Troubleshooting Common Scleral Lens Issues (Leaks, Fogging, Fit)

Scleral lenses are a remarkable solution for patients who need advanced vision correction or struggle with conditions that make traditional contact lenses uncomfortable. While they provide crisp vision and comfort for many people, like any specialty lens, they can come with challenges. Knowing what to expect, how to care for them, and when to seek professional help can make your scleral lens experience smooth and successful.
 

What Are Scleral Lenses?

Scleral lenses are large-diameter gas permeable lenses that rest on the white part of the eye (the sclera) rather than directly on the cornea. This creates a fluid-filled reservoir between the lens and the cornea, which keeps the eye hydrated and comfortable while correcting vision. They are especially beneficial for patients with keratoconus, severe dry eye, corneal irregularities, or high prescriptions.
 

The Importance of Proper Scleral Lens Care

Because scleral lenses are customized devices, proper care is essential for maintaining comfort, clarity, and eye health. Cleaning, disinfecting, and inserting them correctly prevents issues such as deposits, irritation, and infection. Even small lapses in care can lead to problems that make wearing them less effective.
 

Lens Leaks

If you notice your scleral lens losing suction or leaking fluid, the first step is to check for proper insertion. Air bubbles trapped under the lens can cause the seal to break and lead to leaks. It’s also important to inspect the lens closely for cracks, chips, or warping, as even small imperfections can prevent a proper fit.

Refilling the lens with fresh preservative-free saline before reinsertion can also resolve minor issues and help reduce irritation. However, if leaks continue despite these efforts, the problem may be due to an ill-fitting lens, which requires professional adjustment from Dr. Della Porta.
 

Fogging

Lens fogging is a common concern that can blur vision during the day. Often, this happens when oils, protein buildup, or makeup residue accumulate on the lens surface. Consistent daily cleaning with the products recommended by your doctor can help keep the lenses clear. Using fresh, preservative-free saline for filling the lens is equally important, as old or contaminated solution can worsen fogging. In some cases, tear debris contributes to cloudiness, and patients may benefit from additional lens coatings or alternative solutions tailored to their eyes.
 

Fit Issues

Discomfort, redness, or excessive lens movement may indicate a fit problem. Scleral lenses should feel comfortable and stable once in place, so any persistent irritation is worth noting. Overwearing the lenses can also lead to dryness and discomfort, making it important to stick to the recommended wearing schedule. If these issues persist, scheduling a follow-up is the best step forward. A custom lens fit may need fine-tuning over time to accommodate subtle changes in the shape or health of your eyes.
 

When to See Dr. Della Porta

If you experience persistent discomfort, ongoing fogging, frequent leaks, or any changes in your vision, it’s important to schedule an appointment. Dr. Della Porta can assess your lenses, make necessary adjustments, and recommend solutions to keep your eyes healthy and your vision sharp.
 

Get Expert Help With Your Scleral Lenses

Scleral lenses offer life-changing benefits for many patients, but troubleshooting common issues ensures you get the most from them. Proper care, regular check-ups, and a willingness to seek professional guidance will help you enjoy clearer, more comfortable vision.

Contact Della Porta EyeCare to schedule a consultation and get the personalized support you need for your scleral lenses. Visit our office in Bristol, Connecticut, or call (860) 807-1500 to book an appointment today.