Your First Scleral Lens Follow-Up: What Your Eye Doctor Checks

If your vision is clear when you put in your scleral lenses but one eye starts to fog by lunchtime, tell us when it happens. Details like which eye is affected and how long you’ve worn the lens help us know what to look for. At your first scleral lens follow-up in our Las Vegas office, we compare what you’ve noticed at home with how each lens fits after it has had time to settle.

How the Lens Rests on Your Eye

A scleral lens rests on the white part of your eye and arches over the cornea, the clear front surface. The space beneath the lens holds a thin layer of fluid. As the lens settles during the day, that space becomes shallower.

Using a microscope, we check that the lens still clears the cornea and that its outer edge rests evenly. If one spot feels tight late in the day, point it out to us. We can examine that area with the lens in place, then look for redness or a pressure mark after you take it out. Those findings help us decide whether to adjust the shape of the lens.

What We Check When Vision Is Blurry

We test how clearly you see through each lens. If letters on the eye chart look blurry, we may have you look through different lens powers while your scleral lens is still in place. That shows us whether a prescription change would sharpen your vision.

The timing of the blur matters, too. An air bubble trapped during insertion can blur your vision right away. If the haze develops hours later, we check for debris in the fluid beneath the lens and look at how evenly tears spread across its front surface.

How to Prepare for Your Visit

Follow our instructions about how long to wear your lenses before your appointment. A few things are worth bringing along:

• A note of when you put each lens in and when any fogging or discomfort began

• Your lens case and the tools you use to insert and remove your lenses

• The sterile, preservative-free saline you use to fill your lenses and the separate solution you use to disinfect them

If you keep trapping a bubble or struggle to remove one lens, show us the step that gives you trouble. We can watch your technique and help you practice it during the visit.

If you develop eye pain, unusual redness, light sensitivity, or a sudden change in vision, remove your lenses and call an eye doctor right away rather than waiting for your appointment.

To schedule your first scleral lens follow-up, call Insight Eyecare in Las Vegas, NV, at (702) 718-7163.