How to Insert and Remove SCLERAL LENSES | Beginners Guide to Scleral Lenses
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- เผยแพร่เมื่อ 16 มี.ค. 2020
- Scleral lenses are an excellent way to improve vision. However, due to their size, scleral contact lenses can be a challenge to put in. So in this video I show how to insert scleral lenses and how to remove them.
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NOTE:
Scleral contact lenses are medical devices. If you struggle with inserting your contact lenses then be sure to contact your local eye care provider for help.
You can usually purchase new solution through your eye clinic or from these resources
Scleral Fil: amzn.to/2QmFQkJ
LacriPure amzn.to/2ISSKTq
AdiPack:
DMV Plungers for insertion: amzn.to/38YCJpA
DMV Plungers for removal: amzn.to/39XO76t
S5 Scleral Lens Inserter Mini: amzn.to/2wXaNVT
S5 Scleral Contact Lens Inserter with Adjustable Height: amzn.to/33nGmEj
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About this video: Do you have keratoconus or another eye disease which requires a scleral lens? Scleral lenses are large contact lenses which fit over the cornea and land on the sclera, the white part of the eye. Scleral contact lens insertion and removal can be a challenge so I made this video to help you through the process. Scleral contact lenses are often used for keratoconus, post surgical cases and other corneal diseases including severe dry eye disease. Sclera contact lenses for keratoconus, when fit and worn correctly, are extremely comfortable and offer improved vision.
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Eye Health Question of the day: Do you wear Scleral lenses? Do you like them? What are some of your pro's and cons of sclerals?
Thank you for your videos. I have just started wearing soft 2 weekly lenses. I have astigmatism in my left eye. My optician (I'm in Scotland)didn't spot my astigmatism at first. He gave me 2 non astigmatism monthly lenses. They were awful. I was going to give up. I had always been told I couldn't wear contacts anyway. I then found your contact lense videos and that really helped. I went back to my optician and I told them that I needed to change my lenses. They were reluctant at first. I kept on at them. In the end a different optician checked my eyes and said that I did have an astigmatism. They then changed my lenses. If it wasn't for your videos I wouldn't be wearing contacts now and I would still be paying hundreds of pounds every 12 months for new glasses. I still get double vision in bright light. I still struggle to do small close work but I am hoping that I will be able to when I get my reading over glasses. I just want to say a MASSIVE Thank you for your videos. You have really changed my life.
@@elliebond6807 OMG Ellie that makes me so happy! I also applaud you for taking such initiative for yourself and your vision! Thanks for watching Ellie, you rock!
Plz make another video on why do ppl use scelar lens? And not soft contacts.
Yes i do wear them everyday, although if im just staying home I don’t wear them and try to give my eyes a break. I love them! It took me a while to get used to them. Pros: i can see 20/25 , they are confortable, they help my dry eye , and most important I CAN SEE!. Also it’s funny when people see you put them on or take them off their face is like 😰😱 lol. Cons: took time to learn how to put them on, and they are uncomfortable when air hits directly like the ac from the car or an open car window.
Doctor Eye Health is it ok to have them in while running because of the sweat that can come into your eye??
I'm using lenses now (have keratoconus and two cornea transplants) and my life has improved immensely
I was declared “legally blind” due to corneal ulcers in both eyes at my mid 20s scleral lenses the CEI and many surgeries saved my vision, I hate these quarter sized contacts but thank them and my medical team every day when I stare at leaves and beautiful colors in the world
It's remarkable the things we can see now with contacts. Looking at trees always amazes me, being able to see individual leafs for example. It was usually just some green stuff.
@@Plague_Doc22 some weed
Last year, I lost most of my vision in my only eye that had vision due to a corneal ulcer. Now, after a PK transplant, I am being fitted for scleral lenses. It was amazing to have 20/25 vision this morning in the optometrist's clinic.
I just Received my sclera lenses two days ago I see must better with them but getting them in and out is a challenge this video helped
I suffer from eye herpes in my right eye so I'm in the same boat. I'm legally blind in it from scarring all over the cornea. My corneal specialist recommended these lenses. I'm waiting to get fitted and to see if I'm a candidate for them, so I'm just getting a feel for how to insert them.
When i went to get sized for them i had a trial one on and it made a huge difference in my vision, brought me from 20/100 to 20/40 and would likely improve since my vision in that eye has been like this for 35 years
Dear Doctor Eye Health - your suggestion to cut off the bottom tip of the DMV insertion plunger is brilliant! Today is Day 3 for wearing a scleral lens. Days 1 & 2 were frustrating, but I managed to get it in. It was even more frustrating today. Finally, I was inspired to check TH-cam. You saved the day with that simple solution. The light through the plunger helped navigate the insertion process. I am so grateful! I will tell my eye-care team about you and your TH-cam videos. What a generous, thoughtful, and helpful service! Thank you!
A quick TIP for inserting the scleral lens, which in the end was the only way I succeded. Super challenging at first, but becomes natural with practice.
Place a mirror onto a counter facing up. With your right hand (if you're right-haded), hold the DMV with your thumb and index fingers. Facing down into the mirror, use your 4th finger to pull your bottom eyelid down. With the index finger of your other (left) hand, pull up the top eyelid. While looking straight into the mirror, and as a consequence also into the lens, place the lens on your eye using the fingers holding teh DMV. Hope this helps.
Thanks for sharing!!!
Great video!
My second day in scleral lenses after 20+ years of soft lenses my eye are specialist couldn’t offer soft lenses unless I “piggybacked” multiple lenses to correct my astigmatism…….
I can see!! I can’t describe my excitement. No horrific glare, even better contrast and colour, fixes my dry eye/blepharitis, close to 20/20 vision, I smile more haha
I can’t think of any cons per se, I guess a very minor inconvenience is I can’t just garbage a daily disposable and have a new cleaning regimen…. I don’t even care, I can see now! 😬
Thank you for posting this! I watched this video before my scleral lens appointment and was able to confidently insert and remove them within a couple of minutes.
To everyone struggling, I put the plunger on the bottom, push up and out but do half turns to the left and right. Usually on the 2nd or 3rd attempt it comes out. I used to spend an hour and a half struggling.
New sclera lens user with keratoconus here, at first it took me 12 tries to put in just one contact. It was very frustrating. Using the insertion tool was a big help. I've been using sclera lenses for 3 weeks now and they're immensely more comfortable than normal hard lenses that can get out of place and sting your eyes. I remember the stinging got so bad, I'd start to cry. These new lenses are so comfortable and can last long hours of use with some eye lubricant drops being added every so often. Sure, it's a hassle even now to manage them and work to insert them in the morning (it still takes me a few tries), I don't regret switching to sclera lenses. Great video!
I have Keratoconus and im getting my contacts Soon but i have been Flinching and Blinking. Did you also have this problem or just me?
@@brand0nrs75 I struggle with that sometimes. It helps if I have my eyelids held back with my fingers and look directly at the contact lens. When putting the contact in, I take a deep breath and get it in in one go and in most cases it works.
Hey even I have keratoconus and I wanted to know if you got the cross linking done or did you start using sclera lenses directly and if they’re better than soft ones or not
I have keratoconus . I hope this work for me too. I can't drive no more.. it's frustrating wear these hard lenses .
@@profile4138 I have keratoconus too. For me, I did the cross linking a few weeks ago(like a month or so) to stop the keratoconus from progressing. After 6 months I will get RGP or scleral lenses to help me see better
I hope this helps
Got diagnosed with karetoconus. After trialling various soft and rgp lenses for over a year. We finally tried scleral and ordered a trial pair because they were surprisingly comfortable. Especially compared to a rgp.
I've never tried a scleral before, my optometrist did it for me for the trial. But I'm waiting for my appointment and I will use the tips from this video. Thank you.
I was diagnosed with it at 22, I just turned 30 and I'm so scared to try them. RGP is all I know
You wont regret it , especially if rgps are uncomfortable for you. I have had mine for less than a week. Better vision quality and better comfortability@@denissecharles1
Dr. Allen , All your videos are helpful and invaluable, especially for my dry eye life. Recently I've started to wear scleral lenses and your tutorial is not only clear but reassuring because it is a scary adventure to put those Huge lenses into small sensitive eyes. So glad you provided direction and answers for basic Scleral questions. Thank you! The sclerals do provide more crisp and clear vision than my soft contacts ( had to stop wearing soft contacts due to very dry eyes). They're almost great if not for the fogging/haze after wearing them for a hour or two.
Lili, could you please share your experience wearing scleral contact lens? I have very dry eyes and I have been using special eye drops non preservatives from my ophthalmologist for years. My glasses power is getting thicker that I dont feel comfortable wearing glasses. Iam trying to consider wearing these lens thank you!
Hey doc, just wanted to let you know how amazing this video is for patient education. We run a busy hard lens practice in regional Australia and I always show new scleral patients this video as an introduction and they are almost always able to insert first time after watching. Amazing stuff.
Cheers
Dan Thomson
I've had scleral contact lenses for quite a few months now.
Best decision I've ever made!!!
They are super comfortable, to the point that I forget that I have contacts in! And I can see clearly now. Haha
Did I used to use hard lenses are the comfortable ?
I’m excited to get mine! I was using the rigid ones for years but after I had corneal cross linking, the doc recommended these and after I tried the test lenses, I can say they feel way more comfortable
I am 69 years old and getting my new lenses pretty soon so I am watching training videos like yours. I wore rigid lenses back in the 70s through the 90s.
In 1999 I had lasik surgery and only needed reading glasses. Two years ago I had cataract surgery for both eys and my left eye didn't do so well so I am being prescribed
these new lenses. Thanks for this video.
I’ve been following you for a while now due to wanting more info about dry eyes. I am getting fitting for scleral contacts and my own doctor sent me this video to watch before my appointment. Thanks for the great tips!
Wow! I wish you were training the medical staff at the University of Pittsburgh Medical Eye Center. All of your suggestions for inserting and removing scleral lenses are better than what they showed me. At my next visit there, I am going to demonstrate your techniques to the head of Optometry. Thank you so much!
The first time I wore my scleral lenses it took me over 2 hrs to put them on. What helped me the most is using a dmv tool with a hole under and putting a makeup mirror with a light underneath so the light shines through and i can see what im doing. So Don’t be discouraged, keep practicing and find what works for you. It now takes me 5 mins. It takes longer to set up everything i need.
Thank you for sharing!! 💯💯💯👍🏻👍🏻
I have been trying for over a month with no luck... :(
Same! If it wasn’t for covid lockdown I would of never had the patience or time to master inserting them. I have developed a insertion technical of my own (very small eyes...sensitive and closed in 90 percent of pictures I take) but it took weeks to get it right. Everyone needs time and trial and error.
Just got my Contacts and it takes me about 2 hours to get them on I wanna say thank for your comment it’s nice to know I’m not alone in this
❤️❤️❤️❤️❤️❤️❤️
I see how u just repeated the video I just watched.?.could of avoided the growing annoying of his voice....but....at least I do admit that I never heard about that little tool. That is creepier than just kindly set it in your eye via fingers..any trouble with getting them in is due to over thinking it. But no one has said about that moment when they just go where they are and if they are all black it will cause a sudden panic that I u can't deal with but then u don't think bout them
Thank you. I have keratoconus and I was having the hardest time taking these lenses out of my eyes. often time I would feel like I was hurting my eye, but this video has helped me, significantly, in the removal of my sclera contacts.
I may be a little late to this video but the blurry vision is the most helpful part. I finally went and got my eyes checked and I’m getting lenses soon. Putting on the test lenses had things a little blurry so I was concerned about whether it worked or not but I really appreciate you telling me that!
Thanks! It was very helpful! I just got my scleral lenses today and I wasn’t very sure about if I listened well the instructions that my doctor gave me in the morning 🙏🏻
The adding enough saline solution to lens makes a difference. Thank you!
Getting mine next month…post Lasik AND PRK in my right eye with moderate/severe astigmatism 3 years ago.
distance vision has been declining rapidly the last 6 months 20/25 to 20/70. 😫 Was told my cornea is very thin at 435. Doc said this sclera lens is my only option. I’ve had years of contacts prior to lasik but I’m kind of nervous for this! I’m so sad I thought my aid free vision was a forever thing 💔
Great video !
Just came across your video. I’ve been scared to wear my lenses because they were applying pressure to my eyes, and it took a long time to insert without getting a bubble. After watching you I switched my technique and both went in without a problem and few comfortable.
Nice video! Very professional. I’m glad I found your channel I have watched your contacts video and they helped a lot
Great demonstration , very clear and helpful !
Your videos are just so helpful. After some years I've finally decided to use contact lenses again. I didn't know there are special lenses like these. You're very informative, thank you for your work! :)
Stick product name
Remove stick product name please online shopping centre please
I finally found this lecture. Thank you!
I recently got a crosslinking procedure done and am waiting for a scleral lens fitting appointment. This video was very informative and I feel prepared for scleral lenses now. Thanks!
I've been for mine but now they say I need reading glasses too. Go figure. How are you coming along?
Same
Such great information. I have very strong eyelids so I'm saving up for the S5 Scleral Lens Inserter. I should have bought it first before I got my contact lenses
Thank you very much doctor! Thanks to your video i managed to put both my scleral in 10minutes
Thanks for the confidence boost!
Btw, how long before the eyes get used to wearing the lens? A couple of weeks in average?
Thanks again! Cheers from Italy
Thank you i was taught the push on the bottom of the lense method and it was killing me took for ever only had the lenses for 7 days and was struggling you are a life saver
Great video, thank you. Your information was an incredible help to me!
I recently starting wearing sclera lenses and have been wasting a lot of time and saline solution in trying to get them in. What helped for me was that right before tilting my head into the lens, I open both my eyes. That helped me today at least.
I've been wearing Scleral lenses for about 6 months ..best thing i have ever had does take some getting used to though and i have only just in the last 2 months been using Ami dose saline as anything else does sting a little, my only issue is trying to find a box case for them as my current one is getting old and the flat cases are not big enough 😑....really helpful video as im still trying to master putting them in without spilage!
I just got sclerals yesterday. This is a very helpful video. Thank you.
I got scleral lenses having a tough time putting them in a little nervous
Yesterday when I tried to remove it, I was all tense and jittery and panicked and well it didn't go so well. Ended up with a red eye. I wanted to give up but my family and friends gave me hope and I found this video and tried "upward and outward". Took me a few tries but I managed to break suction at one point and then hold and pull it out safely. Thank you.
And if you're struggling, deep breaths, YOU CAN DO THIS.
I still am scared but have optimism to try again tomorrow. 💜
Great job!
Great tips doc!
Thank You ever so much for such a detailed and easy-to-understand video Doctor Allen! You are my savior! This video has really motivated me to keep trying. Removal of my new scleral lens still give me sweat
Hi I am getting glasses soon so thank you for the tricks and tips
I just got scleral contact lenses three weeks ago this video was immensely helpful in getting them in and out and I do see much better in them. They are however a lot different than regular Rigid gas permeable lenses and it did take me a while
How much difference is there between the vision quality of rgp and scleral lens? Also, does the initial vision after wearing scleral lens gets better overtime? I just got my scleral lens and it seems the RGP lens I used to wear prior to it gave be comparably superior vision.
Thanks! Just got these contacts. I’ve been diagnosed with kerataconis(spelling is probably wrong😂). But this video helped put me at ease.
I have been wearing scleral lenses for 1 week, I have keratoconus, and the vision is perfect and does not irritate the eyes like RGP.
It looks like I'm not even wearing a lens.
Can I ask what the average cost is for you, and expected length of use for 1 pair of lenses?
Im the same way the rgp lenses was just to hard to get in! Sclerals are so comfortable
@@vassago68 excuse the eavesdropping. my mini-schleral lens cost $950 AUD and the RGP was $550, the schleral is supposed to last me 2-3 years (pending eye change, which mine are stable after corneal graft years ago)
Hopefully that was helpful :)
I love the schleral too, its so comfy!
My brotha! I’m in the same spot. So glad I found out about these.
I have keratoconus and an astigmatism in my left eye
when removing, be sure to hold both top and bottom eyelids open just as you did when putting them on. This is because while removing, you may blink (just like he did in the video) while it's halfway out and cause the lens to hit your pupil which can be extremely painful.
Thank you ♥️
This is the problem I have. I end with red painful eyes, even painful to the touch
Had my fitting today and I’m excited to get them.
Random but the popping sensation was satisfying when the person took it off for me.
Most helpful piece of information was cutting the bottom of the “plunger”. Very useful tip!
Thank you for making these great videos!
I’m so glad that I looked up this video… Thank you for all of the information. I had no idea that I had to have a special saline solution that was preservative free!! That’s not, knowledge, and I also have a background in wearing contact lenses. I just assumed it was regular saline that you used.
Valuable and very very informative mate ...superb😉
Wow, your detailed instructions really helped me. I was almost ready to give up. 😃
Glad I could help!
Holy smokes your channel has exploded in growth, Doctor Allen! Congrats, man.
👍🏼🤠👍🏼
Thank you so much your video was so helpful this is the first day my contact lens has arrived and i feel a little bit discomfort with it but i hope your video will help me too much
Very helpful -- many thanks!
Thanks for the video, it's excellent! As an alternative to the S5 Inserter stand (which is currently $399), you can put a drinking glass (one that lets light through) upside down and place the DMV plunger between the two sides of a normal pair of tweezers. Then you can hold your eye open with two hands, which makes insertion much easier and more reliable for me.
Thank you, I’ve been using a hybrid lens for my left eye for 4 days now and it’s a pain removing it. I will try this method next time!
Has it become easier using this method ??
The whole thing was helpful! Dang!
This was so helpful I wasn’t not given really any instructions on how to use my new large lens and I have to have them due to my cornea thinning at a rapid rate and they have been very hard to get use to !
Thanks for this video!
Happy to help!
Great demo of insertion and removal! Thx!😄
You are so welcome! Glad it was helpful!
Thank you ao much I finally got it on my own all thanks to you great teacher
Love the vids !! but would you recommend a plunger for daily disposable contacts ?
Thanks!
Thank you. After a stressful hour, I got them in first try-not even exaggerating.
So helpful. Thank you
I started using them a month ago, i got rid of my glasses and go for the hard lenses at first i had alot of trouble putting them on but now i found a tricky to put them on easily this really helped me alot now im happy with them
Are they not comfortable than the rgp hard lenses ?
Wow thanks for your feedback on video awesome thanks again I just started to wear these special hard lenses 👍🏻😊
Getting my lens soon thanks for this video
Thank you if it wasnt for this video i would have given up and this is my last trial of lenses ❤ god bless you
Thank you, thank you, thank you. Today is my first day wearing Scleral. I could not get them out and was starting to panic. Thought about going to ER to get help to get them out. Finally calmed down enough and thought to google how to get them out. My Doctor had a staff member spending a couple hours with me putting them in and taking them out. They don't let you leave with them until you can do that. I still couldn't get them out initially and panicked.
Dr the video was very helpful, specially the removing part...kenya
Thanks for the information.
I got my scleral lens 3 days ago for keratoconus. I feel like I went from a 1978 tv to the best TV on the market in 2022. The insertion process for my left eye has been frustrating. I think i may try that inserter tool. Thank you for this video and the advice
This was helpful, can I use the inserting and removing stick for regular eye contacts?
I had these scleral lenses. It's hard to insert but not painful. Of course eyes got so irritated with so much trial but we got them in (made my eyes so much comfortable). Got to practice how to insert them, I find removing them easy.
I literally just had my first lesson and try out today at my opto. In the process of being ordered to custom fit me. So the only part of this video that was different than what they told me today was, when you make contact with the eye when inserting to then squeeze the plunger. In this video this doctor didn't say that. Also they didn't tell me I could cut the bottom of the plunger to make it easier to see the center of it which I find very useful and smart.
Definitely helped 💯
Everyone can get lost in your eyes, doc! ✨
truly.
I might have to get that s5 inserter I never knew about it, Thanks!
I think it can help a lot of people. Certainly something to consider.
Hi Dr Allen. Can you do videos on binocular vision dysfunction? The various types and treatments please x
Thanks so much for posting this video. I've got my first appointment this afternoon and I'm pretty stressed out.
Super helpful, thank you very much , I just knew that i have to use a free preservative artificial tears to fill the lens before putting it in. I used to fill it with solution before putting it in. Also i just knew the technic of how to remove it easier way. You are the first to tell me that . Thank u alot
Is ok if I adjust it too tight on the eye?! Or it would affect the endothelium to retain fluid ! Hence making it infected ?!
I have one of these lenses for my right eye and a soft for my left, the first few goes at putting them in were tough. Took me about a week to fully get used to them. Still get a bubble in, but i don't usually drop them or not get them in right anymore, and they're simple to take out with the small plunger
This really helped as newbie. I have had keratoconus for 15 years now. Glasses have normally helped. But I wanted to go with out them. My eye doctor in the Uk gave me one of these for my bad left eye. But a soft one for my right. Do you suggest this?
I advise y’all watch this video before you get your lenses it helped me a bunch and my doctor was surprised how fast I learned how to insert my lenses second visit they felt comfortable with me inserting
I'm glad to hear it went well for you. Thank you!
You make it look easy it consistently hits my eyelids when I put them in and it takes me 2 hours to put them in
😂😂
I had help from my family the first time and my dad straped me down so i can put them on xD
😂
Same bro
How long does it take now
I like the s5 inserter part as well as the pro tip of cutting off the bottom.
I am still in the fittings process of scleral lenses. The first pair they ordered for me were too tight and it was so uncomfortable. The second trial come this week. Thank you for the tips on how to put them on.
How are they?
How did you know yours were too tight?
I had hard time putting this lens on. I bought a cheap $10 stand on Amazon and it works amazing. I've been using it for a month and I haven't had any issue putting it on. It takes me less than a minute to put it on now.
Can u please share link of the inserter tool u found on Amazon
putting them in i've got! sometimes they stubbornly take a bit to remove, though. i've found that using lubricating drops beforehand can help a little.
Love your videos and tips. I am having difficulties to insert it without bubbles. I would love to see a video about it. Any tips?
Thanks a lot for the video. My eyes get red with a specific brand of scleral lenses. Another brand does not cause red eyes but provides blurry vision. Can the lenses material cause a kind of allergic reaction or can it be the solution which cause redness?
Thank you 🥰
Hello Dr. Allen, very happy to come across this video. I am suffering from recurrent corneal erosion. Can I use this method of insertion for therapeutic lens for RCE?
got these for my keratoconus last week. its soooooooooo much better than rgp lenses. best lenses iv ever used. i think they are quite easy to put in actually, but harder to get them out. especially without the rubber tool. (sorry dont know the name in english)
I went in for my fitting today. I also have your eye condition and went in for cross linking. Is it true that you see way better with them instead of wearing glasses? I’m excited to see perfect for once in my life hah
That S5 inserted certainly is neat... But it still reminds me a bit too much of the scene from the Dark Knight where the Joker does the magic pencil trick. 😅😅😅
Haven't worn contacts in about 10 years after having Lasik but this brought back so many memories of my morning routine.
was the surgery expnesive?
I hate that moist in the morning. Hopefully in August I can put permanent linse
@@williamdeng7524 lasik for me was $2400 with insurance
Very interesting video.
Yeah Scleral lenses are something I do very much enjoy fitting in the clinic, but they can be a real challenge. Especially when people struggle with them.
Thank you!!
Worn contacts for years. This terrified me. 🤣 Was a great video, very informative but it made my legs turn to jelly.🤣🤣
i really dont use that tool for my scleral lenses rather i usee my hands instread of the tool my doctor gave me,, but he gave me a technique on using my hands since he notice that my hands are my tool putting the scleral lenses, and it took me 3 hours to put my lenses in and it was so worth it and my follow up is on september 12 and i was suffering blurry vision for 3 years couldn't see anything and yesterday I'm able to see everything so clear and all that blurry vision went away, made me happy so much, no more going near on the tv, can finally play videos games, and etc... proud of my scleral lenses.
What a fancy but useful inserter 😃
right! I think its pretty useful and makes it easier.
I have been waiting for this video (as I work as a Specialty lens technician). I was just hoping you might have covered what types of conditions scleral lenses could be used for, as many people don't know they may be an option. Great video, will keep an eye out for the next one :)
Omg I had that in the video but removed it because the video was about how to put them in. But I hope to have s video soon about specialty lenses and who they are used for. Glad you liked the video!