A Step-by-Step Guide to Inserting and Removing Scleral Lenses

A Step-by-Step Guide to Inserting and Removing Scleral Lenses

As discussed in our previous blog post, scleral lenses offer unparalleled comfort and vision correction for those with corneal irregularities, dry eye disease, or other complex conditions. Proper techniques for inserting and removing Scleral Lenses are crucial to maximize their benefits and maintain eye health. This guide provides a detailed overview of how to safely insert and remove your scleral lenses.

Why Technique Matters

When handling any type of specialty contact lens, especially for scleral lenses, correct handling ensures optimal vision, comfort, and eye health. Following the proper techniques reduces the risk of contamination, discomfort, and air bubbles that could affect vision.

Inserting Your Scleral Lenses

1. Prepare Your Hands and Tools

  • Wash your hands with a mild, fragrance-free soap, and dry them thoroughly with a lint-free towel.
  • Gather necessary tools: a scleral lens inserter (plunger) and preservative-free saline solution (e.g., LacriPure).

 

Scleral Lens Insertion Tools

 

2. Inspect the Lens

  • Check the lens for any chips, cracks, or debris. If you notice any damage, do not use the lens and contact your eye care provider.
Scleral Lens Inspection

 

3. Fill the Lens with Saline

  • Place the lens on the concave side of the scleral lens inserter.
  • Fill the bowl of the lens completely with non-preserved saline solution. This liquid reservoir is essential to keep your eye hydrated.

 

Filling the Scleral Lens with Saline

 

4. Position Yourself

  • Sit or stand in front of a mirror on a flat surface. Consider placing a clean towel or tissue beneath you to catch the lens if it falls.

5. Insert the Lens

  • Hold your eyelids open: Use the index finger and thumb of one hand to gently hold your upper and lower eyelids apart.
  • With the other hand, bring the lens straight toward your eye. Avoid tilting the lens, as this can introduce air bubbles.
  • Gently place the lens on your eye, ensuring it adheres securely.

 

Scleral Lens Insertion with Plunger

 

6. Check for Air Bubbles

  • Look in the mirror to confirm the lens is properly centered. If you see air bubbles under the lens, remove and reinsert it to avoid discomfort or blurred vision.

Removing Your Scleral Lenses

1. Prepare Your Hands and Tools

  • Wash and dry your hands thoroughly. Ensure your lens remover (plunger) is clean and dry.

 

Scleral Lens Removal Tools

 

2. Position Yourself

  • Sit or stand in front of a mirror, using a clean towel or tissue beneath you as a safety net.

 

Preparing to Remove a Scleral Lens

 

3. Remove the Lens

  • Open your eyelids wide using your fingers.
  • Position the suction cup of the lens remover perpendicular to the edge of the lens. Avoid placing the plunger in the centre of the lens as this can create suction and difficulty with removal
  • Gently apply the remover to the lens until it adheres.
  • Pull the remover straight away from the eye to lift the lens off.

 

Correct Scleral Lens Removal Technique

 

4. Inspect and Clean the Lens

  • After removal, inspect the lens for deposits or damage. Clean it according to your recommended care routine.

Additional Tips for Success

  • Practice Patience: Insertion and removal may feel challenging at first, but practice builds confidence.
  • Stay Relaxed: Keeping your eyes relaxed and open can make the process easier.
  • Follow Your Optometrist’s Advice: Always adhere to the specific guidance provided by your eye care professional.

By mastering these techniques for inserting and removal scleral lenses, you can enjoy the full benefits while ensuring your eyes remain healthy and comfortable. If you have any questions or need assistance, don’t hesitate to contact Prpic Eyecare Centre. We’re here to support you every step of the way!


Dr. Petar Prpic, OD, FSLS

Dr Petar Prpic has been at the forefront of his professional endeavors since he entered the world of optometry. Based on his academic achievements, he became a member of the Beta Sigma Kappa International Honour Society. During his doctoral studies, he was not only elected as student council president by his colleagues, but he was one of only a few graduates to ever receive The Presidential Medal from the school for his contribution to saving a colleague and friend in severe distress. He believes in excellence in all things eye care, he sits on the board of directors for the BCDO provincial association, and has been involved with and spoken at multiple presentations and lectures at meetings and educational events.