits you depends on the shape of your cornea and what you need the lens to do.

Eyes we fit scleral lenses for

  • Keratoconus and other irregular corneas
  • Eyes recovering from a corneal transplant
  • Post-RK and post-LASIK corneas
  • Severe dry eye that has not responded to other treatment
  • High astigmatism and high prescriptions standard lenses cannot correct
  • Anyone who has been told their eyes are hard to fit

Why Patients Come to Us for Specialty Lenses

The Family Eye Center, under the guide of Dr. Massimo Gramanzini, has specialized in hard to fit contacts for over 25 years. Our team of doctors, certified technicians, and staff is dedicated and trained in the latest technological advances and equipment to give our patients the maximum vision, comfort and experience they have ever had. Dr. Gramanzini is a member of the Scleral Lens Education Society, which keeps him current on fitting techniques for complex cases.

Common Questions About Scleral Lenses

What are scleral lenses?

Scleral lenses are a specialized type of gas-permeable contact lens designed to vault over the cornea and rest on the sclera, the white part of the eye. They create a fluid-filled reservoir that provides continuous hydration to the cornea while enhancing vision.

Are scleral lenses good for dry eye?

Yes. For severe dry eye syndrome, the fluid-filled chamber held against the eye provides constant hydration, which reduces discomfort and dryness throughout the day.

Can scleral lenses help with keratoconus?

Yes. Scleral lenses help correct the vision distortions caused by irregular corneal shapes, which is why they are used for keratoconus and other irregular corneas.

Are scleral lenses uncomfortable because they are larger?

Usually the opposite. Despite their larger size, scleral lenses rest on the sclera rather than on the sensitive cornea, which often makes them more comfortable than standard contact lenses.

Can I wear scleral lenses all day?

Many patients comfortably wear scleral lenses all day. Proper care and regular check-ups are necessary to ensure long-term eye health.

Can I wear scleral lenses after a corneal transplant?

Patients recovering from corneal transplants or other eye surgeries may use scleral lenses to enhance comfort and vision.

I have been told I am hard to fit. Can you still help?

That is exactly what this service is for. We specialize in custom scleral lens fittings designed around your specific eye shape, including high prescriptions and high astigmatism where traditional contact lenses struggle.

How common is keratoconus?

Keratoconus is more common than once thought. Research estimates it affects about 1 in 375 people, and it usually appears in the teenage years or twenties. Because it can progress over time, an early diagnosis gives the best chance to preserve your vision, and scleral lenses are one of the main ways we restore clear, comfortable sight for eyes with an irregular cornea.

What technology do you use to fit scleral lenses?

We use corneal topography to map the exact curvature of your eye, and a Tear Stability Analysis System to assess your tear film. Your lens is then designed from those measurements, and we check the fit and vision before finalising it.

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