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Are Your Eyes Sensitive To Light? Consider Scleral Lenses!

Are Your Eyes Sensitive To Light 640×350For some people, standard soft contact lenses are a great way to conveniently correct vision. For those with very dry eyes or corneal conditions like keratoconus, standard contacts simply aren’t an option.

Scleral contact lenses, however, are a great alternative for these patients with hard-to-fit eyes. They provide several benefits, such as reducing sensitivity to light (photophobia).

What Does Light Sensitivity Feel Like?

Patients with keratoconus and other corneal conditions tend to experience discomfort or unclear vision in brightly lit environments, even after undergoing treatment for their conditions.

They may see halos around lights while driving or may not be able to drive at all due to the worsening or clouding of vision that comes with light sensitivity. Bright fluorescent lights, like in an office setting, can trigger eye pain and interfere with their productivity and creativity.

Moreover, a photophobic person may not be able to comfortably look at a computer screen or other digital device. Even with the brightness setting turned all the way down, the light that’s emitted from the screen may be too intense.

How Can I Reduce Light Sensitivity?

While implementing the following suggestions can ease your symptoms of light sensitivity, we recommend that you speak with your optometrist for a more personalized approach.

  • Try to stay out of the sun whenever possible, but when you do go outside, wear dark sunglasses to block out the light.
  • Consider installing filters on fluorescent light sources.
  • Take frequent breaks when using a digital device.
  • Reduce glare in your home by turning mirrors away from light sources and keeping windows clean and streak-free. You may want to consider removing reflective surfaces from your home altogether.
  • Speak with your optometrist about whether scleral contact lenses can help you.

What are Scleral Contact Lenses?

Scleral lenses are larger in diameter than standard lenses and rest on the white part of the eye (sclera). Their large surface area vaults over the entire cornea (the eye’s top layer), and thus avoid placing pressure on the sensitive corneal tissue.

The scleral lens holds a reservoir of nourishing fluid between the inside of the lens and the surface of the eye, providing visual clarity and optimal comfort. In fact, many patients report that they are able to wear scleral contacts for longer amounts of time as compared to standard contacts.

Scleral lenses are customized to fit each individual eye, and are suitable for patients with keratoconus, dry eye syndrome, irregular/excessive astigmatism, Sjorgen’s syndrome, other corneal abnormalities and for those having undergone LASIK surgery.

How Do Scleral Lenses Reduce Light Sensitivity?

Light sensitivity, or photophobia, is a common side effect of several eye conditions, such as dry eye syndrome and keratoconus. When the cornea is irregularly shaped, it doesn’t properly reflect light onto the retina, which can lead to light sensitivity.

Thanks to their unique and customized design, scleral lenses act as a new, accurately curved cornea that is able to reflect light in a healthy way. Because of their large diameter, scleral lenses are more stable and have a wider optic zone than other lenses. They offer a more accurate perception of peripheral vision and help minimize glare and sensitivity.

An irregularly shaped cornea is not the only reasons one experiences photophobia. In fact, there are several conditions that can cause it. Your optometrist will determine what’s causing your discomfort through a comprehensive eye exam and will determine whether scleral lenses are the optimal solution for you.

Family Eye Care serves patients from Old Bridge, East Brunswick, Woodbridge, Edison, and throughout New Jersey.

 

Frequently Asked Questions with Dr. Moshe Roth

Q: How long does it take to adjust to scleral contact lenses?

  • A: Scleral lenses are usually very comfortable right off the bat, but some patients may find that it takes up to 10 days to get used to the lenses. Your optometrist will guide you on how to shorten the adjustment period.

Q: How long do scleral contact lenses last?

  • A: Under normal conditions, scleral lenses last between 1 and 3 years — far longer than standard lenses. Your tear film composition and your lens care habits will influence your lenses’ lifespan.
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Do You Struggle With Contact Lens Comfort? Scleral Lenses May Be the Answer!

boy wearing a gray hoodie 640Most people are familiar with traditional soft lenses, which provide clear vision for those who are nearsighted or farsighted.

In certain cases, particularly for those with corneal irregularities or astigmatism, standard gas permeable (GP) lenses may be recommended. However, people with several eye conditions can’t tolerate standard GPs and find scleral lenses a much better, more comfortable alternative.

What are Scleral Lenses?

Patients with sensitive eyes or corneal abnormalities may benefit from custom-designed scleral lenses, which provide crisp vision and comfort thanks to their unique design.

Scleral lenses are usually recommended for those with keratoconus, severe dry eye syndrome, astigmatism or anyone who find it difficult or impossible to wear standard contact lenses.

Scleral lenses are large gas permeable lenses that vault over the cornea and rest on the sclera, the white part of the eye, instead of the cornea. This creates a new optical surface and prevents corneal irritation. Furthermore, a reservoir of pure saline solution between the back surface of the lens and the front of the cornea keeps the eye hydrated all day long.

Benefits of Wearing Scleral Lenses

Scleral lenses provide comfort, visual acuity and stability.

Stable Vision

With scleral lenses, you’ll experience continual clear vision. Because of their wide diameter, the lenses remain centered on your eye. Even if you play sports or lead an extremely active lifestyle, scleral lenses will stay in place and won’t easily pop out.

Long-Lasting Lenses

These gas permeable lenses are made of high-quality long-lasting materials. As a result, scleral lenses usually last between 1-2 years. While the initial cost of scleral lenses is higher than the cost of regular contacts, they give you more bang for your buck.

Safe and Easy-to-Use

Scleral lenses are easier to insert and remove from your eyes than regular GP lenses, thanks to their large size and rigid material. This also limits the risk of damaging your cornea while handling your lenses.

Comfort for Dry Eyes

It’s not uncommon for certain contact lens wearers to suffer from eyes that feel dry, red, itchy, uncomfortable, and at times very painful. Eye drops and artificial tears can deliver relief, but they are no more than a temporary solution.

One of the best contact lenses for optimal comfort and hydration are scleral lenses, as they simultaneously provide vision correction, protect the eyes, and lubricate them.

If you’ve experienced discomfort while wearing regular contact lenses, you may have keratoconus, irregular corneas, dry eyes or hard-to-fit eyes. Find out whether custom-designed scleral lenses are right for you by scheduling an eye exam at Dr. Moshe Roth and Dr. Steffani Tiomno today!

Family Eye Care serves patients from Old Bridge, East Brunswick, Woodbridge, and Edison, New Jersey and surrounding communities.

Frequently Asked Questions with Dr. Moshe Roth

Q: Can you sleep with scleral lenses?

  • A: It’s not recommended to wear scleral lenses while you sleep. Sleeping with your scleral lenses on can cause the tear layer behind the lens to become stagnant, thus increasing the risk of eye infections.

Q: Are scleral lenses more comfortable than standard gas permeable lenses?

  • A: Scleral lenses provide clear vision and long-term comfort for those with irregularly shaped corneas. This is due to their unique design that covers a wider area of the eye while avoiding direct contact with the cornea.

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6 Reasons Scleral Lenses Can Manage Your Dry Eye Syndrome

6 Reasons Scleral Lenses Can Manage Your Dry Eye Syndrome 640×350If your eyes feel itchy or dry much of the time or if your eyes are red or irritated, there’s a good chance you have dry eye syndrome.

Eye drops and artificial tears may give you temporary relief, but they often don’t help solve the problem especially if someone has a chronic or severe dry eye syndrome. There are other solutions, but one that works particularly well are scleral lenses.

Scleral lenses are custom-made contact lenses that are about the same size as a soft lens, but that’s about where the similarity ends. We usually prescribe scleral lenses to correct aberrations and abnormalities in the cornea for certain diseases. Scleral lenses can make a huge difference and improve the quality of life for people who have intractable dry eye symptoms. Here’s why:

1. Scleral lenses don’t irritate the cornea like some other types of contact lenses

Standard contact lenses typically can’t solve both vision correction and persistent dry eye syndrome. Standard soft lenses sit on the cornea, and that can be very irritating. Scleral lenses don’t sit on the cornea, but rather, vault over the cornea and sit on the sclera (the white of the eye). The lenses do not come into contact with the corneal surface, reducing discomfort.

2. The scleral lens design ensures constant hydration of the eye

Scleral lenses vault over the cornea and creates a fluid reservoir of saline that fills the space between the surface of the cornea and the scleral lens. The cornea is therefore constantly hydrated. To help lubricate and promote healing of the ocular surface, artificial tears and antibiotics can be placed into that ‘lens’ bowl’ before the lens is inserted onto the eye.

3. Scleral lenses protect the cornea

Dry eye syndrome makes the corneas more susceptible to injury. The eyelids cause friction every time they blink over the cornea. Even just rubbing the eye or even blinking can make the situation worse. Scleral lenses act as a barrier between a patient’s eyes and their eyelids, as well as the outside environment.

4. Scleral Lenses allow the eye to regain a healthier appearance

Patients with Dry Eye Syndrome often have red or bloodshot eyes. Scleral lenses serve a therapeutic role, almost like a clear bandage, and they shield the cornea from the outside world. The redness starts to become less because the cornea now has enough moisture.

5. You can continue using artificial tears and eye drops while wearing scleral lenses

But you will probably find you don’t need to keep using those eye drops as often, or even at all. Some people might need eye drops only at night, after they have removed their lenses.

6. Scleral lenses can dramatically improve quality of life

Patients with dry eye syndrome can feel worn down by the almost constant discomfort and eye fatigue, not to mention looking tired all the time due to eye redness.

For patients who have suffered from severe dry eye syndrome for months or years, finding relief while enjoying clear and comfortable vision definitely boosts their quality of life.

If you suffer from dry eye syndrome and have been looking for a more effective treatment option, ask Dr. Moshe Roth and Dr. Steffani Tiomno about scleral lenses. Call Family Eye Care today to schedule your consultation and learn more about these special lenses.

Family Eye Care serves patients from Old Bridge, East Brunswick, Woodbridge, and Edison, New Jersey and surrounding communities.

Frequently Asked Questions with Dr. Moshe Roth

Q: What are scleral lenses?

  • A: Scleral contact lenses are gas-permeable lenses that sit on the sclera (the white area of the eye) and form a dome over the cornea. This dome forms a new optical surface over the injured, uneven or dry cornea, allowing for sharper and more comfortable vision.

Q: How long do scleral lenses last?

  • A: These gas permeable contacts are made of high-quality, long-lasting materials and typically last a year. Scleral lenses are a little more expensive than standard contact lenses, they are a worthwhile investment, particularly for those with hard-to-fit eyes, keratoconus, astigmatism or dry eye syndrome.

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5 Common Keratoconus Questions, Answered

5 Common Keratoconus Questions, Answered 640If you’re reading this, you or someone you care about may have been recently diagnosed with keratoconus. We’ve compiled a few commonly asked questions about keratoconus to help you understand what it is, what causes it, and how your eye doctor can help.

1. What Is Keratoconus?

Keratoconus is a progressive, non-inflammatory disease that causes the cornea to thin and bulge, resulting in a cone-shaped cornea. Over time, this bulge leads to myopia and irregular astigmatism, and vision becomes progressively distorted. Ongoing treatment is crucial to prevent significant vision loss.

2. What Are the Symptoms of Keratoconus?

Many patients aren’t aware that they have keratoconus, which typically begins during the teenage years.

Symptoms of keratoconus include:

  • Difficulty seeing at night
  • Blurry vision
  • Halos and glare around lights
  • Increased sensitivity to bright light
  • Headaches or eye irritation associated with eye pain
  • Progressively worsening vision that’s not easily corrected

3. What Causes Keratoconus?

While there is no one cause of keratoconus, a paper published in Biomed Research International (2015) identified these risk factors:

  • Genetics. About one in 10 people with keratoconus also has a family member with the condition.
  • Inflammation. Irritation and inflammation from allergies, asthma and other atopic eye diseases can lend to the development of keratoconus.
  • Frequent eye rubbing. Intense and frequent eye rubbing is thought to thin out the cornea and can worsen the condition.
  • Underlying disorders. Keratoconus has been associated with several conditions, including Down syndrome, Ehlers-Danlos syndrome, Leber congenital amaurosis, Marfan syndrome and Osteogenesis imperfecta.
  • UV light. UV light can cause oxidative stress, which weakens the corneas in predisposed eyes.
  • Weak collagen. In a healthy eye, small protein fibers called collagen help keep the cornea in a dome-like shape and free from bulges. In the case of keratoconus, the collagen fibers become weak and therefore can’t maintain the shape of the eye, which causes the cornea to bulge.

4. How Is Keratoconus Treated?

Scleral lenses are the most common and successful treatment for patients with keratoconus. These are specialized rigid, gas permeable contact lenses that have a very wide [diameter] and vault over the entire corneal surface, making them effective and comfortable for people with keratoconus.

5. Is There a Cure for Keratoconus?

Currently, there is no cure for keratoconus. However, in most cases, it can be successfully managed.

For mild to moderate keratoconus, scleral contact lenses are typically the treatment of choice, as they provide clear, comfortable vision.

A relatively non-invasive procedure called corneal cross-linking (CXL) can stabilize and strengthen a thinning and irregularly shaped cornea.

At Family Eye Care, we can recommend the best treatment options for your keratoconus, to help preserve your vision, and ensure the highest level of comfort and visual acuity. Call to schedule an appointment to start discussing your keratoconus treatment options.

Family Eye Care serves patients from Old Bridge, East Brunswick, Woodbridge, and Edison, all throughout New Jersey.

Frequently Asked Questions with Dr. Moshe Roth

Q: Can You Go Blind If You Have Keratoconus?

  • A: Keratoconus does not typically cause total blindness. However, as keratoconus progresses it can cause visual impairment including blurred distance vision, distortion, glare, astigmatism, extreme light sensitivity and even vision loss that can be classified as “legal blindness.

Q: Does keratoconus affect both eyes?

  • A: Yes, in approximately 90% of keratoconus cases, the disease will manifest in both eyes. However, the rate of progression and the timing of the onset of the disease is different for each eye.



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4 Reasons Why Scleral Lenses Are Awesome !

happy girl wearing contact lenses 640Scleral contact lenses have been called “life-changing” and “transformative” by patients who wear them.

What makes these contact lenses so revolutionary?

What Are Scleral Lenses?

Scleral lenses are contacts that vault over the entire cornea and rest on the white part of the eye (sclera). Their diameter is much larger than standard lenses, which adds to their comfort and compatibility with hard-to-fit eyes.

Why are they gaining popularity in the contact lens world? Why are patients and doctors are calling sclerals a game changer?

1. Sclerals are Ideal for People with Corneal Irregularities or Dry Eyes

There was a time when patients with corneal irregularities (keratoconus, high astigmatism, complications after LASIK) or severe dry eye syndrome weren’t able to wear contact lenses at all, due to the discomfort associated with direct corneal contact. Now, patients with these problems or dry eye can successfully wear scleral contact lenses and enjoy comfortable and crisp vision.

Scleral lenses are also great for patients with corneal dystrophy, high astigmatism, Sjorgren’s syndrome, corneal trauma and corneal ectasia, or who have undergone cataract surgery.

2. They’re Completely Custom-Made

Each pair of scleral contact lenses is custom-designed to gently and securely rest on your unique eyes. The fitting process for scleral lenses starts with corneal topography. This means that we create a digital map of your eye’s surface and then custom design a lens for you so they are a perfect fit.

3. They Offer Optimal Visual Clarity and Comfort

The liquid reservoir that sits between the lens and the eye helps enhance the visual optics of the lens. Moreover, scleral lenses are made of very high-grade materials and don’t place any pressure on the cornea. They deliver ultimate all-day comfort. Many patients are able to wear their scleral lenses for up to 14 hours a day, which is longer than the wear time for standard soft contact lenses.

4. They Promote Eye Healing

Scleral contact lenses protect the eye by surrounding it with an oxygen-permeable, liquid-filled chamber. This hydrating environment gives the eye the moisture and oxygen it needs to stay healthy and ward off outside irritants.

This can also explain why scleral lenses promote healing of the eye’s surface, whether after a corneal transplant or when recovering from a chemical burn or other eye injury.

If you or a loved one have been diagnosed with a corneal condition that prevents you from wearing standard lenses, consider scleral lenses. To schedule your appointment or to learn more, call Family Eye Care in Old Bridge today!

Family Eye Care serves patients from Old Bridge, East Brunswick, Woodbridge, Edison and throughout New Jersey.

Frequently Asked Questions with Dr. Moshe Roth

Q: #1: How long do a pair of scleral lenses last?

  • A: Scleral lenses typically last a year before requiring replacement. We also Progent Clean lenses at the 6 month mark. This is somewhat similar to have a professional dental cleaning, even though you brush your teeth twice a day. We will teach you how to insert and remove the lenses, and how to clean and disinfect them so they feel fresh and clean, day in day out.

Q: #2: Are scleral lenses expensive?

  • A: Scleral lenses are a customized product, much as LASIK is customized. Scleral lenses are likely more expensive than standard soft contact lenses. They provide superior vision, comfort, and stability. They don’t dry out like soft lenses do.

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Call Us 844-450-6850

Living With Keratoconus | Kenneth’s Story

Kenneth’s Story 640

From the time Kenneth was 11 years old, he wore glasses to “correct” his vision. His vision was deteriorating quickly and he had to sit at the front of the classroom to enable him to see. This made him feel embarrassed. There seemed to be an endless number of visits to various eye doctors that tried to figure out what was causing his vision problems.

Four years later, at the age of 15, Kenneth was diagnosed with keratoconus, a progressive eye disease that affects the shape and condition of the cornea. Kenneth was referred to an optometrist who specializes in treating keratoconus.

Keratoconus is a condition that causes the cornea to thin and bulge out in a cone-like shape, leading to visual impairment. The early stages of this progressive eye disease usually cause mild to moderate vision problems that eyeglasses can solve. As the cornea’s shape continues to become more distorted, glasses no longer enable the individual to see. Special contact lenses are needed to restore sight.

The special gas permeable contact lenses called Scleral Lenses significantly improved Kenneth’s vision.

Kenneth walked out of the optometrist’s office, looked around, and saw leaves on the trees for the first time in 5 years. Prior to this, his perception of trees were brown stumps with green shrubbery—but never leaves.

He noticed that the cars driving past him on the street looked astonishingly clean. Nothing seemed faded anymore. Colors were vivid, lines were sharp.

The detail and clarity of each object were genuinely overwhelming for him. His mother also suffers from keratoconus, and was overcome with emotion as she watched her son visually experience his surroundings in a whole new way.

From that day forward, Kenneth’s life changed drastically. His scleral contact lenses enabled him to function normally and achieve his goals. Wearing his scleral contact lenses allows him to work, exercise, socialize, and be independent. He could be himself.

When Kenneth doesn’t wear his scleral lenses, his entire personality changes. He becomes timid, quiet and apprehensive.

Having keratoconus will no longer hinder Kenneth from living his best life, and it doesn’t have to hinder you or an affected loved one.

 

At times, in an attempt to restore vision, Intacts are inserted within the cornea to attempt to strengthen the corneal integrity, or a corneal transplant is needed. In both cases, however, there is persistent vision distortion. Scleral Contact Lenses sit on the sclera, the white part of the eye. They vault over the distorted cornea and restore sight.

The evaluation in our office is done in part with the use of a topographer, a special instrument that measures 8,000 points on the cornea. It is a very precise measurement and we can then design a lens that is specific for that cornea. That gives the best possibility to restore sight.

When we insert the lenses for the first time, the experience can be a very emotional one. The individual is hen able to the world around him in detail—and with great comfort. At times, a modification to the initial pair is needed.

Scleral Lenses can be life changing to a person with corneal disease. If you or a loved one has keratoconus or other corneal irregularities, contact Family Eye Care today.

Family Eye Care serves patients from Old Bridge, East Brunswick, Woodbridge, and Edison, all throughout New Jersey.

Q&A

Q: #1: How do scleral lenses work?

  • A: Scleral contact lenses are made of a Gas Permeable material and are about the same size as soft contact lenses. They vault over the entire cornea and rest on the sclera (the white of the eye) so that no part of the lens touches the cornea itself. The lens holds a reservoir of soothing and nourishing fluid between the eye and the lens, providing the best in visual clarity and comfort.

Q: #2: What other conditions do scleral lenses help with?

  • A: Any patient who has irregular corneas can benefit from scleral lenses. Patients that have been damaged by LASIK, or trauma to the cornea, and individuals who have severe dry eye syndrome. The fluid reservoir helps maintain comfort and ocular hydration. They’re also great for patients with very high refractive conditions; people who are very nearsighted or very farsighted, or who have high astigmatism. Call us to see if scleral lenses may be right for you.

You can reach us at 1-732-679-2020.

 

 

 

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Book An Appointment
Call Us 844-450-6850

A Guide to Scleral Lenses

Vision And Medicine Concept. Accessories For Contact Lenses: Con

Many people can’t wear standard contact lenses. This is especially true of patients with severe dry eye syndrome, keratoconus, irregular astigmatism, among other conditions.

That’s why eye doctors often prescribe scleral lenses to such patients. These specialized gas permeable contact lenses have a wide diameter and are about the same size as soft lenses. They extend over the entire corneal surface, making them effective and comfortable for people with irregular corneas. It give the benefit of clear comfortable vision.

With just a little practice, scleral lenses become easy to insert and remove.

Safety and Hygiene for Scleral Lenses

It is important to handle scleral lenses correctly. Handle them by the curved sides of the lens rather than by the lens edges. Handling them by the lens edge can warp the lens. We will teach you how to clean and disinfect your lenses. Before handling, inserting, or removing scleral lenses, it is important to:

  • Always wash your hands thoroughly with non-oily soap or antibacterial-based pump soap and dry them with a clean lint-free towel or paper towel.
  • Sit at a desk or table and place a lint-free cloth down to insert and remove lenses. Avoid bathrooms, as they often contain more germs than other rooms in the home. Think about what else gets dropped into your sink.
  • Inspect your lenses. Make sure there are no chips or cracks and protein deposits on the lens surface. If you notice any defects or are unsure whether your lenses are damaged, don’t wear them until your eye doctor has inspected them.

How to Insert Scleral Lenses

  1. We recommend using a hydrogen peroxide solution to disinfect the lenses. After 6 hours, the peroxide has turned to water and you can use that to rinse your lenses if you feel you need to do that.
  2. You can balance the scleral lens on your index finger, or on your index and middle finger, or if you need to, you can even use your index finger, your middle, and your thumb. That is known as the tripod method. We also can use a suction cup, but its is best to use your fingers. It is easier to wash your fingers and you will never forget them at home!
  3. Fill the inner bowl of the lens with solution;, such as Natural Ophthalmic Thin, or a preservative-free saline solution to make sure ther are no air bubbles between the eye and the lens.
  4. Facing down, look into a mirror sitting on the desk or table.
  5. Insert the lens directly onto the center of your cornea.
  6. Wash the lens case under warm water and let it to air dry.

How to Remove Scleral Lenses

There are 2 ways to remove scleral contact lenses: with your fingers, or with the aid of the suction cup.

  1. Try Scleral Lenses Thumbnail.jpg

    Insert a drop of preservative-free saline solution or artificial tears to loosen the lens.

  2. Look down onto a flat surface (a mirror or towel can be placed there).
  3. Use your middle finger to open your eyelid wider than the lens diameter.
  4. Put one finger on the lower lid and one finger on the upper lid,
  5. Don’t put your finger on the lens itself.
  6. The lids should be on the outside of the lens. The top lid at the top edge of the lens and the bottom lid at the bottom edge of the lens. If the lid is not at the edge of the lens, the lens will not come out.
  7. Gently push on both sides and the lens will come out.

Method 2 – Suction Tool

  1. While looking at a mirror in front of you, hold your bottom lid open.
  2. Using the suction tool, remove the lens by tilting the lens up and out of the eye.

How To Care for Your Scleral Lenses

We are here to help you. If you need help, call us and we will walk you through it. In our office, we always have patients do this 3 times so you can learn how to do this and you have the confidence that you will be able to do this at home.

Never use tap water in any area of lens care, whether to rinse or fill your lens case. Tap water contains a multitude of dangerous microorganisms, including acanthamoeba, that can cause a severe, painful, and sight-threatening infection. Dry your hands, preferably with a lint-free towel, before handling your lenses.

Remove Before Going to Sleep

Most people can comfortably wear scleral contact lenses for up to 12-14 hours at a time. Remove your lenses about an hour before going to sleep. If your lenses fog up in the middle of the day, it’s best to remove them and try various methods to clear up the fogginess before reinserting. You can also use lens rewetting drops.

Use a Peroxide Cleaner

We recommend that you use your index finger to clean both sides of the lens Do that for about 20 seconds on either side. Then disinfect your lenses using a hydrogen peroxide system that is specific for contact lenses. Leave them in the peroxide for 6 hours. The catalyst in the case changes the hydrogen peroxide into water and oxygen gas. If you put the lenses in before they have been in solution for 6 hours, they will sting or burn because the peroxide has not yet turned into water. Wash he case with warm water and let it air dry.

Routinely Clean and Replace Your Lens Case

it is a good idea to replace your lens case every 3 months to prevent infection due to bacterial contamination.

Clean the storage case every day.

Replace your lenses every year. Usually about that time, there is buildup on the lens, even with the best cleaning. At about that time, then lenses start to become warped. Sometimes, when we go longer than a year, problems ensue.

At Family Eye Care, we can recommend the best wearing schedule for your contact lenses to ensure the highest level of comfort and visual acuity. Call us to schedule an eye exam and a scleral lens fitting today.

Family Eye Care serves patients from Old Bridge, East Brunswick, Woodbridge, and Edison, all throughout New Jersey.

Q&A

 

Q: Why do I need to use preservative-free solutions to fill the lens?

  • A: Long-term exposure to preservatives can cause corneal toxicity or sensitivity that results in irritation and redness.

Q: How long do my application and removal plungers last?

  • A: Plungers should be replaced every 3 months, or sooner if necessary.

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Call Us 844-450-6850

Tips For Wearing Scleral Lenses

Pretty Cheerful Woman Gesturing With Two Fingers Near Eyes. Youn

Scleral lenses are ideal for patients with corneal irregularities, dry eyes, and hard-to-fit eyes. Their uniquely large circumference offers the best in visual comfort and clarity. But wearing and caring for your scleral lenses can take some getting used to.

Below are our top 5 tips for anyone who wears scleral lenses. If you have questions about scleral lenses or any other optometric matter, Family Eye Care in Old Bridge is here for you.

1. Lens Hygiene is Top Priority

Keeping your scleral lenses hygienic and free of buildup is key in ensuring the clearest possible vision. When you remove them from your eyes, rub them for several seconds with lens cleaner to remove surface debris and bacteria. Then, rinse them on both sides with saline solution before storing them.

Another hygiene tip: Before handling your lenses, be sure to wash your hands with soap and water, and to rinse and dry them with a lint-free cloth or paper towel. Good hygiene will significantly minimize possible complications and keep your eyes feeling fresh.

2. Manage Your Dry Eye

Many patients with dry eye syndrome (DES) choose to wear scleral lenses for their hydrating and soothing properties. While sclerals can offer substantial relief from their dry eye symptoms, patients shouldn’t forget to seek treatment for their DES.

That’s because scleral lenses help manage dry eye, but don’t actually treat it. So, it’s best to follow up with your eye doctor about any eye drops, medications, or at-home remedies to support healthy tears.

3. Use a Cotton Swab For Cleaning

Patients with long fingernails can find it challenging to thoroughly clean their scleral lenses. Rubbing the inside bowl of the lens with a cotton swab and cleaning solution can effectively remove the buildup from the lens. Then, rinse off the cleaning solution with saline to remove the cleaning solution and any lint from the cotton swab.

4. Try Different Insertion Tools

Is your current insertion method not working as smoothly as you’d like? No worries! Ask your eye doctor about different tools you can use, such as the O-ring or applicator ring.

But please only insert your lens with tools that your eye doctor recommends!

5. Follow Up With Your Eye Doctor

Because scleral lenses are customized, they often require a few visits with your optometrist to optimize their fit. Even after the fitting process is complete, follow-ups will help ensure that your lenses are still in good condition.

If your scleral lenses are giving you any trouble at all, we can help. To schedule your scleral lens consultation, call us today!

Family Eye Care serves patients in Old Bridge, East Brunswick, Woodbridge, Edison, and throughout Old Bridge.

Frequently Asked Questions with Our Scleral Lenses Expert in Old Bridge, New Jersey:

Q: How do scleral lenses work?

  • A: Scleral lenses rest and vault over the entire sclera (white of the eye), encasing a hydrating reservoir in between the lens and the cornea (front surface of the eye). This allows people with irregular corneas to wear contact lenses, since the lens isn’t in direct contact with the cornea itself.

Q: How long do scleral lenses last?

  • A: Scleral lenses generally last 1-2 years, depending on how well you care for them and how your tear film reacts with them. Even so, check-ups every 6 months are recommended to ensure they still fit well and provide clear vision.


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Can I Wear Contacts If I Have Astigmatism?

brunette girl smiling 640Many people choose to wear contact lenses to correct their vision due to the freedom and convenience contacts can provide. At Family Eye Care in Old Bridge we offer specialized contact lenses that provide clear and comfortable vision, even if you have moderate or severe astigmatism.

What is Astigmatism?

Astigmatism is a refractive condition, meaning, how light is bent and reaches the back of your eye. The cornea, the front part of your eye, bends light onto the retina, at the back of the eye. When the cornea is shaped like a sphere (think of a ball), then all the rays of light can focus onto the retina equally. When the cornea is not shaped like that, we need a special type of lens so that is CAN focus correctly onto the back of the eye.

Symptoms of astigmatism include blurred vision, headaches, eye strain, and difficulties with reading or using digital devices.

Astigmatism may be congenital, meaning that you are born with it, or you can develop it later in life. People with astigmatism usually also have myopia (nearsightedness) or hyperopia (farsightedness), two of the most common refractive conditions.

Which Contact Lenses Can You Wear With Astigmatism?

Although regular soft contact lenses may not be suitable for patients with astigmatism, there are two other types of contact lenses specifically designed for those with unusually shaped corneas.

Toric Contact Lenses

Toric Soft lenses are prescribed for people with mild astigmatism. It may be obvious, but the power in the contact lens, must coincide with the power you need. Patients with higher levels of astigmatism, however, may require a higher level of expertise.

Toric lenses are designed to provide clear vision and a comfortable fit. There are some limitations with toric lenses. First, the range of corrective powers is limited to what the manufacturers produce. Second, the lenses rotate to align to the shape of your cornea. At times that can leading to occasional unstable or varying clarity of vision. Third, all soft lenses are made wit ha high amount of water. That’s what makes them comfortable when we first put them in, but as the day goes on, they tend to lose water. The water evaporates out of the lenses because when we spend time on computer and other digital devices, we tend to blink less and the lenses dry out. Also, we work in heated or air conditioned environments that tend to de-hydrate, meaning, they pull moisture out of the air and out of the contact lenses. That is why people sometimes complain about soft lenses as the day progresses

Toric lenses are available in either soft disposable or Gas Permeable (GP) lens materials.

Gas Permeable Contact Lenses

Gas Permeable (GP) lenses are made of a different material that does not have water in it, so they don’t dry out like soft toric lenses do. Another advantage is that vision is more distinct and ‘crisper’. The lenses last longer. Gas Permeable lenses tend to take a little longer to adjust to initially, but once someone becomes accustomed to them, they really love those lenses.

Scleral Contact Lenses

Unlike standard lenses, scleral lenses vault over the cornea and sit on the sclera (the white of the eye). These lenses do not have the issues faced by toric lenses. They are individually custom designed for each patient and do not sit on the cornea. They are great for people who have astigmatism and other corneal irregularities. Scleral lenses vault over the cornea and create a liquid reservoir between your cornea and the lens. Your eye stays moist, the cornea is protected, and they give better comfort. The best part is that people can see clearer.

How We Can Help

At Family Eye Care, we can prescribe standard and customized soft toric lenses and we also provide scleral contact lenses that are tailor-made for patients with astigmatism or other corneal irregularities. We use a special instrument, called a topographer, that precisely maps out the surface of the cornea, so we can then design a lens that has the best possibility of obtaining crisp clear vision.

To learn more information or to schedule your consultation, call us today.

Family Eye Care serves patients from Old Bridge, East Brunswick, Woodbridge, Edison, and throughout New Jersey.

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Call Us 844-450-6850

5 Facts About Scleral Lenses

happy teenagers 640Scleral contact lenses are large-diameter gas permeable contact lenses that vault over the cornea and rest on the “white” of the eye (the sclera). In doing so, the lenses form a dome over the irregular cornea that provides clear and comfortable vision for individuals with keratoconus, dry eye and other ocular surface conditions.

Here are 5 facts about scleral lenses and why they are a great choice for many patients.

1- They work when nothing else will.

Patients with an irregularly shaped cornea, whether due to natural causes, an eye condition or complications following surgery, can at times develop vision problems that cannot be corrected using glasses or soft contact lenses. In such cases, scleral lenses provide a more comfortable, stable, secure fit, and improved vision.

For those with keratoconus, scleral contact lenses provide advanced care that resolves visual distortions and creates clear vision while providing a comfortable wearing experience.

In addition to helping those with keratoconus, scleral lenses are also recommended for those with an astigmatism, particularly for high astigmatism that other contacts cannot comfortably correct.

2- Scleral contacts provide relief for those who suffer from dry eye.

Unlike traditional contact lenses, scleral lenses minimize eye irritation. Since they vault over the dry, irritated cornea and sit on the sclera, they offer comfort and clear vision. Sclerals leave a space between the lens and the cornea containing a liquid reservoir of artificial tears that provides a protective cushion that soothes the eye.

This is crucial, because even blinking can irritate the eye or injure the cornea due to the mechanical friction of the eyelids on the cornea. Scleral lenses can act as a shield between a patient’s eyes and their eyelids, protecting the eyes from further irritation or damage.

3- Sclerals are long lasting lenses.

Constructed from high quality, durable materials, these rigid gas permeable contacts typically last 1-3 years. Therefore, while the initial cost of scleral lenses is higher than standard contacts, you’ll benefit from maximum value for your money.

While scleral lenses are long lasting, it is important to book follow up visits with your eye doctor to determine when it’s time to replace them with a new pair, so as not to harm your cornea.

4- Scleral contacts are worth the cost

People assume that because sclerals must be fitted and customized to fit each individual eye, they are exorbitantly expensive. In fact, the lenses are often covered by insurance and certain vision and health savings plans.

These lenses provide enough of an improvement over regular lenses — in both comfort and vision — to justify the investment.

5- Scleral lenses are very comfortable.

Some people mistakenly assume that rigid contacts aren’t comfortable. In reality, scleral contact lenses are very comfortable because they don’t touch the cornea and lubricate the eyes.

If you have irregular corneas, dry eye or hard-to-fit eyes, scleral lenses may be right for you. Find out more about scleral lenses by scheduling an eye exam at Family Eye Care today!

Family Eye Care serves patients from Old Bridge, East Brunswick, Woodbridge and Edison, throughout New Jersey.

Book An Appointment
Call Us 844-450-6850