Blog:Adjusting to Scleral Lenses: Comfort and Vision Expectations

Scleral lenses have transformed how many patients with complex vision needs see the world. Designed to vault over the cornea and rest on the white part of the eye (the sclera), these custom-made lenses provide exceptional clarity and comfort - especially for those who cannot achieve sharp vision with standard contact lenses. If you’ve recently been prescribed scleral lenses or are considering them, understanding the adjustment period can help you set realistic expectations and enjoy a smoother transition.
Unlike soft contact lenses that sit directly on the cornea, scleral lenses create a tear-filled reservoir between the lens and your eye. This design not only improves comfort but also provides continuous hydration, making them ideal for individuals with dry eye or irregular corneas (such as in keratoconus).
At first, scleral lenses may feel larger than what you’re used to. It’s normal to take a few days to adapt to the sensation of wearing them. With proper insertion and removal techniques, you’ll soon find the process becomes second nature.
Most patients adapt to their scleral lenses within one to two weeks. During this time, you might notice:
•Slight awareness of the lens at first, which typically diminishes after consistent wear.
•Visual fluctuations as your eyes adjust and as you refine the filling solution technique.
•Longer wear time tolerance developing over several days as your eyes get used to the lenses.
Your optometrist will schedule follow-up visits to fine-tune the fit and ensure you’re achieving optimal comfort and vision. It’s essential to follow their care instructions closely to avoid irritation or dryness.
When properly fitted, scleral lenses are incredibly comfortable. The tear layer beneath the lens cushions the eye, reducing friction and preventing dryness. If you experience persistent discomfort, redness, or fogging, it may indicate that an adjustment to the lens fit or cleaning routine is needed. Our eye care professionals will help you troubleshoot and optimize your experience.
Scleral lenses provide crisp, stable vision because they maintain their shape and don’t move around like soft contacts. Patients with astigmatism, keratoconus, or post-surgical corneal irregularities often experience dramatically improved clarity.
Adjusting to scleral lenses is a gradual process, but the results are well worth it. With patience, proper care, and guidance from your optometrist, you’ll soon enjoy exceptional comfort and visual clarity unmatched by traditional lenses.
If you’re ready to experience the comfort and clarity of scleral lenses, schedule a comprehensive eye exam at Texas State Optical today. Visit our office in Sugar Land, Texas, or call (281) 238-5668 to book an appointment.