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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: #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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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: 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.

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Call Us 844-450-6850

Kerataconus and Coronavirus

Middle Aged Couple Multifocal Contacts

Keratoconus is an eye disease affecting the cornea. The cornea is the clear front part of the eye that is responsible for bending light onto the retina. The retina receives that information and sends it to the brain. In Keratoconus the cornea becomes thin and distorted, and becomes a cone-like shape, hence the term Kerato-Conus. This then causes blurred vision, glare, and a halo affect around lights.

  • Some of the choices to help people with Keratoconus are:
  • Eyeglasses or soft contact lenses for those who have a mild or moderate condition.
  • Scleral lenses that vault over the cornea and rest on the sclera, the white part of the eye.
  • Some benefit from corneal cross linking that helps make the cornea more firm, but it does not correct vision or help people see clearly. It’s purpose is to prevent the progression of the keratoconus.
  • In some cases, a corneal transplant is needed.

Hygiene for Scleral-Lens Wearers in the Coronavirus Era

As always, hygiene is paramount when you handle and wear and contact lenses and that goes for scleral lenses as well. Washing your hands thoroughly before touching the lenses is essential. Cleaning and rinsing the lenses with recommended solutions is equally important.

Wearing scleral lenses and other contact lenses during the COVID pandemic is safe, and it has the benefit of eyeglasses not fogging up while you wear a mask.

Consider taking these added preventative steps:

  • Use disinfectant wipes to clean the counters and other surfaces where you place the scleral-lens cases and solutions. This includes disinfecting the cases and containers of solutions before using.
  • Wash your hands before touching your eyes or removing your lenses.
  • Try not to touch your eyes or face.

We, at Family Eye Care in Old Bridge, NJ, treat patients with Keratoconus, Pellucid Marginal Degeneration, post-corneal transplant, post cross-linking, and after LASIK surgeries that have had less than the best outcomes.

We treat patients from all the surrounding towns: Aberdeen, East Brunswick, Manalapan, Matawan, Marlboro, Monroe, Parlin. Sayreville, South Amboy, South River, Spotswood, Lawrence Harbor, Cliffwood Beach, and patients throughout New Jersey.


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Succeeding With Sclerals

Succeeding With ScleralsNormally, the cornea bends light onto the retina so we can see clearly, but certain corneal conditions, such as keratoconus and astigmatism cause the cornea to be distorted and that leads to reduced and blurred vision. The same thing can happen after LASIK, or after a corneal transplant.

That’s precisely what happened to three patients described below. Their corneas were irregular, and the distortion caused them to struggle with vision. Fortunately, with scleral lenses, they, and many others who have a corneal condition, obtain improved clarity, sharper focus along with good comfort. Let’s first explain what scleral lenses are, and how do they improve the sight of those who have distorted or irregular corneas, and then we can see how it impacted their lives.

Irregular Corneas and Scleral Lenses

The cornea has an irregular shape when someone has astigmatism, keratoconus, prior eye surgeries (such as LASIK, cataracts, corneal transplant), trauma, scarring, and Pellucid Marginal Degeneration. Eyeglasses and regular contact lenses are sometimes useless when someone has an irregularly shaped cornea. Scleral Lenses are a non-surgical solution to this problem and are often the only solution. They provide clear vision and better comfort.

The lenses vault over the cornea and rest on the sclera, the white part of the eye, which prevents corneal irritation. It creates a new surface on the eye and replaces the distorted corneal surface. That enables allows light to focus onto the retina, restoring vision and comfort.

When patients have a dry eye, we can prescribe scleral lenses. The scleral lenses creates a reservoir that keeps the cornea moist.

Below are the accounts of how some patients have benefitted from scleral lenses.

Everything Is Now in Focus for Ben

Ben entered was excited to enter college. He made friends and studied hard, but he struggled to read the content on the classroom whiteboard and in his textbooks. This presented challenges similar to what he experienced much of his life. Ben has astigmatism, meaning that his corneas were unevenly curved, and because of that, images and texts appeared blurry. He had to squint in order to see better, and that led to frequent headaches. Ben updated his eyeglass prescription regularly, and tried wearing standard contact lenses, he he still struggled with his vision. He then decided to visit our office.

The scleral lenses are custom designed lenses specifically for that individual. They enabled Ben’s eyes to focus light onto the retina and he was now able to see clearly and effortlessly. He was able to read the board and his textbooks and was ultimately able to graduate from college with honors.

If you or your child have astigmatism, please consider scheduling an appointment to see us in so we can determine if scleral lenses would benefit you.

For Jennifer, Scleral Lenses are the Perfect Fit

Jennifer was 15 when she was diagnosed with keratoconus. Her vision had progressively become worse and she often squinted in order to see more clearly. The reason was that her corneas were becoming thinner and then bulging outward into a cone shape. Jennifer had never worn contact lenses and was hesitant at first. The special lenses were designed and ordered. When the lenses arrived, we spent time teaching her how to insert and remove the lenses until she was comfortable doing so on her own. She now enjoys clear undistorted vision and is significantly less sensitive to light. That enables her to enjoy the outdoors during the day and to more comfortably work on computer and study.

Jake had a Corneal Transplant, but now sees clearly with special scleral lenses

Jake’s corneas had scared and needed a corneal transplant, but even with the transplant, he was not able to see clearly and light bothered him. That, unfortunately, occurs relatively commonly after a corneal transplant. Standard contact lenses were painful to wear and his vision continued to fluctuate. Jake ultimately came to our office and we prescribed customized scleral lenses that enabled him to see clearly and comfortably.

Dr. Roth and Dr. Tiomno of Family Eye Care in Old Bridge prescribe scleral lenses to patients from Old Bridge, Aberdeen, East Brunswick, Manalapan, Matawan, Marlboro, Monroe, Parlin. Sayreville, South Amboy, South River, Spotswood, Lawrence Harbor, Cliffwood Beach, and throughout New Jersey.


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When Other Contact Lenses Have Failed, Scleral Lenses May Be the Answer

Girl Beach Contact Lenses

Scleral Lenses vs. Standard Soft Lenses

Standard Soft contact lenses are the most common choice for people who want to see clearly without having to wear glasses. Scleral Lenses are a good choice for individuals who have

  • dry eyes
  • irregularly shaped corneas due to keratoconus, or
  • poor vision and complications after LASIK surgery.

These lenses rest on the sclera (the white part of the eye), and are about the same size as soft lenses. They serve as a new surface over the eye and that is why they restore vision for people who have distortions due to keratoconus or complications after LASIK. Scleral lenses store saline solution between the back of the lens and the front of the cornea and that is why they are give relief to those who suffer from dry eye. Scleral lenses are custom-designed for each eye. They are therefore more stable and less likely to pop out. Scleral lenses correct astigmatism even in people with highly irregular corneal surfaces and are a great option for people that are very nearsighted.

To learn if you have a corneal condition that would benefit from scleral lenses, call our office; 732-679-2020. We help patients from Aberdeen, East Brunswick, Manalapan, Matawan, Marlboro, Monroe, Parlin. Sayreville, South Amboy, South River, Spotswood, Lawrence Harbor, Cliffwood Beach, and throughout New Jersey.




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Scleral Lenses Can Prevent Dry Eye, Tiredness, and Discomfort

protect your eyes 640x350It’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.

What are Scleral Lenses?

These rigid gas permeable lenses have an extra-wide diameter that vaults over your whole cornea. In contrast to other contact lenses, they rest on the white part of your eyes (sclera) and not the cornea. As a result, scleral lenses consistently rank at the top of the charts when it comes to providing sharp visual acuity, comfort, and healthy eyes.

Common Contact Lens Complaints

Below we’ll explore the most common contact lens complaints we hear at our practice and ways scleral lenses can prevent them.

End-of-day tiredness and dry eyes

After just 6 to 8 hours of contact lens wear during the day, many contact lens wearers experience tired and dry eyes. Though standard hydrogel contact lenses allow a high concentration of oxygen to permeate the eye, some people need an alternative.

End-of-day eye discomfort can be resolved with scleral lenses, as these custom-designed lenses have a liquid reservoir between the lens and the cornea that provides a continuous moist environment that soothes tired, dry eyes.

Not only does this cushion of moisture lead to a comfortable wearing experience; it also promotes healthy eyes throughout the day, allowing you to wear these lenses for 12 to 14 hours! It is for this reason that many of our patients turn to scleral lenses for unparalleled comfort and all-day ocular hydration.

Chronic dry eye syndrome

Certain dry eye patients may experience painful, red, and swollen eyes. For them, traditional soft contact lenses can be unbearable because they sit right on the irritated cornea. Moreover, these contact lenses tend to act as sponges, soaking up the moisture from the surface of the eye.

If you struggle with dry eye syndrome and have been looking for a more effective treatment method beyond eyedrops and artificial tears, ask your Family Eye Care doctor about scleral lenses.

Feeling the contact lens in the eye

Feeling your contact lenses in your eyes often indicates a poor fitting. Everyone’s eyes are different and when it comes to contact lenses, no size fits all. Furthermore, if lenses are insufficiently curved, they can be dislodged with every blink. This isn’t just uncomfortable — the wrong size lens can damage your cornea.

Because scleral lenses have a large diameter and are custom-made to your eye shape and size, it is almost impossible for scleral lenses to dislodge during normal wear. And since these lenses do not make contact with the surface of your cornea, there is a decreased risk of corneal abrasions.

Operating in dusty environments

Dry, dusty or dirty conditions can cause contact lenses to not only dry out, but can also lead irritants to attach themselves to the lenses. Scleral lenses offer comfort, even in dusty or dirty environments. This is because the lenses cover a large area of the eye, and since the outer layer of the lens protects the eye surface, dust and tiny particles can’t reach it. While not a complete barrier, scleral lenses can provide you with more relief and all-day comfort than traditional lenses.

If you’ve tried traditional contact lenses and have experienced any of the above, or if you’re simply seeking a more comfortable alternative to wear all day, it’s worth considering scleral lenses.

Contact a knowledgeable and experienced eye care professional, Dr. Moshe Roth and Dr. Steffani Tiomno, who will patiently assess and explain your condition to you. Dr. Moshe Roth and Dr. Steffani Tiomno will perform a specialized scleral lens custom-fitting to ensure that you receive the best fit for optimal visual clarity and comfort.

Call the Family Eye Care today to schedule your consultation. We help patients from the Old Bridge, East Brunswick, Woodbridge, and Edison, in the New Jersey area enjoy great vision and comfort with scleral lenses.


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Call Us 844-450-6850