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Disadvantages Of Scleral Contact Lenses

Edmonton Eye Doctors

05-09-2023

Modern Eyewear With Challenges

In the realm of vision correction, contact lenses have undergone a remarkable evolution. From the early days of rigid and uncomfortable lenses to the modern era of advanced materials and designs, contact lenses have offered newfound freedom to those seeking visual clarity without the confines of eyeglasses. Among these advancements, scleral contact lenses stand as a unique option, offering numerous advantages. However, like any solution, they come with their own set of disadvantages. In this comprehensive guide, we will dive into the world of scleral contact lenses, exploring their disadvantages, potential challenges, and why they might not be the ideal choice for everyone.

Scleral Contact Lenses

Scleral contact lenses have garnered attention for their ability to address complex vision problems, making them a preferred choice for individuals with conditions like keratoconus, irregular corneas, or severe dry eye. Unlike traditional contact lenses that rest on the cornea, scleral lenses vault over the cornea, resting on the sclera, the white part of the eye. This design creates a tear-filled reservoir between the lens and the cornea, providing exceptional comfort and visual clarity. While the advantages of scleral lenses are noteworthy, it is equally important to acknowledge their disadvantages.

1. Price Point

Scleral contact lenses are a premium vision correction option, and their cost reflects this status. Compared to traditional soft contact lenses or eyeglasses, scleral lenses can be significantly more expensive. This cost includes not only the lenses themselves but also fitting and follow-up appointments with an optometrist or ophthalmologist who specializes in scleral lenses. Additionally, insurance coverage for scleral lenses may vary, leaving some patients with substantial out-of-pocket expenses.

2. Specialized Fitting

Fitting scleral lenses is a meticulous and time-consuming process. Unlike traditional contact lenses, which often come in standardized sizes, scleral lenses are custom-made for each individual's eye. This customization requires precise measurements, multiple trial lenses, and adjustments to ensure a comfortable fit. The fitting process may involve several visits to an eye care professional, adding to both the time and expense required to obtain scleral lenses.

3. Insertion & Removal

Wearing scleral lenses can be challenging for beginners. Inserting and removing these lenses requires a degree of dexterity and patience, as they are larger and more rigid than soft contact lenses. Proper handling and care are crucial to avoid complications or discomfort. New users may experience some initial discomfort or frustration as they adapt to the insertion and removal process.

4. Limited Availability

Scleral lenses are not as readily available as traditional contact lenses. Not all eye care practitioners are experienced in fitting scleral lenses, so patients may need to seek out specialized clinics or practitioners who have expertise in scleral lens fitting. This limited availability can be a disadvantage for those who do not have convenient access to a qualified scleral lens specialist.

5. Potential Complications

While scleral lenses can provide excellent vision and comfort for many users, they are not without risks. Improper lens care, inadequate cleaning, or extended wear can lead to complications such as infections or corneal abrasions. Regular follow-up appointments with an eye care professional are essential to monitor the health of the eye and address any issues promptly.

6. Not A Solution For Everyone

Scleral lenses may not be the ideal solution for everyone with vision problems. They are typically recommended for individuals with specific eye conditions, irregular corneas, or severe dry eye. Patients with straightforward vision correction needs may find traditional soft contact lenses or eyeglasses more practical and cost-effective.

Weigh the Pros and Cons

Scleral contact lenses offer a lifeline of clarity and comfort to many individuals who have struggled with conventional vision correction methods. However, their disadvantages, including cost, fitting complexity, and a learning curve, should not be overlooked. Like any medical intervention, the decision to use scleral lenses should be made in consultation with an experienced eye care professional who can assess an individual's specific needs and provide guidance on the most suitable vision correction option. For some, the advantages of scleral lenses may outweigh the disadvantages, leading to a transformative improvement in their quality of life.

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