Scleral Lenses: How To Treat Dry Eye With Contacts!
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- Опубликовано: 1 авг 2024
- Scleral Contact Lenses are an amazing option to help patients with dry eyes! Dr. EyeGuy (Dr. Guymon) explains how scleral lenses can be used to treat dry eyes compared to Hard (RGP) and Soft contact lenses.
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Scleral lenses can serve many purposes. Most people wear scleral lenses if they have a corneal irregularities, like keratoconus. The benefit of scleral lenses is that it provides a constant fluid reservoir for your eye, like keeping your eye in a bath of solution. This making scleral lenses one of the ideal contacts to help fix and treat dry eyes.
Find a dry eye specialist in your area: dryeyedirectory.com/
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In this Video:
0:00 Intro
0:59 Hard and Soft Contacts
2:34 Scleral Contact Lenses for Dry Eyes
5:49 Scleral Contact Disadvantages
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🟡 Dr. EyeGuy's Golden Nugget Recommendations 🟡
Four Advanced Dry Eye Home Treatments: • How To Get Rid Of Dry ...
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3. Heat Mask and Eyelid Massage: Help your oil glands have good function.
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4. Lipid-Based Artificial Tears: Best if it's preservative-free tears.
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MediViz Eyelid Wipes: rb.gy/5mlbyx
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About This Video:
Dr. Neal Guymon discusses the benefits of scleral lens contacts to treat your dry eyes. There is a difference between hard and soft contacts, and scleral lenses. Scleral Contacts can be the best contacts to help with dry eyes. Dr. EyeGuy will discuss what scleral contacts are, how they work, the benefit of scleral contacts, as well as the disadvantages of them as well.
#dryeyes #sclerallenses #dreyeguy
Hey Steph Curry, How are those Scleral Lenses working out for you?
Does he really have KC where are these facts lol
@@jaydee816 Haha. Look it up. He announced it a couple of years ago.
Does the celluvic eye gel really work with them?
@@22Katmat Yes, It can sometimes help with fogging on the inside of the lenses. People will usually use 1 or 2 drops in the lens and then fill the rest up with the saline solution.
I am using one for my dry eye issue ... But I need this in color ... Are these lenses available in color ?
I began wearing scleral lenses 3 years ago because of severe dry eye and keratitis diagnosis. The result has been life changing. The lenses give me great vision and the keratitis has healed.
R u enjoying your lyf now??
R u fully satisfied.. Please reply🥺🥺
I m suffering??
Do you have to wear them for life?
@@MrYeeYuh1 yes..
Do u have dry eyes😭
I m suffering
Are u sure?
Full sclerals?
After multiple eye surgeries in the past 3 years with permanent Cornea damage. I Have been in my Scleral lenses since January 26,2024. I wear them 5-8 hours a day. I met with my Cornea specialist on February 14, 2024. The doctor noted that my Cornea has made such an improvement. That it doesn’t even look like the same eyes she last treated in December 27, 2023. I’m 64 yoa and My Scleral’s have been the best Therapy for me.
This is so amazing! Love watching your videos. I enjoy your knowledge but the humor is the best! 😁
Thanks Renee!
Scleral Lenses. Just what I need for my extremely dry eyes. Thank you for your informative presentation.
Important Information!
I was just thinking that you should do a video on Lasik and other eye corrective surgeries.
It's on the list! I'll let you know when I make it. Thanks!
I’ve been wearing scleral lenses for five years for severe dry eye disease, love them.
Hi hope you don't mind me messaging. How long can you wear the lens for a day? And do you feel normal in them?
I’ve been wearing RGPs for 30 years. I’ve been experiencing a lot of discomfort, as well as blinking the lenses out of my eye. I have a lot of correction and astigmatism, and have lost lenses at very inopportune, sometimes hazardous, times. I am not a candidate for laser correction.
I’ve been fitted and eagerly await my new scleral lenses arrival by the new year. They (contact lens staff) seem to think I may have been a bit nuts paying out of pocket as I don’t have an eye disease (meaning insurance won’t cover), but I’m hopeful this lens will enable me to comfortably wear lenses for years to come.
I wear mini-sclerals. They are not as huge as some of the others. I have Cogan’s Microcystic Dystrophy aka Map Dot Fingerprint Dystrophy in both eyes. I also get frequent recurring corneal erosions. I am still new to mini-sclerals and we are still working on the fit. I find they are fairly easy to handle and my symptoms are better controlled. My lenses are Hydra-PEG coated which make them super comfortable.
Good to hear. Have you been wearing scleral lenses for a while?
Hi doc - have you found a soft contact lens that helps people with mgd?
I just got my scleral lenses yesterday and it made my vision so clear and i do have karetconus and those lenses really help me see so clear and same time made me not suffer without blurry vision and also i really love the scleral lenses its so comfortable even though it was expensive but so worth it at the end
So good to hear a success story! Thank you for commenting and sharing your experience.
Hi i have been wearing scleral contact lenses for quite a few years now. I was diagnosed with TENS (Toxic Epidermal Necrolysis) or the severe form of SJS (Stevens Johnson Syndrome) my eyes were heavily damaged and lost the use of all my tear glands. After healing, i wond up having a Boston K-Pro cornea transplant. I wear the scleral lense to protect my eyes and to keep hydration on my eyes. They are my only option.
I’m being fitted next week. I have Salzman nodules that have been removed surgically but keep coming back. My corneas are irregular. Eye doc feels scleral lenses is my best option. Thanks for this info.
Good Luck with the fitting! In preparation you can check out my video how to take the scleral lenses in and out if you haven't already: ruclips.net/video/uGvqSltpTl0/видео.html
Is het possible to use scleral Lens with a blepharitis condition? Thank you for your time. Your videos are really making a difference. 🙏
Yes you can. It can potentially make it trickery to keep the surface of the lens clean, so you might have to be extra diligent about keeping the eyelids clean. Thanks for your awesome comment!
I've been wearing mini-scleral lenses for both dry eyes and severe keratoconus for nearly 10 years now after CXL surgery. Its the only way I have vision and good vision at that. Now getting into my 50s and need to use reading glasses on top of the lenses :)
Good to hear. Thanks for commenting this so other people can see your success.
What is CXL surgery? I've severe dry eye condition as well anding started after Relex SMILE surgery.
I wear them for my keratoconus. They are 1000 dollars total and should be worn for 12 hours not more than that. They do get foggy at time. However, they really help me see way better.
Hii.. My eyes are red after wearing scleral lenses what do I do? Pls tell
I have try eyes and could never wear regular soft contacts. Really wanted it. Bit was told I would face the same issues so I stayed with glasses. Was never told about these type of lenses 🤔
I have dry eyes so I'm very curious but I saw a video on how to put them in and it was very intimidating lol.
How many hours a day can these scleral lenses be used for?
Thank you
I have been using mini scleral contact lenses for 7 years for dry eyes and advanced keratoconus after cross linking. They've been working great for me except for the hassle of refreshing more often as I have severe dry eyes. But yet not perfect vision. I would love to know if there's even better treatment to get perfect vision other than contact lenses. What's your opinion about intacts?
Is scaler lens useful for decentered ablation after lasik
I have to remove and put them back in during the fay
Yes thank you for the information But no one tells you how to properly clean them from beginning to end
How to clean the eyes/eyelids from beginning to end?
I could not keep eyes open until I bought a $10.00 stand from Amazon. I put the the plunger in a tube on the stand and I can now hold my eyes open with both hands, lean into the stand and now i can get them both in with one or two tubes of the saline. Game changer for me.
Do you have the link pleasee!!!!
This is my first year to where this kind of contacts I was using Egb a few years but I like this more because it doesn’t hurt
Good to hear! Glad you like them!
The solution does not distort the vision ?
I just started wearing these lenses almost 2 months ago due to my bad dry eyes.. My eye doctor got me a pair that is a tad smaller then the ref tones due to the size of my eyes. So far so good still in the is this the right fit stage on a second set after the first set seem off to the doctor.
It's a process, but they can be such a huge blessing when they work.
How do the corneas breathe with a pool of saline on top of them? Both hard & soft lenses move on the corneas when the wearer blinks.
Hey doc eyeguy. I am from germany. Thank you for your amazing Videos. Do you thing it can work by Okular rosacea?
Guten Tag! Danke! Ocular Rosacea affects and causes inflammation of the eyelids and causes problems with the meibomian glands. Sclerals can help with the dry eye symptoms, especially if your eyes are dry enough to cause keratitis or inflammation on the cornea. But, you would still be dealing with the eyelid problem... and depending on the person, the scleral lenses might irritate the eyelids further. So that's a tricky one. If you have corneal issues from the dryness, then I would give it a shot.
@@DrEyeGuy thank you very much for your answer. Danke und greetings from germany. Machen Sie weiter so 😃
Yes squirrel lenses for a year that still allows me to drivel Hgv in the uk going for update on my lenses in the next few weeks😊
Hi, My brother is suffering with severe dry eyes since last 12 years. having very much difficulty in doing his normal work. the doctors suggested scleral lens but it is very difficult to wear in eyes. Due to dry eyes he faces very much pain when he inserted lens in eyes.
what is your suggestion about this? Please suggest
Thoughts on accuve MAX1. They’re super expensive per box. Why so much?
I’m excited to talk to my eye doctor about this! Thanks
Thanks for watching! Let me know if you end up getting them, and I hope it helps!
Not all optometrists work with sclerals, so if your doc doesn't, you could search for a scleral fitter in your area. This database doesn't include all of them but it could be a place to start if you need it:
sclerallens.org/find-a-specialist/
I’ve seen a specialist and eye wipes helped tremendously. I also use gel drops
@@Thumos99 Wow! That's awesome. So you didn't even have to consider Scleral lenses right?
@@DrEyeGuy no scleral lenses needed
I have dry eyes and allergy eyes. Never heard of these til now! 😮
Definitely an option to look at. Thanks for watching!
How are you now after using the lenses?
@@mohamedabdullah8621 I haven’t tried them yet but I moved from a very dry climate to a more humid climate and I don’t have as many issues with dry eyes as I used to.
I just got scleral lenses a couple of weeks ago for keratoconus. My right eye is by far the worst. I'm in the process now of trying samples of lubricating drops. I've always had dry eyes and so never could tolerate soft lenses. Hoping I can keep these lubricated so I can keep these up. 🙏🏽
I hope they work out for you.
Hey. How are they working out for you?
I have dry eye due to facial paralysis and have a gold weight in my eyelid. Would I be able to wear scleral lenses?
I just started wearing sclera lenses a few months ago, I noticed my eyes are constantly red but no pain or discomfort. My doctor isn’t concerned I have an appointment next month but wondering if maybe I can just use some eye drops for now?
what's the price of scleral lenses ?
Celluvisc is a life saver!!
Just got my got my lens today. Several failed attempts to get them in right without bubbles. They are getting blurry/cloudy within a few hours. But this may be user error or fit. I just got them today. Not sure.
You’re always so funny 😂😁🤣😍
Haha! Thanks! I try and tone it down for the videos.
I don’t wear sclera lenses yet but when my doctor put them in my eye to fit me i LOVED THEM, my vision was so clear
It's crazy what difference it can make.
I know the cornea gets bathed and thats nice and comfy for dry eyes....but what I do not understand is how compromised tear film is able to adequately wet the OUTER surface of the sclerals.....it seems they would be constantly hazing over between blinks, requiring constant blinking....?
I wonder the same question
I have them I love them as long as they fit right
And thats the key, if you get a good fit, they can work really well! Thanks for the comment!
How long do they last you? I only need for one eye after a bothched cataract surgery. If your fitting doesn't change from year to year it seems to me the cost should be cheaper. The initial fitting I understand your paying for the extra time in getting the correct fit. Thanks for any help. I'm in California quoted $3,000 for 1 lens.
@@mmunchie69 I go every year for a eye exam and get a new set it’s important to do that because your eye sight/ eye health changes from year to year the insurance plan I’m on cover it every year I just pay $400 a lens if I lose or broke one after the initial set I use to pay $1400 a year before paying extra in my insurance to cover hope this helps with your question
I suffer from severe dry eyes due to Sjogren's, and these work wonders!!!
Thanks for commenting this! This will help others with Sjogren's that have the question if Scleral contacts will work for them. Glad to hear they work for you!
@@DrEyeGuy :)) and thank you for making such an informational video!
As a side note: for the fogging issue that many scleral users experience, I've found that putting a few drops of Celluvisc Refresh Eye drops along with the regular saline solution considerably helps. Instead of wearing it for about 4 hours before fogging, it can last double that time or more. Hopefully that works for ya'll!
Did you have them prescribed with your regular ophthalmologist? Sjogren's is sucking the life out of me. I can't go 2 hrs without eye ointment or gel at least.
@@ECruz-rb6py Are you asking about the lenses, or the eye drops?? If it's the eye drops, then you can find these at CVS or online at amazon.
@@stormywallbrecher3282 Awesome Tip!
Great video! I've worn sclerals for almost 2 years, for dry eye, corneal scarring, Salzmann's nodules, MGD, and MDF corneal dystrophy. Just got my second pair of Jupiters this week-a pair that I was supposed to get last spring (through vision insurance) when covid hit. Ironically, I had also started the process of getting approved for PROSE, and that was just approved, so I will have 2 new pairs of sclerals. I wear monovision, which I never got used to with my first lenses. The second pair is much better.
Glad to hear! Thanks for commenting! I feel like a lot of people don't know about sclerals yet. They can help a lot of people with different conditions. It's good to get the word out!
@@DrEyeGuy Agreed. FYI, The Dry Eye Shop has a private Facebook group for dry eye people and scleral wearers called, "My Big Fat Scleral Lens." There are quite a few docs in the group as well.
I just requested to join, thanks for telling me about that!
@@DrEyeGuy Welcome to the group! It exists mainly to help users, especially new ones. They invite optometrists to the group to understand patient perspectives. -I didn't have a helpful doc, which is why I found the group-because I had a lot of questions and because I had to troubleshoot some of my own issues, i.e. my eyes are only comfortable with buffered saline (PuriLens). Rebecca, who created the group and owns The Dry Eye Shop, has put together an amazing online resource document that you might find helpful for your patients-if you agree with everything.
dryeyeshop.com/pages/scleral-lens-tutorial-topic-1-introduction
@@loritodd3577 This is awesome! Patients with dry eyes and scleral lenses are so valuable to learn from. It's one of those scenarios in life where I learn more from them then they learn from me. Thanks for that link!
How are you now after using the lenses??
I have been diagnosed with Sjögren's plus I have rheumatoid arthritis and take medications that affect my eyes and make them even more dry. I’ve been trying eye drops and ointments and although it has given me some relief, my eyes still have remained dry and I constantly put drops in. I also have astigmatism as well. I’m hoping maybe these will work for me.
I was diagnosed with Sjögren's syndrome as well last year and I have suffered chronic dry eye disease over 13 years. Fortunately, my eye doctor recommended the scleral contact. Today is my 5th day on it. So far I am loving it although i spent over an hour or more to put it in because it is too big. But I will recommend it especially with the syndrome you have and I have.
I have over a dozen pairs of scleral lenses that I've tried. They're insanely expensive to buy and even more to fit them. I've spent thousands of dollars to try and get a pair that work, but unfortunately I had to give up because they just wouldn't fit right. It really sucks because I can see so well with them, but even though all the measurements say they're a perfect fit, they still give me a bad headache after a couple hours. So now I switch between glasses I can't see well with and RGPs with frequent eye drops.
Bummer, sorry to hear that. Do you see well enough with glasses?
Post RK, IOL patient with dry eyes. Will the scleral lens also stop/minimize afternoon RK fluctuating vision? Thank You
It's possible it could make it not as noticeable.
I was fitted with scleral 10 years ago. I don’t wear them all the time because it doesn’t seem like they help my situation very much. I still have very bad dry eye. I also have bumps on my eye from Lasik surgery. Then at the end of the day when I take them off it feels like I’m literally ripping the cornea out of my eye. the only treatment I’ve tried is with restasis. That seem to work but my current Eye doctor doesn’t like it. I didn’t know about omega threes I’m going to look into taking some. Also I’ll have to start carrying my solutions around that way I can refresh the solution halfway through the day.
Huge contacts but if it helps the symptoms it's worth putting them in your eyes
Exactly!
Thank you for this content!can i wear them after a lasik?(-18 D)
Yes you can, they will just need to be fit to your eyes.
@@DrEyeGuy thanks! Grèat informative video !
For how many hours we can wear sclerals ?
Hi. I have been wearing scleral lense due to post lasik complications. So far its help a lot.
Sorry to hear about the lasik problems, but glad to hear the scleral lenses can help.
How u r doing now?
Are these lenses good for an astigmatism ?
These lenses are amazing for astigmatism, in fact I will go out and say that these contacts are the best you can get for astigmatism.
New subscriber I left one comment under the one that you wrote I wear Acuvue Oasys currently +5.00 in both eyes with these contacts. How much do these cost? Is it weekly monthly wear? I'm very interested just curious if anyone knows or anyone can help me out Thank you. I would love to try this new lens I've been wearing the Oasys for 15 years or more
These lenses can range between $400-500 per lens, but people can wear them for a year or longer. There are many other different types of lenses that you could try that would have your power.
I have these contacts and have the solution to fill up the contact before putting them on. The problem I have is that I got them as well as my cross linking surgery in Mexico and they gave me the solution their but with no label. I’m almost out and need to buy more what is a good solution to buy please help ! Thank you
Hi! Great question. There are a few great solutions out there. Addipak is widely available. Other solutions are purilens, lacripure, or nutrifill are good solutions. They can be sometimes hard to get though.
I use them because of having keratoconous
How do you like them? Have they helped you?
Do you wear these contacts at night this is when i have eye pain
I just got mine today. Keratoconus
Awesome, how did the whole process go? Where you able to get them in and out ok?
@@DrEyeGuy My doc is amazing. But my biggest obstacle so far has been putting them in.
@@bryantgottem You will get better every day.
Hello Dr. EyeGuy i wear sclerical lenses . I have keracotonus. Can i use eyedrops while wearing my lenses? I also get the midfog during the day. Thank you
Yes you can, but the drops can be tricky, because sometimes they will deposit on the surface of the lenses. Get approved drops, like refresh relieava for contacts. Have you tried put a few drops of celluvisc in your scleral lens before putting in your saline solution when you put your lenses in? That can help the midday fog sometimes.
@@DrEyeGuy where do i get the celluvisc eye drops?
@@DrEyeGuy found them sorry
I will try them.
@@claudiagonzalez9825 awesome, let me know if it works.
Iam a patientof keretoconus i got my scleral lense last month i was not able to read even the big 'E' but after wearing it my vision 20/15 which way better than normal,but sometimes jt little fluctuates
20/15 is amazing! Congrats!
Is mini scleral lens is also useful for dry eyes ??? Plz reply 🙏🏼🙏🏼🙏🏼
Yes, it can be.
Hey doctor for how much time we can wear these in a day?
10 hours
I was suffering. From sjs still having dry eyes..is it fine for me to use them?
Yes, there are a lot of people with Sjogren's Syndrome that do great in Scleral Lenses.
Hello..m asha Shetti
I was underwent mmg 9 years ago
Now I started using scleral lens ..
How many hours I can use this lens continuously in a day?
I try and get my patients to achieve 12 hours a day of wear time. Many can wear them longer then that, some shorter. Some have to take the lenses out mid day and clean them and get fresh solution.
Sir,What is the guarantee and warranty period of sacral lens. Actually I had purchased lens from Sankara Nethralaya Hospital,India 6 months ago.but has a slight scratch in it.
The scleral lenses we work with has a 6 month warranty. I depends on the company that makes the scleral lenses.
Awesome video !!! Very informative. Wish I knew about these before, I did not even know they existed until very recently. I coulda tried these instead of the soft contacts that I had dry eye with.
Also, question for you, if u don't mind.
Do these types of lenses allow the most oxygen to pass thru, relative to the other types of lenses out there?
And how much oxygen do they allow to pass thru?
Thanks ...
Hi! Thanks for the comment, and great question. Yes, scleral lens material does let oxygen through (dK value). Most materials range between 100-150 dK, which is actually pretty good, and along the lines of good soft contact lenses. But other things play a role in oxygen getting to the cornea with scleral lenses, like contact lens thickness, and tear exchange within the fluid of the lens. But all in all, scleral lenses have come a long way improving the oxygen that gets to the cornea.
@@DrEyeGuy Thank you very much for the reply and info. What's your take on sclerals for post lasik patients?
I've had lasik (huge regret) and have regressed to -2.00 , have severe dry eye and higher order abberations. Pointless surgery for me, and left me with complications. I was not counseled on the fact that this amount of regression could occur nor of the fact that complications could be permanent. I was told 99% chance glasses never come back (I now know this is not accurate). I was not counseled properly by my provider and based my decision to proceed with lasik off of untrue information.
In any case I stick to glasses now, but vision just isn't so great as it was prior to surgery with contacts/glasses. I read sclerals give great visual clarity and are used therapeutically for certain eye conditions. I was hoping to try some to wear here and there if I did not want to wear glasses or just wanted better vision (esp at night and low lighting), as well as helping with dry eye.
But i'm just concerned because I don't want to have any more issues with my eye and thought that putting a lens (of any type) would reduce both oxygen and natural tears to the cornea.
Any thoughts would be highly appreciated. Thanks...
@@jakec5618 Scleral lenses could be a great option. They can help with dryness from exposure, and can make the vision clearer. Unfortunately it's a different process than trying soft contact lenses. Can't really get some to try without going through a fitting process where the lenses will be custom made for you. That and the cost would be some downsides
@@DrEyeGuy Ahh i see, yes, I heard they are costly as well. Do u think insurance would cover them (even partially) for patient's post lasik with issues?
I appreciate your reply, perhaps I can try to look into them and get a pair.
@@jakec5618 it is possible, it would probably depend on the condition of your cornea. It's probably worth looking in to it.
would a scleral lens prevent the cornea from gettings the nutrients it usually gets from natural tears? (post corneal refractive surgery problems in my case, not that severe dry eye) I am looking for the best solution in terms of future health for my eyes, and idk if another laser procedure (a well done procedure) or sclerals would be best for me
If they are fit correctly. You should have adequate tear exchange in the lens... but that is something that would need to be watched closely.
I use scleral because I have keratoconus, sometimes my eyes get red any eye drop recommendations or should I just remove them and use eye drops and reinsert
Hard to say.... the redness could be from a fit issue, maybe it's too tight. Tear drops can help, you will want to use drops that are approved for contact lens wear, like Refresh Relieva for contacts. Usually it's better anyway to take the lens out, use drops and get fresh saline solution.
I was diagnosed with Sjogren’s Syndrome 2 years ago. My eyes were so bad that I literally could not keep them open to work or even drive. So, two years and 4 docs later I feel exactly the same. Scleral lenses are my last hope. In your opinion, are sclerals a good choice for severe keratoconjuctivitis sicca caused by Sjogrens? Nothing else has worked.
I have many patients with Sjogren's Syndrome that do amazing in scleral lenses, especially if they have keratitis. I also have some Sjogren's patients that didn't do too well with them. I think it's definitely worth a shot! I wouldn't even hesitate to try them. I'll cross my fingers for you!
@@DrEyeGuy thank you so much for your reply! I’m going to do it. I don’t have any other options. But, you’ve given me hope. Thanks again!
@@citizenxxxxx did you ever try em? Any updates?
I wear scleral lenses but my eye becomes super red instantly. I have dry eye but they never become that red unless I put on the scleral lenses, why?
Hey Dr!! I have keratoconus, and i suffer from dry eyes; im in my 4th day with my scleral lenses, and my vision is amazing i feel like i have a 4k tv in my eyes; now my only concern is that my eyes get really dry and tired after 4 to 5 hours. I have
Refresh-eye drops, but still, I have fatigue in my eyes and some redress, too. Any advice??
Will you be going back to your eye doc for a follow up? I'm curious if you will need any adjustments to your contacts.
@Dr. EyeGuy I will be seeing my dr in a month or so my eyes are actually better now; I spoke to her over the phone, and I guess I wasn't putting enouth saline water in the lense and that was causing the dryness and tireness in the eyes.
h doctor I had a smile operation, but unfortunately, after two years, I have keratoconus. The doctor prescribed me Cycleral lenses, but when I take them out, my eyes become red and sore.
That could be from a number of reasons. I would start with solutions you use to clean and the saline solution you use. Try Unique PH, and purilens
I was told any form of soft/hard lenses cause dry eyes to be worsened, what is your take on this doctor?
There is truth to that. Scleral lenses are unique in a way that it can protect and bath the cornea i in a solution.
Today is my first day wearing scleral lenses. Seems to be promising
Awesome! Good to hear!
Hey doctor do u have keratoconus?
No I do not
I just started using them. Still in the adjustment stage.
How long it can take to adjust??
i have my 4 tear ducts cauterized, it was a fairly simple surgery but it took a year to have them 4 cauterized, the doctor wouldnt do them 4 all at once for a good reason. the doctor 1st had to measure the left over tear production degree by plugging some hard silicons into my tear ducts, once the doctor was convinced i had no tear overflowing, she cauterized one tear duct per month or two months. after two years later, my eyes were KIND OF manageable. no more bloodshot eyes and i stopped using antibiotic ointments and lubricant ointments to my eyes, which made me blind for 4 hours. i may try scleral contact someday no i want to try scleral now if it is free for 1st trial.
Sir severe dry eye pataint how much hour use continues?how much year use continue this lens sever dry eye pataint?any side effects? Severe case how much %relif ?plz tell me sir.
I have patients that can wear this lens every day for 14 hours or more. The amount you can wear it and the percentage relief depends on the patients. But some patients are to the point that they can't function without them.
Sir scleral lens use any side effects severe dry eye case?
How much are people out there paying for a scleral lens. I only need one but looking at $3,000?? Also told it may only last a year. How long do yours last? If my prescription in the eye doesn't change hoping to milk it for extra year. Why do they only last generally a year? Is it the solution you soak them in for cleaning? Would they last longer if ya wore it less, basically just less wear and tare? Any help to these questions would be appreciated.
Hey Doctor Eye Guy, Can you give me the name of another type of contact that works well with dry eye syndrome, the monthly use kind, not scleral? I'm going for a fitting today. Thanks!
Hi! Good question. Here is what would be on top of my list: DAILY LENSES - 1) Dailies Total 1, 2) 1-day Acuvue Oasys, 3) B&L Infuse. MONTHLY LENSES - 1) Biofinity, 2) Ultra, 3) Acuvue Vita.
The daily lenses usually work better with dryness, but every person is different and once in a while you will get people that have better luck with monthly lenses. There are also other options of lenses, these are the ones that seem to have worked the best for me... but I also know that it does depend on the person. So if you end up liking a different lens that I didn't list you won't hurt my feelings.. haha.
@@DrEyeGuy Perfect! Thank you for those suggestions. It helps to know coming from an expert. :)
You are too nice! How did it go? Any luck with any of the contacts?
@@DrEyeGuy Yes. I am trying the Biofinity. So far so good. I couldn't feel them in my eyes. I have astigmatism and I need them for reading so it's monovision. My only mistake, I got sleepy and accidentally rubbed one eye, and it popped out and landed on my shirt. Lol.
@@GigLifewithLexi Haha, at least it didn't pop out and get lost. Hope things work out.
I started wearing scleral lenses a few months ago and it’s a hassle for me especially taking care of the can you do a video how to properly take care of your scleral lenses, contact lenses and how to keep your dmv disinfected. Scleral lenses have made me feel very overwhelmed and I still feel I’m doing some things wrong
That's actually a great idea for a video. I'll put it on the list. Thank you. What solution do you use to store and clean the lenses? Also what saline solution are you using to fill the contact?
@@DrEyeGuy I use Boston Simplus multi action solution to store my lenses and the Boston Advance cleaner to clean them and rinse it off with biotrue multi purpose solution,and I use the Purilens plus preservative free saline to fill my contacts
@@Heller_215 All of that sounds really good. Clear Care is also an option if your scleral lens is too large. You will want to check with your eye doc if that is ok to use. Purilens is an awesome saline solution.
I have kerataconous hard contacts are the only thing that works and I have so many problems with them
Have you tried scleral lenses yet?
@@DrEyeGuy yes that's the only thing I can wear and I'm always having problems with them
I’m blind in my left eye and I developed calcium deposits on the surface of the eye so I use the scleral contact lens. The eye is NLP duecto the optic nerve being damaged by a rare form of brain cancer.
How bad is it to sleep with it in?
I was going to wear it over night and in the am I’d take it out/clean it and put it back in.
I would advise against sleeping with them. It can really reduce the amount of oxygen that gets to your cornea. So do you only wear the scleral lens on the one eye?
@@DrEyeGuy yes. It’s blind and the lens is the barrier between the surface of my eye and the calcium deposits from the inside of my eye lid.
Does this help with mgd
It does not treat the core issue of MGD, meaning, it doesn't help with the oil glands to be more functionable. But... it can help treat the dry eye symptoms from MGD.
Yesterday I got fitted for sclerals for severe stigmatism and severe dry eye, to the point I can’t drive at night, cause of the lights glaring and my eyes getting blurry as they get fatigued. After having them in for about 30 minutes my eyelids started feeling so dry they started stinging and making me nauseous. My eye doctor says it should go away after I get used to them, but I’m so afraid of spending $1100 and this continuing. I did have to put them in 3 times, because the tech wasn’t catching that there were bubbles, so I’m hoping it was just eye fatigue, but my eyes felt so much better on the way home after they were out. Is this normal? Can you tell me if I’m making a bad choice or not by getting them? Also they barely went past the iris of my eye, I kept thinking they looked too small, but eye doctor said they were perfect, do you think they should be bigger?
I started wearing sclerals about a year ago.I was one of the "dead enders" where nothing else worked for my mgd caused dry eye. A few weeks ago when removing them at the end of the day I found it more difficult than usual and must have abraided the corneas resulting in infections in both eyes. I have recovered but am reluctant to use the sclerals again fearing a repeat of the injuries. Is this possibly a fit issue? The lenses helped a great deal. with the dry eye symptoms.
Hello, have you been able to resolve your issue?
Hello after maybe 6-8 hours with them on and if I’m at a gathering my family members will ask if I’m going blind it’s cause they see like a blue tint or cloudiness ? Also when I take them out my eyes are bloodshot of course I don’t wear them as often as I should due to laziness so I just wear my glasses ‘ but if they are going to get all cloudy like that for so much $$$ that I paid for them what should I do to avoid that issue of them getting cloudy ?
It sounds like you might be dealing with something called "mid-day fog". There are some tricks and tips to help with that. A common one is to put a few drops of Celluvisk in your scleral lens when you fill it up with your saline solution. Different saline solutions can also make a difference. I'd recommend joining the 'My Big Fat Scleral Lens' facebook group. There is a lot of support there, as well as tips to help you out.
I hv MGD and tried all possible options to treat dry eyes unfortunately nothing seems to be work as expected.. can this sclerel lenses help me with dry eyes.. pls advise
Hello
Do u use this lenses...
Abd how r u now!??
Please reply🥺🥺🥺
I m suffering😭
Hey ! i was recommended to wear mini scleral lenses by my optometrist becus i have spk and dry eyes. but im scared
Just curious, what are you hesitant about?
Can we use this if we have dry eyes but perfect vision???
Yes you can! But, I would probably try other dry eye treatments first, because they can be pricey.
Hey Mani
Myself Priyanshu gupta....
I m also suffering from dry eyes 🥺🥺
How r u now please reply 😭
Do u use these lenses..????
If not..
Than
How u manage.. ???
I am in Egypt how can I get it
An eye doctor needs to fit it to your eyes.
🙋🏻♀️ that would be me... now into my second week with an abrasion that won’t heal despite numerous gels, drops, heat treatments, and steroid drops. Ready to claw my eye out. Restasis? Or Xiidra neither covered with my Medicare insurance.
You have an abrasion that won't heal? That sounds awful. Have you tried a bandage contact lens yet?
@@DrEyeGuy wasn’t even offered to me 🤦🏻♀️ I wore contact lenses for years .. years ago, let’s just say it was long before the first soft lenses came out. I had dry eye problems even back then and eventually offfered to try the new soft lens but couldn’t remove them because my eyes were so dry. I’ve only recently heard of scleral lenses.
I am on day 2 of scleral lenses for my keratoconus. My eyes are drying out really bad pretty quickly after like a hour or 2. It looks foggy or something and gets really uncomfortable. I need to find drops before I can wear these all day...
Sorry to hear this. If you have facebook, you should join the 'My Big Fat Scleral Lens' page. They have a lot of people with a lit of tips on there.
I had the same issue, did you find a way to wear them?
I have scleral lens however I constantly get mid day fog and there has been so many times when I get mid day fog 4-5 times a day. Sometimes it starts happens 30 min- 1 hr after insertion. Being a student, it’s really difficult to maintain so I’m not using them as much as I want. :(
If you know a way to decrease the amount of debris please lmk! I’ve been suffering from constant eye strain with being on online learning but It hurts when I’m in my exam and I can’t take out my contacts because I’m not allowed to leave my seat
You should check out the Facebook group "my big fat scleral lens". Another viewer commented and let me know about it. There a lot of people on there that give their tips of dealing with mid-day fog. The common trick is to put a few drops of celluvisk in the lens first and then fill up with the saline solution. You should check out the Facebook group if you haven't yet
Most likely a protein build up. I had to get a different material lens. Check with your provider.
Thanks for this ...i have keratoconus and I tried hard contacts but they gave me a hard time ....they are painful when I wear them or they fall off ...so I don't use those contacts anymore. It's so hard for me to do things with my bear eyes 😭 ..I don't know what to use anymore or I should try out the scleral
In my opinion, sceral lenses are more comfortable than normal RGP hard lenses. I think it would be a good idea to look into scleral lenses as an option.
Thank you so much I appreciate ..I'll try them and once I do ..I'll let you know my experience ..
@@elizabethrashel2591 That would be great, I'm excited to hear what you think.
They are great. I'm in my 3rd week with scleral lenses, and it's amazing.
I can't believe how big those contacts are!
They're Huuuge! 😄
@@DrEyeGuy Yes they are! But they're the first lenses I've ever been able to successfully wear. Just got my second pair this week.
@@loritodd3577 They are really expensive, right?