When Are Scleral Lenses The Best Option for Keratoconus?

Scleral lenses have become a primary contact lens option for keratoconus. They can be used for mild to moderate cases but are especially effective when keratoconus is advanced or other contact lenses fail. Scleral lenses offer unique advantages over other keratoconus contact lens options. Because they rest on the sclera (the white part of the eye) and vault over the cornea without touching it, they provide greater comfort than traditional corneal RGP, hard, or hybrid lenses. This unique design accommodates even the most severe keratoconus cases, preventing corneal pain and damage caused by lens rubbing and eliminating the risk of lenses popping off. Additionally, scleral lenses act as a barrier, preventing dust and debris from getting under the lens and causing discomfort. When combined with wavefront guided optics, these lenses can potentially provide superior vision compared to other options.