Keratoconus Scleral Lens Fitting

Expert Scleral Lens Fitting the Key to Good Vision and Comfort for Patients with Keratoconus

Keratoconus patients that have received a scleral lens fitting conducted by a keratoconus specialist report better comfort and vision than they experienced with their previous form of keratoconus treatment. Keratoconus experts agree that scleral contact lenses are the treatment of choice for keratoconus.

Dr Driscoll Keratoconus scleral lens fitting specialist
Dr. Richard Driscoll

Dr. Richard Driscoll, an expert at scleral lens fittings, is a keratoconus specialist at Total Eye Care. Scleral contact lenses are the most effective treatment for patients with keratoconus. Scleral contact lenses are more comfortable and provide better vision than other forms of treatment.

What is Involved in a Scleral Lens Fitting?

A scleral lens fitting begins with a comprehensive eye exam. At the scleral lens fitting, we will evaluate your eyes with special instruments. By using high technology diagnostic instruments we can evaluate and monitor the health and shape of your cornea. With this new information, your keratoconus specialist will select an initial diagnostic lens.

After the diagnostic lens has settled on your eye the doctor will evaluate the fit of the lens on your eye. Then the doctor will determine what lens power will provide the best visual acuity. This information will allow your doctor to design a lens that is customized to the shape of your eye. Scleral contact lenses almost always allow a patient to achieve better visual acuity than they were able to achieve with glasses. 

Your new lenses will arrive approximately two weeks later. When you pick up your lenses will show you how to insert, remove, and care for your new lenses. We will schedule an appointment to see how your eyes are adapting to the new lenses. This visit will also allow us to see if any modifications will improve your fit, vision, and comfort. 

How Long Does a Scleral Lens Fitting Take?

A scleral contact lens fitting typically takes about 2 hours. Approximately half of that time will be spent “test driving” a scleral contact lens. You will actually be able to experience the vision and comfort your customized scleral contacts will provide. 

What Patients Benefit from a Scleral Lens Fitting?

Scleral contacts are not just for patients with keratoconus or pellucid marginal degeneration. Prescription scleral contacts can also help patients that have irregular astigmatism after corneal surgery. Common surgeries where post-surgical complications may require scleral contacts are;

  • Penetrating keratoplasty (corneal transplant)
  • LASIK
  • RK (radial keratotomy) 

Patients with Dry Eye Syndrome and Sjogren’s Syndrome are also good candidates for scleral contacts. 

Does Insurance Cover a Keratoconus Scleral Lens Fitting?

Your medical insurance will not cover a scleral lens fitting; however, most vision plans do cover scleral lens fittings for certain conditions. Vision plans call this coverage medically necessary contact lens or visually necessary contact lens coverage. 

How Do I Learn More?

We offer complementary keratoconus treatment consults to help patients decide if they may benefit from scleral contacts. You can schedule your free consult with Dr. Driscoll at either our Colleyville or Keller/Southlake Location.