Scleral Lenses for Keratoconus: 7 Facts You Need to Know

[@DoctorEyeHealth]

Happy World Keratoconus Week! Have you ever heard of Scleral Contact lenses? To learn more about keratoconus and what to do next, be sure to check out my full educational series : kzbin.info/www/bejne/oYHEn3mIi7tnq68

[@enderxeno6858]

i have those lenses and I love them, but I overuse them.. My dr says glasses aren't an option, but a stupid reddit comment told me otherwise... can you tell me if glasses are an option sometimes? I actually like glasses.

[@helenabasquette7222]

got a wood chip in my eye yestwrday not painful but irratating never the less how did it work itself out in 24 hours

[@davidboyle1193]

Is there any new treatments coming out

[@MrMathematics00va]

I’m 41. I was diagnosed with keratoconus around the age of 23/24. Since my diagnosis, I’ve had corneal transplants on both eyes. I just got scleral lenses last week & man o man my vision is GREAT!!! I’m still amazed at how well I can see with them. Sometimes I stop what I’m doing & just look around at things i wouldn’t have been able to see well before. I have a physical for work tomorrow that I was concerned about because of the eye exam, now, I ain’t worried 1 bit about that eye exam!! I’m so thankful to God for the knowledge and ability he’s given to man.. with those scleral lenses. I feel like a new man!!! Sorry this was so long Oh & mines cost $350 per contact

[@chubz1648]

I was also diagnosed with keratoconus in my early 20s an have had cornea grafts on both eyes.gone through countless amounts of contacts just for them to pop out.ive had the same optometrist for 16 years now an not once has he mentioned these type of contacts.im happy I came across this video an ur comment

[@chubz1648]

Forgot to mention I'm training to be a correctional officer and the main thing I'm worried about is the eye assessment.so definitely Goin to try these

[@MrMathematics00va]

@@chubz1648 I know all to well that anxiety of an eye exam. I hope you ace the test & have a great new career!

[@andyhare9303]

Just got my first pair of scleral lenses and absolutely love them. Best prescription I’ve had since being diagnosed with keratoconus over 30 years ago. Fantastic fit!

[@Sskim-ue6]

Hi please inform me if you bought these online or from an opthamologist. I have odd shaped cornea and dry eyes so would love them.

[@theMrTJF]

Did you get CXL procedure before getting contacts?

[@Stravyn]

Just got my scleral lenses today after 4 months of fitting! Amazing how well I can see now. One eye still needs its prescription adjusted a bit, but I went from 20/200 vision to 20/20. Incredible! I had no idea how to put them in or take them out, and your videos were extremely helpful. Thank you!!!

[@tori_vl]

I can literally listen to him speaking for hours without getting bored

[@DoctorEyeHealth]

haha I appreciate that! When I first started making videos I hated my voice, hearing it over and over again lol

[@yachtgirl77]

Me too❤

[@WileCoyoteMoncure-Smith]

Yes. It’s the characteristics of what he does with his face along with the skill he has at presenting. The blue eyes don’t hurt either. I bet infants and babies love listening to him and watching him speak. They will smile.

[@nouradam2002]

I can relate 😭ما شاء الله He is so good at his job😭😭

[@WileCoyoteMoncure-Smith]

@@nouradam2002 ​​⁠it’s those blue eyes and with dark hair. Hypnotizing.

[@KC-Curated]

Complete GAME CHANGER!!! Was diagnosed back in 2018 with keratoconus. Up until two months ago here in 2024, I had to accommodate the inability to drive during late evening/night hours due to effects caused by keratoconus. I had to shift my entire life around the limitations. Now with scleral lenses, I can consider OTR positions I’ve always desired to work. When I say complete game changer. Creative outwardly expressions now take on a new dimension with the ability to see in HD. I’m forever grateful🙏🏽

[@himanshuprajapati6542]

Is the scleral lenses outer environment friendly compared to rgp lenses only wear indoors

[@davdav8709]

Another pro tip for scleral lense care is dont use fragrance/scented handwashes/soaps to wash your hands to put them in or take them out, the oils from these soaps can stick to the lenses, also get your eye doctors to clean and polish the lenses maybe once a year as proteins can build up on the lenses

[@Pommy727]

I don’t have kerataconus but I have terrible astigmatism and I just got fitted for my first pair of scleral lenses yesterday and I’m so excited. My doc says it basically got rid of my astigmatism and I should experience clearer and sharper vision. No more of my eyes drying out and my soft lenses popping out while I’m at work. No more halos and flares when night driving. And no more struggling to get my toric lenses to sit right when I’m running late in the mornings. Totally worth the time and price tag!

[@DoctorEyeHealth]

That makes me so so happy to hear!!!! Thanks for sharing!

[@fjp9]

how have you liked them or not so far? how long was or is adjustment period that you experienced? any personal pros or cons? would you recommend them to others?

[@Matowix]

@fjp9 I've always struggled with any hard lenses. After 3 days of wearing them they are too irritable. I like toric soft lenses. Not as good vision but comfortable.

[@itsjoseph875]

How has it been?

[@Pommy727]

@@fjp9Hi! It’s been almost a year and I love them! They’re definitely higher maintenance than soft contacts and require a lot of practice putting them in and taking them out, but I find the vision I experience worth it. My doctor is trained in the fitting of rigid lenses and had me come in at regular intervals for check ups. I don’t find them cumbersome or irritating, sometimes if I out them in incorrectly, I’ll get a headache after a few hours but easily fixable by taking them out and reinserting. These lenses hold a well of saline against the eye so it basically solved my dry eye problem lol. The only annoyance I still struggle with is the mid day fogging, but my doc prescribed Hyabak eyedrops to use as a sort of flush and it clears right up. Overall great experience. My only wish is that I had been educated about these lens options sooner. Would have saved me a lot of stress and money over the years.

[@travgames0113]

My dad has Keratoconus, and knowing how these contacts work gives me a new respect for him.

[@WTFisthe911]

Did he have to get surgery for keratoconus?

[@travgames0113]

@@WTFisthe911 not yet. He's very lucky he doesn't need the surgery yet. He was too far gone when crosslinking became a thing though.

[@travgames0113]

When he gets cataracts he will likely need to get a cornea transplant and a cataract lens implant.

[@ShawnTXDFW]

I have had hydrops in both of my eyes. And I needed surgery for my right eye. I had to have a full thickness cornea transplant. My left one is not bad enough right now where I need a transplant, but it might be needed in the future. This eye disease is very much a struggle. And it’s one that employers and people don’t understand what we go through every day just to be able to get good vision!

[@frenchtoast8172]

@@ShawnTXDFWwhat’s your correctable vision like on the right eye after the transplant? I’ve had a hydrop on the right eye and have considered getting a transplant but haven’t pulled the trigger on it yet.

[@SenoritaSevilla]

I’ve known I’ve had kerataconous for almost a decade now. I’m about to get cross linking done this summer. Thank you for making videos on other aspects of kerataconous besides just what it is. Your videos are super approachable and informative. Thank you!

[@Dani-ICU-RN]

How did it go. Went to Univ Miami..time for cornea😢

[@therealstarlette]

I had it done in one eye so far, would not do it again. Vision more than doubled worse.

[@zaythemayor2254]

That is something I’m mainly afraid for, my vision in my right eye is bad but once I get the surgery I don’t want it to get worse than how it was before ​@@therealstarlette

[@williamstark9669]

Do it

[@williamstark9669]

@@therealstarlette it’s not made to improve, it’s supposed to stablize it and you’ll appreciate it later. I wished I did both at the same time

[@aswad2096]

Worn these since 2015 definitely life changing

[@WTFisthe911]

Did you have to get surgery for keratoconus ?

[@zaythemayor2254]

Did you ever get cross linking surgery??

[@roboplayz6773]

@@zaythemayor2254I did a few months ago

[@Azor101]

@@zaythemayor2254Would highly recommend it, got it done aswell.

[@bhoomisondhi2428]

Can we use it for 8 hours of laptop work I am planning for software engineering is scelar lens cause side effect like keratitis pls reply

[@scubadiva666]

I'm severely myopic and had worn RGP lenses since the late 70s. I was a little surprised the doctor I've been seeing for several years at the University Optometric Center here in NYC hadn't mentioned them to me; I've now been wearing them for over a year and mostly love them; being middle-aged, I've had an ongoing problem with dry eye, which is now not even an issue! My only gripe is having to re-insert the lenses after a few hours; I also learned the hard way that it is VITAL to tap out any tiny bubbles that may be in the liquid before inserting the lens. One day I had a bubble in one of my lenses that adhered to my eye, and it caused me intense pain. No one had told me about that beforehand! Lastly, these lenses are much more FRAGILE than I expected; I wore conventional RGP lenses-starting with CABs in the 70s-and had treated them very carelessly, even to cleaning them in my mouth in a pinch! (Kids, don't try this at home…) I cracked a scleral lens by being careless handling it and the break was discovered on one of my fitting exams; fortunately it was under warranty.

[@robertr4715]

I got some custom made ones (they put a mold on my eyes) about a year ago and love them. They never pop out and great vision. I have advanced Keretaconus and have lived with the condition for over 40 years. Other than the one corneal transplant I had years ago these new custom made sclera lenses are the best thing that have come along to improve my vision and quality of life!

[@giuseppedelcuratolo1589]

Hi Robert! I'm considering to get a pair of custom made ones aswell, I only don't have any idea of the price and clinics here in Italy mostly offer a preventive after an eye visit. May i ask you how much those lenses are averagely?

[@dianeomite1]

Did your insurance cover the lenses? I have to get them and I am going blind so fast😢

[@drawingsbyyuli5070]

How much were they? 😢

[@MrMathematics00va]

@@giuseppedelcuratolo1589the dr visit cost me $250 & the contacts were $350 per contact… I just got mines last week

[@kmitchell74]

I’ve been a sclera lens user for several years. I absolutely loved them. But I got to put them aside for now. Found out I had blood vessels growing into my cornea. Now moving on to collagen cross linking for my Keratoconus.

[@EramShaikh21397]

So what's your other option since u cannot wear scleral lenses?

[@gtileo]

I wear a sclaral lens in my right eye, I suffer from HSV in that eye and over the 38 years I've been alive, the amount of damage and scarring on my cornea has caused a large scar right in my line of sight. The sclaral has improved the vision bringing the vision in that eye from 20:100 to 20:40, it's a large improvement but with all the years I've adapted to my left eye being my dominant eye, my right is still pretty lazy and i still have a darker vision in that eye since there is that dark scar that's formed. I'm still tossing around the idea of the cost and fitment headaches is worth the improvement in vision, it's not really a life altering improvement so a lot of times it doesn't feel like it is

[@DoctorEyeHealth]

HSV is such a pain. Very sorry to hear about all that. I personally think vision improving to 20/40 is pretty remarkable, in most states that gives the ability to drive. But I think I understand your point and frustration.

[@gtileo]

@@DoctorEyeHealth I definitely don't enjoy it when i do get flare ups, the good thing is in the past 27 years I've only had it flare up 5 times and more so when there were massive shifts in life and i was incredibly stressed out. For sure there's a drastic improvement in vision, so much so that when i switch from my contacts to glasses at the end of the day there's a 30 second adjustable period

[@timothykirby4406]

Take lysine every day! It’s an amino acid and it seems to help keep the virus at bay. My mom would get cold sores regularly, but when she takes lysine consistently an outbreak is rare. Praying for you now!

[@gtileo]

@@timothykirby4406 thanks timothy, I'll give it a try, the virus doesn't change me very often but when it does it's rough, so I'll try anything to keep it that way

[@Peacfulvibes90]

I’ve been wearing my lense now for 5 days, the left eye,I really have to get use to this. Thank God I can see

[@ShrinidhiShrinidhi-r7p]

Is board and all correctly visible

[@bhoomisondhi2428]

Is it cause side effects

[@88cutty]

I've found that doing it one handed was too frustrating. I found a scleral lense inserter on amazon but it was very expensive. So what i did was: i took a 24oz flip top water bottle, i honed out the hole large enough to stick the lense plunger in (about halfway), i cut the tip off the end of the plunger so there is a small hole the entire length through the plunger, i filled the bottle about halfway with water to keep it stable, i got a led drink coaster so that when u turn it on, the light shines up through the water bottle and plunger to help you line up you eye as you lower onto the lense. This allows you to use both hands to hold your eye lids open. This keeps the lens more stable and it takes less attempts to get a bubble free fit. As they dial in your fit and prescription, ive found getting a bubble free fit to be more difficult. Im pretty good with my right eye in getting it in on the first attempt. My left eye kerateconus is more progressed and it takes anywhere from 2-15 minutes and up to a dozen attempts to get it in.

[@martaochoa-rutherford1951]

I have been diagnosed with Keratoconus and after trying other kinds of contacts, I am being fitted for my 4th pair of sclera lenses on Thursday. Now I understand why it takes so long to be fitted properly with your sclera lenses, but I am hopeful that will be the last ones. I found the advice given by @cutty, very helpful and already ordered the lighted coasters, to help me put the lenses on. I have enjoyed all of your videos about Keratoconus, since I was diagnosed with it. Thank you for your valuable information.

[@taiyin1162]

I’m so glad I found your channel!! Can you do a video on what eye makeup is best for people with severe dry eyes who wear scleral lenses?

[@arsalansk]

Hi Dr Allan, trust me you are a life saver. Thank you for making special videos on Keratoconus. I have Keratoconus for the past 11 years when it was diagnosed, I have already done the Cross Linking in 2016 and then later also have insertion of Ferrara ring in my right eye. After the ring, the progression of Keratoconus has been stopped but the vision is blurry specially I see shadow around lights. Waiter long to see if any new technology might come up to improve the vision, then I came across your video which just have answer to my current need. Do you think Sclera Contact lenses is the optimum and ultimate solution for 20/20 vision? Please assist in how to get intouch with you to share the corneal Typographic tests and history. Really appreciate your determination and hard work to educate and help patients like us. Kudos

[@Mel-ky9zs]

I don't have keratoconus, but i got astigmatism my eye is very flat especially my left eye is pretty bad and my eye doctor told me that i would greatly benefit from sclera contacts so here i am researching them. Thank you for your videos.

[@agelessbeauty9590]

Also I was eating pineapple all summer like about 5 a week. I always loved them but over the summer I became obsessed with them. I use to have floaters till I could barely see around them and it started to interfere with my driving then you discussed on your channel that pineapples cured floaters and I blinked and notice I had not one floater and have been so grateful for your info and knowledge. Thats why I really need help for my now blinded friend who lost her sight. Thanks again for your help.

[@MrMathematics00va]

I’m going to buy some tomorrow & pray my floaters float away!!

[@jillhiggins3246]

Very informative and interesting. I’ve learned so much watching your videos! I told my ophthalmologist the other day that I get more info from you than I do from his practice. It’s true!

[@DoctorEyeHealth]

OMG...I imagine that might not have put a smile on their face LOL Still, I appreciate that you feel that way. Most of the time, we don't have the luxury of going in depth about disease and eye care because of the time constraints seeing so many patients in a day. That was one of my reasons for starting the channel - I wanted the time and the ability to better explain things to my patients.

[@gireign9654]

I was very fortunate to be a medically necessity covered candidate for my vsp insurance getting these lenses otherwise I was told my sclerals were gonna be around $1500a. My experience with them has bene pretty awesome

[@DoctorEyeHealth]

That makes me so happy to hear!!!

[@Xxjunior-almeidaxX]

Same here god is good I was covered completely for my pair ❤

[@gireign9654]

@Junior Almeida how is your tolerance with yours? Do you wear them all day everyday no problem?

[@bernardoo7691]

Same here I was surprised that my copay was only 10 for the lenses. They had to add a hydra peg on the lens. I can go 5-6 hours before having to remove and put back on

[@ilhuicatlamatini]

Wow, I’m getting fitted on Dec 14th for these lenses and I’m scared and was legit gonna send you a message asking for a vid! This is perfect timing!! Thank you Dr, for providing the information I need right when I need it most ♥️ You’ve helped calm my anxiety, especially by allowing me to see what I can expect for putting on these lens. I’ve never worn contacts or even glasses until about 4 or 5 years ago, and so my ophthalmologist was a little shocked by that since my prescription is so strong. She did more tests (originally I was doing baseline testing for lupus/plaquenil risks) and that’s how I found out I have keratoconus and it’s very bad in my right eye and will probably need corneal surgery 😢but for now to these lens are what I need and it’s taken me months to save up money for them, but finally do fitting in Dec. and I was feeling so terrified lol. I’ll definitely be watching the other video you suggested for Keratoconus too, thank you so much for making them! I have a ton of scary health stuff going on all at once so I’ve been overwhelmed. I’m grateful to have found your channel. You feel like an angel answering one of my prayers 😅💗

[@yup482]

Going for my fitting tomorrow! Have advanced KT in both eyes so this will be life changing I’ll let you know how this goes :)

[@ilhuicatlamatini]

@@yup482 Thank you! Sending ya positive vibes !

[@OriginalBikeSeatSniffer99]

@@yup482 how is your vision now do they help ?

[@biswa_69]

​@@yup482hey how is your vision now?

[@yup482]

@@biswa_69 the contact lenses changed my life I now have perfect vision. When they first put them in your eyes it’s honestly surreal I cannot explain it everything is crisp detail. I recommend getting contact lenses honestly.

[@starchildisis]

Thank for this video, I just got fitted for my first pair yesterday

[@DoctorEyeHealth]

Perfect! How was that experience?

[@jrthemaverick2361]

Hi, I’ve had sclera lens for about a year. I’ve had fit checked a few times because I do have a sensitivity (slight pain if I touch the area above right eye). Dr confirms that fit looks good. Bigger problem is that they get cloudy in sometimes as little as 3 hours so vision quality deteriorates. If I keep wearing them, the cloudiness increases. Dr solution was add a few drops of B&L Boston Advanced Conditioning solution with the Lacri Pure saline drops I use with the lenses. This has only improved the situation marginally. For these reasons I find myself wearing these less and less. Don’t want to wear golfing because they’ll start clouding up during my round. Am I doing something wrong here? Do you need to wear for extended period of time to condition your eyes to the new type of lens vs the lenses I’ve worn for 50 years? Great vids. Very informative and helpful.

[@williamstark9669]

I have this problem when the contact hasn’t been cleaned and not overflowing the solution on the contact before insert

[@lexxro87]

Well, you should also mention that NOT everybody fits for Scleral Lenses if the Patient have Keratoconus, its a 50/50 chance that you have a good vision but also you could have a bad vision of it regardles how many fittings you have done with the Optimerist. Reddit is full of people with Keratoconus who went for Scleral Lens fitting and the effects are much more Ghostings, Starbusts, Blurry vision even with CXL epi off or Epi On or with other refrective surgeries. I myself went for the 10-15ths fitting and i have still a very blurry vision with massiv ghostings and the Optimerist told me, that the fluid between the Lense and the shape of the cornea combined with the cornea tissue has not a smoothening effect for the cornea, its actually has a reverse effect, it means that a Scleral lense for my right eye will not helping me to provide me a good vision and many People have the same effect and issues.

[@susanaantecon9955]

I just hope to help someone out there by sharing this information: i got my scleral lenses in fontana, CA by buying a vision plan through AARP and it covered the fit and cost of my medically necessary lenses. Annual AARP cost was $16 and monthly vision plan $20. First vision plan payment was on August. So far i have paid 3 months of the vision plan ($60) plus the one-time annual payment of $16 for the AARP membership thats a total of $76 dollars and i was able to get my scleral lenses and in my very fortune case a 20/20 vision. I know everyone case is different but if someone out there might benefit just a little from sharing my story im happy😊! “sharing is caring”

[@DoctorEyeHealth]

AMAZING!!!! I didn't know AARP offered anything like that! Thanks for sharing!

[@ilhuicatlamatini]

AARP is only for people over age 55 though right? Or can you be younger for this particular insurance? Thanks for sharing Susana! I’ll try looking into it!

[@northernsouler]

​@@ilhuicatlamatini- 50 for AARP

[@MikeJordan-yp9wl]

Thank you

[@Singularity.82]

​@ilhuicatlamatini No anyone can join. Lots of other great benefits, discounts, etc!

[@Nailneard]

Hi there, I’ve just recently come across this yt account, I’m a 37 yo wife, mother & business owner. I’m also the recipient of a double cornea graft. Left eye was 09’ right eye 2017. I was diagnosed with kc in 2006/7, my occupation has been a very successful nail technician for the past 21 years & owning my own business for 11 of those years. As you can imagine not only is my eyesight extremely important but the dust & chemicals that follow arnt ideal. I had tried hard contact in both before resorting to the donor transplant but just wasn’t a great fit for myself. I now wear strong prescription glasses & have had a little trouble with the newer of the 2 donor corneas in the way of rejection but was successfully reversed with medication (drops) unfortunately my left cornea (old faithful) is showing signs of rejection as of a few hours ago so an emergency appointment with my ophthalmologist in the morning. I’m in Australia & although it’s been a wild ride I’m so very grateful to both my donors & there families for giving me the gift of sight. I’ll be forever thankful.

[@Nailneard]

Can scleral contacts be worn after a corneal graft has occurred & fully healed with the stitch only being removed after a full 18months in both donor corneal grafts? I suffer with kc & have tried hard contacts in both eyes before resorting to the grafts & obviously couldn’t wear them either time. That however was 9/10 years ago that I tried a hard contact for the 2nd time before my latest graft as a last ditch effort before 2nd graft. I now wear strong prescription glasses having my lenses tweaked every 2 years. I’ve never heard of this option. I’m in Australia & under an ophthalmologist & specialist optometrist.

[@DoctorEyeHealth]

Thank you for sharing your story! I hope things go well with your new donor tissues. Have you ever been fit for scleral contact lenses? (Also congrats on your success)

[@yonon441]

I have also keratoconus, its my first time to hear and learn about it, next week I have an appointment for my hard contact lenses, this one could help me, thanks a lot for your help Sir❤❤❤

[@DoctorEyeHealth]

Happy to help! I hope the contact lenses really help you!

[@RObotziDumi]

Hey Doc thank you for the video and your care about keratoconus patients! I wear a scleral lens in only one eye since the other eye isn't affected that much and it helps a lot in improving my binocular vision. 80% of the ghosting is reduced, yet the remaining of it can be frustrating and annoying in front of the computer or every type of screen. Very comfortable, the eye never gets tired and feels hydrated. I live in Italy and the specialists in keratoconus are amazing although the price of a single scleral lens can vary from 500 to 1000 euros. We have medical insurance for crosslinking when we are diagnosed because of it's rarity (it's called exemption). Somebody can even get an insurance for the lens but it's less common than in the U.S

[@DoctorEyeHealth]

Wow that's great info! Thanks for sharing! I appreciate learning how eyecare and medicine is done in other parts of the world.

[@simone2895]

HI! i’m in italian young guy who is going through this and i was searching someone who lives here to ask him some stuff about it, saw that i still have to wait 2 months till i can try them, is there any way i can contact you to speak? are you italian? thank you in advance 🙏🏻

[@RObotziDumi]

@@simone2895 cosa vuoi sapere?

[@simone2895]

@@RObotziDumi Ciao😊 io lo ho in un occhio solo per ora, nell’altro è in forma minima, ho fatto il cross linking ad aprile ed ora devo aspettare settembre per poter provare delle lenti. Per quanto mi sono documentato ormai so che voglio provare le lenti sclerali data la situazione, volevo chiederti innanzitutto dove le hai reperite perché io abito in liguria e attualmente sono seguito da un centro a Brescia, ma ho paura vogliamo farmi provare altre soluzioni tipo le rgp e non le lenti sclerali, dunque chiederti dove sei andato per fartele prescrivere ecco, nel caso non mi venissero incontro ma spero che non sarà così. Come ti trovi? quanto tempo riesci a tenerle al giorno? e com’è la visione notturna? uno dei miei problemi principali è che di sera l’occhio vede malissimo, sfocatissimo, per non parlare degli aloni enormi attorno alle luci. Aiutano tanto? volevo chiederti un po’ di info generali, da quanto ci hai messo ad abituarti, come ti trovi ad averle, quanto riesci a tenerle, quanto migliorano la visione, com’è guidarci, la visione notturna, se aiutano con la fotosensibilità e tutto ciò che ti viene in mente ahahahaha, grazie mille😊

[@RObotziDumi]

@@simone2895 hai telegram ?

[@newfacex1437]

I just got my scleral lens and it feel amazing to be able to see again

[@mercywaraga7128]

Wooow I will definitely go for them😢😢😢 yesterday the doc told me to do cross linking

[@newfacex1437]

@@mercywaraga7128 I did cross link and it did help a lot but about a year later my Keratoconus came back. That’s when they gave me the option to get hard lens or scleral lens

[@Leon-ly6lp]

Doc, thank you. I have post refractive corneal ectasia and as a result I’ve been prescribed scleral lenses. I’ve never worn contacts before so when my surgeon told me that it would take a few tries to get my vision to 20/20 I was pretty confused. You helped me understand why it will take a few tries to get my lenses to the correct power. Thank you very much.

[@ChrisLove]

I recently got a pair of Scleral lenses. I have a terrible astigmatism and have not worn contacts since late 2009. I had hard lenses back then and wore them from 1986. Anyway, you are right it took all summer+ to get a pair that sort of works. The first pair arrived in late April, we finally got a pair that 'worked' in late September. I still have issues with the lenses not being seated well, lots of foggy vision if I don't hold my tongue just right putting them in. Often have to insert, remove and repeat 3-5 times to get them in so I can see. The longest I have gone is about 5 hours so far. I mostly use them to workout in. I cannot read my phone or my 32" monitor 3 feet from my face. So I use my glasses most the time, which are 100x better.

[@sharlenes7860]

Hello Chris. I have been using sclerals for a while now and I had the same problem that you do. My doctor informed me that the contacts correct my long distance vision, so for things like reading or anything close up, she told me to get reading glasses from the pharmacy (2.5). It's inconvenient but works.

[@blakedelacruz-xf4fp]

I was just diagnosed with Keratoconus in my left eye a few days ago. Ive never heard of it before so when the doctor told me i had it my first thought was a form of cancer because most cancers are big scary words and Keratoconus is certainly a scary word especially if you've never heard of it before. He also told me i have advanced astigmatism. I didn't have it last year so I guess it progressed in the last year. Im 28. He told me it's usually diagnosed in mid to late 20s. I've worn glasses My whole life. Always been afraid of contacts because I've heard horror stories of people accidentally leaving them in when they fall asleep and knowing me i would be the one that would forget i was wearing them especially since I've never once wore nothing except for glasses. Doctor basically said I had no choice it was the contacts, laser surgery, or eye transplant. So I am a little scared cuz I'm already going blind in the left eye. I think I had like a -900 on my eye test or something like that. But I guess it's Time for a Life changing medical issue.

[@tiamaria6433]

Omgggggg bless you I also have keratoconus I recently had new glasses and my astigmatism is bad and my glasses lool very funny on my face so I’m now opting for contacts. Just like you I’m soo scare of contacts and the stories I have heard. So il taking the chance with contact. All the best wishing you prayers 🙏🏾

[@xy-iz1ir]

Get UV crosslinking as soon as possible. Don't waste time because your eye sight will only get worse.

[@MsVsayz]

​@@xy-iz1irgetting worse is actually not 100% true. It can become stable and not progress in many

[@xy-iz1ir]

​@@MsVsayzthat's true but I would not risk it.

[@Brendleton]

I’m getting fitted for these contacts later this week! I’m super excited for these contacts!!!

[@jessysuki5171]

Can you tell me how much the contact lenses const ? Thank you

[@jasminemickens3144]

I’m goin for my fist fitting tomorrow praying my vision will be better 😊

[@CynthiaMiller-nz9zi]

I was recently diagnosed with macular degeneration of my right eye at the age of 62. It was possibly due from our RK surgery at age 30. Just received my first pair of lenses and struggle getting them in, but once they’re in they are great.

[@grantdyson9431]

Just got my sclerlal lens 2 days ago. Wish I found these videos before my cross linking. I still have halos and got corrected to 20/30 and was pretty dissapointed until I saw this. Thanks! Now I have hope again lol

[@May20_84]

How is it after a year?

[@grantdyson9431]

They never got to the 20/20 mark. My surgeon stated that my corneas had gotten to a point where they were too misshapen for the sclerals to work correctly. He told me I’d need a surgery to essentially lift it so that it would not interfere with the scleral. I opted not to do the procedure.

[@grantdyson9431]

@@May20_84thanks for getting back to me and checking though!

[@nullvid]

I was just diagnosed at got my sclerals. Thank you for the info Doctor

[@DoctorEyeHealth]

How are you liking them? How was the experience?

[@nullvid]

@@DoctorEyeHealth rough at first, just need to practice, had to have my left one re ordered but overall 10/10 but the vision in my right eye is indescribable

[@gamblepoints2830]

@@nullvid how do people get astigmatism

[@Typhoon0627]

@@gamblepoints2830 you can get it from a number of sources. Most typically it's from asbestos, or exposure to chem trails, contaminated tap water or acid rain. It can also be contracted from contact with rodent or chupacabra feces, further research is needed to deduce whether the covid vaccine is a cause, excess amounts of high fructose corn syrup is also believed to be a leading cause, and in more rare cases, venereal diseases or chronic masturbation can also cause astigmatism symptoms.

[@JennErmyMedia]

Great video. I just learned of these lenses yesterday at my eye exam. I had RK surgery 28 years ago and therefore have scarring. I was always told I couldn’t wear contacts because of the scarring. I went to a new eye doctor yesterday and I was able to get scleral lenses and thankfully like you mentioned, my insurance covered all of it because they are medically necessary. I’m excited about these and my doctor did inform me that it may take multiple visits to get them dialed in. Thanks for the great info in this video as I am trying to learn more about this lens.

[@clemsonfox]

I love wearing the sclera lenses. I have Keyona’s since 2019. I got the cross-linking procedure done in 2022 on my left eye. I just went back for my three week follow up for the lenses. I did experience red eyes on the outer white part of both of my eyes, but that’s because it’s due to the fitting, which is pretty common - I believe.

[@BennMaggs]

Luckily I get my Lense free on the NHS here in the UK and have worn one in my left eye for years now with no problems. They really improve quality of life if you have KC. My right eye is just a regular soft lense however I would like a scleral for this eye too just to make it easier with solutions. I do get redness in my eye sometimes which I don’t think can be helped.

[@Sureshkumar-mb1xf]

Per day how long hour you wear scleral lens??

[@shannchastain3253]

Tried them for my dry eyes and had my typical allergic response to contact lenses. They were covered as medically necessary, but I just could not get them in without bubbles and after 3 hours I wanted to scratch my eyes out.

[@mikemcneil7327]

Finally after 28 years of karataconus, and after a cornea transplant in '96, I'm finally able to get a stoker variety of sclera lens for my left eye.

[@KC-Curated]

I haven’t experienced any issues. I keep Preservative Free drops handy for the long days (twelve hour shifts). Outside of that I honestly don’t have any complaints!

[@zool8139]

The traffic lights in the photo with the halos and beams of light going up and down I thought that's how everyone sees lights honestly never thought about it

[@adnanerochdi6982]

Some docs definitely avoid selling you on the scleral for how much technical know-how goes into it. I was given RGPs and it wasn't great.

[@adnanerochdi6982]

Update: RGPs are so imperfect, can't wait to upgrade to sclerals!

[@Jozefuwu]

Love your videos man!

[@desolator108]

those RGP are terrible, so uncomfortable. I had them before getting my scleral lenses. barely even wore them due to the discomfort. Scleral lenses are awesome, and a life changer. Iam legally blind without them

[@scottnixon2899]

Me too..best vision I've ever had!

[@garethmason7920]

I've been told I can't wear contacts ever again. There is too much suction between my eyes and lens and last night at contact lens fitting, my right eye ended up having a hemmohage. Drs couldn't explain why there was too much suction, as fitting etc was all good

[@DoctorEyeHealth]

Strange! Was that with sclerals?

[@garethmason7920]

@@DoctorEyeHealth sclerals, sorts, hybrids, hards. Literally every contact lens . Been told the whites of my eyes will be very bloody for 2 weeks

[@EnBu17]

Hello Dr Allan, is it possible to wear the scleral lenses all day long or only a few hours daily?

[@adriangalexis]

I got my pair. A few months ago life changing

[@DoctorEyeHealth]

🙌🎉💯

[@gamblepoints2830]

how do people get astigmatism

[@liyanabatrisyia7765]

keratoconus ? until when we need to wear thats lens 😮

[@adriangalexis]

@@gamblepoints2830 my doctor told me it can just happen but also from constant rubbing your eyes I played soccer and use to rub my eyes pretty intensely.

[@adriangalexis]

@@liyanabatrisyia7765 probly till glasses can’t help. That’s when I got them

[@nicolasgarcia4073]

Can you make a video on hybrid lenses?

[@DoctorEyeHealth]

probably! I have them at the clinic

[@progekone]

9 years with scleral and my life change for good sharpen vision not quite perfect but better than being. Blind and irritated eye than with concessional contacts worth every single penny took 4 trys to get it fit right and 3 years later another minor adjustment and since then same contact configuration since then

[@anahelenaragao]

I love to watch your videos specially about keratoconus cuz I have it and it's pretty advanced on my left eye so your videos help me understand more about it.

[@DoctorEyeHealth]

I'm really glad they've helped, Ana. Thank you for sharing.

[@lshitabhardwaj]

I have 0.25 cylinderical power in my left eye due to keratoconus, will these be good for me? I want 6/6 vision

[@DoctorEyeHealth]

While 0.25 cylindrical power is very small, scleral lenses can still be a great option.

[@susanaantecon9955]

Cant thank you enough for taking the time to share your knowledge for free!!❤ amazing tips and information. Any other resources for keratoconus peeps like myself 😅 (cross linking video?) please😊

[@DoctorEyeHealth]

Thank you! I appreciate you watching! I did this video with Dr. Mark Lobanoff earlier in the year, he is one of the best corneal surgeons in the world for cross linking: kzbin.info/www/bejne/bYvTiphji7l4m9U

[@waffle8364]

I've had my lenses for years, they are the best.

[@Andrei9thouzen]

Got kera too, i had hard contacts, my right eye is pretty bad... the lens always moved while blinking and never gotten used to them. I just got used to my vision and i use systane ultra

[@Wow-2375]

I wore accuvue oasis 24/7 for years and have capillaries grown over my eyes. Any advice?

[@DoctorEyeHealth]

Seeing the eye doctor is #1, and then likely need to stop wearing lenses for awhile.

[@Wow-2375]

@@DoctorEyeHealth I followed expert eye doctor advice, same as yours, no contacts for 4 months and now only occasional dailies but my eyes burn constantly unless the lenses are in. I know they are bad but is there any treatment? Here’s an interesting topic to cover that I recently had that people might have and not know about-eyelashes that grow inside my eye that my specialist pulled. He was surprised my optician didn’t

[@KeruptR47]

I got these (or maybe it was just similar) at one point about 8 years ago, while they did help my vision wearing them made me feel like I had sand in my eyes the entire day I also had multiple days where they were suctioned onto my eye so well I couldn't pinch them to get them off and had to scrape my nail along my eye to try and get the skirt up enough to pinch it and peel it off in the long run, at least for me the pain wasn't worth the vision improvement.

[@clintb3927]

I gotta say they're really frustrating to put in and take out at first, but when you get the hang of it they're way easier than dealing with soft lenses.

[@ironwomanks]

Good evening it is 7:00. Would you ever take out a sclera lens with just normal office tweezers ? And how many times in one visit can an eye doctor put numbing drops in your eye ?

[@marilove11]

Hated scleral lenses. It took several months to get the perfect fit. I wore glasses most of my life so transitioning into contact lenses was very difficult. When I finally got the perfect fit, they were very cumbersome to put in. Luckily, a miracle happened and I was able to move out of them a year later. It’s not perfect but I love the soft lenses I have now.

[@DoctorEyeHealth]

Hey thanks for sharing that! it is great to get that balance of opinions

[@gamblepoints2830]

how do people get astigmatism

[@kalidito9466]

Hey Dr.Allen and thank you for the informative video, I had kc since 2015 and did cxl then, I used Rgp then until this year and it worked fine. I am switching to mini-sclera lenses for reason of comfort. My question to you is it okay to be using them both on the same time period interchangeably or is there some adverse effects?

[@khadijachaudry3329]

hi, i find your videos really useful. im 18 but have had severe dry eye (MGD) since i was 16. its impacted my life so much - sometimes i cant watch tv for months and have to have teabags on my eyes for most of the day. i live in wales in the uk and the only treatments are e eye ipl which ive had but it didn't help. i'm getting the optilight soon but is so expensive here, there's no insurance and its not on the NHS. dry eye isnt serious in the uk. could you make a video on dry eye treatments in the UK? i havent heard of any except ikervis (they wont let me have it) and ipl. i do warm compresses, massages, lid hygiene but nothing helps me. my eyes burn alllll the time, i had to miss a year of school and i am struggling to stay in school because of my condition. i really want to be an optometrist.

[@Abedabedoodar]

Have you tried punctal plugs ? I’ve been today and that’s my next step and also going to try scleral lenses. I’m literally the same it drives me crazy 😢 Also get some self heating eye masks they seem to soothe it a bit I hope you find something that helps soon 😊 xx

[@Sureshkumar-mb1xf]

​@@Abedabedoodarhow you feel after punctual plug??

[@Abedabedoodar]

@@Sureshkumar-mb1xf still waiting for an appointment 😒

[@muhammadidreesbaloch2360]

Hey doc can you please make a video for post lasik patients who can wear contact lenses or no?

[@DoctorEyeHealth]

Maybe I will make a KZbin short about it! Thanks for asking!

[@faithgraceey]

🥹Scleral lenses are a game changer! I cannot believe how perfect my vision is with these lenses.

[@TheOnlyTaps]

Thanks for this

[@sphila_77]

I just want to know if the lenses will allow to see clearly?, Before I diagnose with keratoconus, I had high glasses prescription. My right eye quite blurry with even wearing glasses caused keratoconus. I would be having crosslinking surgery on 1st feb 23 on right eye and 9th on my left eye. Keep up content doc it has been informative much love...

[@itsjoseph875]

Hey I recently got cross linking done on my right eye a month ago. I am now looking for options like hard contact lenses. How has your experience been and have you gotten scleral lenses? I hope your surgeries went good.

[@butterflymilk8764]

Have you seen them recommended for patient with dry eye

[@karlaperez6577]

I have keratoconus on my left eye. I was told by my dr. Scleral lenses would help me so much! Is there such a thing as using scleral lenses on your bad eye and regular soft lenses on the normal eye? Or scleral lenses are required for both? I can see 20/40 out of my good eye.

[@tehminanawaz1824]

Hi respected doctor, I am a patient suffering from keratoconus. I have been using RGP lenses in my eyes but due to this my eyes have gotten wounds often. Now doctor has suggested me to use soft lenses before wearing RGP lenses. Please guide it is safe to wear soft lenses and RGP lenses together for almost 14 hours in a day. Waiting for your kind response!

[@DoctorEyeHealth]

THank you for asking! That process is called piggybacking and it has been around for a long time. It is a good option for some people, especially when the cornea is too fragile to handle a scleral lens.

[@gregmoser4874]

Do they help astigmatism?

[@DoctorEyeHealth]

Yes!!!!

[@pptx24]

Your eyes are so white, do you do something in special or what do recommend to keep eye whiter?

[@mangeshbankhele5548]

Hello sir you provide great info just curious to know what if I wear contact lenses in extreme cold for eg like in -30 or -20 degree Celsius will it freeze in my eyes? Or damage my eyes in some way?

[@DoctorEyeHealth]

That’s an interesting question but I don’t think it would be a problem. The heat of your body will prevent them from freezing. But the eyes may dry out

[@mangeshbankhele5548]

@@DoctorEyeHealth tysm sir for your reply got it 👍 and keep up the great work 👍👏

[@chrissteiger4199]

Know whats crazy? I work as a grill cook. Sereral years ago when i used to try to use to scilara contacts, when i was in front of the grill the steam and heat would fog them up to the point that i couldnt perform adequately. Not only that but one of my lenses must not have fit perfeftly because it would fog up pretty quick. I did see well enough outta them but between the fogging at work on the grill and the fogging of the left lense even when i was not at work these lenses proved not be very good. Its a real bummer because the hard lense have their own many draw backs such as losing them and they hurt really bad from being outside on a windy day.

[@DoctorEyeHealth]

Thanks for sharing that! I didnt know the lenses would fog under those circumstances. I wonder why they were fogging so much for you.

[@chrissteiger4199]

@DoctorEyeHealth I think the one wasn't a good fit because it fogged even not at work and quickly within about an hours time. It would get cloudy probably had a leak, not fit perfectly. That piggy backing, does that help with a windy day do you know? It's gotten pretty bad for me. That's the hardest part. Bits of dirt and dust, barley any too. But yeah I still have my scilara's packed away, I was thinking about giving them a try here several years later.

[@Bertha-pm4xt]

Hi Doc, can a Yag be done on your eye that looks fuzzy or does it only work on an eye with cataract? Alsp does anti vegf clear blood in the eye and if Avastin seems like it's not working is it possible to switch to Lucentis?

[@DoctorEyeHealth]

Well yag is often used when a IOL (lens implant) clouds over from a secondary cataract formation. That can improve vision in a lot of cases. Yes, anti-vegf helps resolve blood pooling in the eye (from diabetic retinopathy or macular degeneration for example)Lucentis can be switched for instead of Avastin but it may depend on cost as well as how your retina doctor feels.

[@Bertha-pm4xt]

@@DoctorEyeHealth Thank you Dr.Allen! I have a cataract lens in my left eye and about a month ago it started to cloud up from the bottom right and can be a little awkward at times to focus so a Yag will be possible in the future. My right eye was accidentally poked and a huge floater appeared so I thought. Well it was bleeding from the back of eye that entered, I am diabetic. They gave me a shot of Avastin but it seems that all the blood is moving in the eye and in between it's cloudy, like a cobweb. So was wondering if a Yag was possible in that eye also. The Avastin seems to be working but very very slowly everytime my head was tilted the blood flowed in my eye but as of last week that stopped. Now there's just huge stringy "looks like huge floaters in the eye" but it's blood.

[@EramShaikh21397]

Hey doctor Does the saline dries out during the day?

[@kasem_7615]

When I put the lenses on , how long could I keep them in my eye without changing the liquid (refilling the lenses) ?

[@Plumjuicegaming]

Could I get colored scleral lenses??

[@DoctorEyeHealth]

Not these types of sclerals. But perhaps there are some custom painted ones. I just have never seen anything on them.

[@ianmarbella788]

please do a video for mildstrokes in d the eyes .. I have vertical double vision in low view and right view side

[@DoctorEyeHealth]

I do have this one I did, in case you have not seen it : kzbin.info/www/bejne/nIfUdoVnjrdgl7c

[@ianmarbella788]

ok... so theres no pssible physical thearapy for any of the 2? thanks doc!

[@animefellas4283]

please tell me the name of the intro music

[@DoctorEyeHealth]

Thanks for asking. It is called "that hip hop" but there are a lot of songs titled that. I had to purchase the license to use it.

[@animefellas4283]

@@DoctorEyeHealth thanks for the reply, your technique to use contact lenses is very simple thank you so much for that too

[@shivakumarkr6900]

Hello. Nice to see your video. Does this lenses prevent keratoconus further increase. Is these lenses only for keratoconus patient or anyone can use who has eye sight problem.

[@gamblepoints2830]

how do people get astigmatism

[@movetohouston]

I've had two trials and practicing insertion. I can't get them in or I keep putting them in wrong. Any tricks and tips?

[@Gx2R]

is there anything we can do with the redness around the lenses?

[@normapech112]

I have noticed that after using my sclera lenses, for a few hours, they get foggy. How can I prevent this from happening?

[@DoctorEyeHealth]

Fogging can occur due to a few reasons, the lenses could be getting dry- and treating any MGD may help with that, some lenses lose there hyropeg coating over time and sometimes need special treatment, and sometimes it could be the lenses no longer fit in an ideal way. To troubleshoot, it will be best to talk to your eye doctor. Hope this helps a little

[@Norisknoreward24]

Thank you for this video! I will be getting my first scleral lens for my right eye. I've been wearing RGP lenses since 2017 and have been quite comfortable with them until I lost my lens and then the new subsequent RGP lenses didn't fit well then I moved to piggybacking on to a soft lens with the RGP on top. I have a question regarding the scleral lens, can I wash my face while having the scleral lens on?

[@DoctorEyeHealth]

Hey thanks for the question! I don’t think there would be any problem to washing the face with scleral lenses on. But always a good question for your doctor at your next evaluation

[@IcebergSlim03]

Your story is similar to mine!! I’ve been wearing RGP lenses for about 8 years now. I recently misplaced one about a month ago so I’ve literally been wearing one contact since then. 😩😩🥴🥴 i go to get fitted for new contacts next week and I’m excited like it’s my first time in contacts again 😂😂😂 I’m going to tell people after this situation to NEVER take their eye sight for granted!

[@Norisknoreward24]

​@IcebergSlim03 ahh what a pain. I always keep my old RGP lenses, even if they aren't the best vision, they are better than no contacts at all. So I just use a soft lens to piggyback the RGP lens and its a lot better. I just got my scleral lens today and its a weird one but I can see so well without irritation, however it's still early days. Good luck with your new contacts

[@IcebergSlim03]

@@Norisknoreward24 i just came back from a follow up on my second fitting about an hour ago. These are better than the first pair i had!! You should be fine. I haven’t had any dry eye issues or irritation issues since I’ve had the new pair. I feel like i can see in 4K now. You will be great with those! They don’t take long at all to get adjusted to.

[@Norisknoreward24]

@@IcebergSlim03 that is awesome! Glad to hear. Not sure if you've heard but today I was told by my contact lens specialist regarding soft contact lenses for people with KC. However they are quite expensive

[@Roy-qw9mq]

What do you think of lazrplastique by Dr Gulani?

[@Plumjuicegaming]

Could you get colored scleral lenses??

[@DoctorEyeHealth]

I imagine so, but they would be more of a painted look.

[@ccc953]

I always have trouble to take it out, it stick on my eye and I pull it so hard make my eyes have a 'red circle'

[@bharatwakte]

Use plunger to pull it out and do not pull it from centre pull the lens from corner

[@shreyanshpranshuchauhan5991]

I just started wearing scleral lenses four days back for my Keratoconus. There has been no irritation or burning sensation in my eyes. But my left eye is red a little on the side. Should I be concerned? My doctor said that it will go away. After I take out the lenses the redness stays but it goes away till next morning.

[@daviddubois866]

It’s normal! It’s because of the succion when you remove them

[@davidhernandez834]

I use these, I had them before, but I'm having problems with irritation, what solution do I use. I usually the ones for this type of lenses but now thinking of straight saline solution

[@aiyetorocosmic1515]

I literally shedded tears watching this video. I have been diagnosed with keraatoconus and I experience halos, glare and distraction which seems to be getting worse. I also have astigmatism and irritated watery eyes 😢 I am going to continue my consultation and fitting for Scleral contact lenses ASAP so that I can have some relief and pristine vision 😊

[@HarshPMapa]

Doctor, I put contact lenses today in both eyes due to keratoconus.. I want to know if my cornea will grow back When I put contact lenses. Great help doctor

[@ryanmiller5810]

Hey Dr. Allen, are Syneregy lenses considered scleral lenses and are they any good? What is your favorite scleral for dry eyes?

[@bumpyearth4204]

Screw those hybrids. Sclera all the way.

[@Thomas_at_8a_ktiv]

What about daily wearing time? How many hours are recommended? I had keratokunus (well managed with corneal lenses). After keratoplasty I have increasingly strong and irregular astigmatism. Also problems with corneal endothelium. That's why I am wondering in terms of oxygen supply.

[@cherylmcnutt9905]

Are you aware of any glaucoma treatments or meds to address peripheral sight loss?

[@DoctorEyeHealth]

When I was in school there was niche studies using electric stimulation. But I honestly have not followed up with that. I will see what I can find.

[@cherylmcnutt9905]

@@DoctorEyeHealth Thank you!

[@aaliyahparker943]

Can you talk about hybrid contact's?

[@DoctorEyeHealth]

Yeah! Hybrids are not as common, but are still fit. They are essentially a hard RGP lens in the center with a soft contact lens skirt on the outside, sort of getting the best of both worlds, excellent vision with good comfort. The lenses are typically replaced every 6 months. The most challenging part with them is taking them off, they seem to be a little more difficult for most people. Do you have any more questions about it specifically I can help with?

[@_PRATYUSH_]

hello i love your videos they are extremely informational . I have a question to ask. I had a retinal detachment few years back and had laser photocoagulation on the other eye, I am just 17 . I am worried about my health now so I am planning to gym. Is it okay ? Are there any exercises that I should avoid ? Any other suggestions? Thanks😊

[@DoctorEyeHealth]

Great question, In general, it is best to not get punched in the eye or anything like that. Otherwise for most people exercise is fine. However, I always think it is best to ask your surgeon what they recommend for you.

[@_PRATYUSH_]

@@DoctorEyeHealth thanks 😊