Scleral Lenses Insertion And Removal: Plus Pro Tips For Beginners!
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- āđāļāļĒāđāļāļĢāđāđāļĄāļ·āđāļ 5 āļŠ.āļ. 2024
- Are you new to scleral contact lenses, or need any additional tips for insertion and removal? Dr. EyeGuy reviews his best tips to make it inserting and removing scleral lenses easy!
Note: Make sure you have been properly trained at your eye doctor's office. These lenses are a medical device, if you are struggling with them, make sure you contact your eye doctor for help.
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IN THIS VIDEO
Scleral lenses can be one of the most difficult contact lenses to put in your eye. These lenses are usually prescribed for patients that have keratoconus or other corneal irregularities. They are called scleral lenses because the lenses fit and rest on the sclera, not the cornea. These lenses have amazing benefits, and can sometimes give a person their best vision possible. These lenses will also likely be used as Virtual Reality Contacts in the future.
These can also be used to treat certain dry eye conditions as well. Check out my video explaining how it does this:
âĒ Scleral Lenses: How To...
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0:00 Intro
0:07 How To Put In Scleral Contact Lenses
5:00 How to Take Out Scleral Contact Lenses
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Do you wear scleral lenses? How do you like them?
Getting the Scleral lenses was a life change for me after wearing regular RPGs for 20 years.
I do have severe astigmatism and finally found a doctor to recommend these.
Not cheap, but the $3500 for them was well worth the price (I've heard they can even be more than that).
Quite frankly, I love them for comfort, not so much on insertion and removal but I'm getting used to it. :)
@UNTERVÃX thanks! Hopefully that will help. The eyelids are the biggest challenge for sure.
My Scleral Lenses are not as comfortable as soft contacts, but the vision improvement is amazing. My astigmatism is really bad and assymetrical.
I find the process of care to be very complex.
I've learned that just placing a light below your hand with the insert helps you to see the outline of the lens, naking it easier to align.
My scleral lenses won't remove from the ey, I tried 100 times with guidance. :(
Thank you for this excellent video. An eye doctor is recommending these lenses for me and I wanted to see how they are inserted and removed before buying them. This is a really helpful video.
I just started wearing these. I am on day 5. I hate putting them on and taking them out. My husband has to help me and it takes about 10 tries each eye . My eyes feel so tender and tired but the eye sight is absolutely amazing. I don't know that i ever saw this Clear in my life. But taking them out today was a nightmare. I couldnt get the right one out and my eye was in pain. I think i did push it in wnd cause it to suction more . My husband helped me get it out . I am going to keep trying.
I suffer from keratoconus and I've just started wearing scleral lenses and the biggest tip I was given was to warm up the solution before putting them in. I went from 10+ attempts to about 2 or 3 for each eye. It Keeps me from flinching and makes it so much easier to get in!
Amazing tip! Thanks for this comment!
@snortnsweet How much did your vision improve?
Will these help improve vision for those with keratoconus?
How do you warm it? Iâm waiting on mine to come in
How do you warm it up
Just starting out with mine and was having trouble and pain removing them. The doctor watched me and said I was pushing so hard with the plunger that it was causing the lens to suction down tighter onto my eye. Hope that made sense, lol. Anyway, I'm trying to lightly tap lens with the plunger. Your tip on breaking loose the lens suction has been VERY helpful! Now I do that first and have experienced a great improvement in removal. Thank you!
Thanks for the video, it's excellent! As an alternative to the S5 Inserter stand (which is currently $299), 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, and move your eye down onto the contact, which makes insertion much easier and more reliable for me.
Thank you very much for your time and the excellent tips. Very much appreciate it.
Great Job mentioning Virtual Reality. Augmented Reality will definitely use them.
the biggest help on this tutorial for me was the emphasis to get your eyelids out of the way. I needed the mirror below me to see how well i was getting the lids out of the way
Loved this tutorial. I use a kitchen funnel to hold my insertion plunger. Turned upside down on a table or mirror, the wide end holds the funnel stable, leaving both hands free to deal with eye lids. I was also taught to put a light under to help line up the lense and my eyes. Wasnât taught about the suction trick for tacking them out. I will try that. Thanks for a great video.
Wow, that is an amazing tip.... so good that I can t believe I haven't heard that before. Thank you for this comment.
Very well explained Dr. Thank you
This was satisfying to watch and educational. I ordered 3 of those little plungers like that white one. But theyâre orange. I tried it last night but I was too tired.
Such huge lenses! The suction tip of sucking the contact to the plunger is genius!
It definitely makes it easier! ð
I've never seen these types of lenses, but they look really cool. I love the plunger!
You are so nice to watch my videos and comment on them. Thank you so much, I really do appreciate it.
Very good tutorial! Insertion and removal was very difficult in the beginning. Removing them, I use a drop of saline on the tip of the remover AND in my eyes. Before that I thought I was pulling my eyeball out!
Thanks! Awesome tip!
Hey doc! Great video!
Iâm in my mid 60âs now and Iâve had keratoconus since my teenage years. I have been wearing RGP corneal lenses since high school.
I am getting scleral lenses next month. They look so huge itâs a bit daunting!
Iâve been wearing RGP corneal lenses for so long that I donât have a problem flinching when something gets near my eye, so Iâm coming in pretty confident about being able to insert and remove them easily. The vision and comfort with my corneal lenses is no longer satisfactory so Iâm looking forward to the improvement in vision and comfort.
I too switched from RGP lenses to sclerals for my very high myopia and dry eyes. My corneas feel so good bathed in saline with sclerals, whereas before I can feel RGPs constantly scratch my cornea whenever I blink.
Very interesting video! Never heard of scleral lenses. Still need to stop procrastinating and get my vision test done and try contacts. For the longest time i have avoided them but after watching some of your videos I have gotten the guts to give it a try.
You can do it. It can be weird at first, but you will get better and better.
great video !!! perfect method ! thank u for ur work ! from France
Thank you so much for this tutorial! It really helped me remove my scleral lense after just one try !! I've been trying for more than half an hour, my eye started to hurt, then I saw your video, I tried your way and it worked from the first time ! Just thank you âĪ
Glad it helped! Congrats!
Thank you Doc that was very informative and helpful.
Glad you enjoyed it!
Good video, you should show how a air bubble looks when it is not installed correctly.
Also you have pretty green eyes ðð
I do the same tip of cutting the bottom of the plunger! Plus doesn't catch liquid that can get grossness! I also teach my patients to "burp" a bubble into the lens with removal but yours came out nice and easy... Will let my patients watch this as I'm starting to get more into sclerals ððŧ
Good Tip Dr. DeAngelis!
Just today, I was recommended scleral lenses for corneal scarring. I had never heard of them, as no other eye doctor bothered to address the scarring issue in the 15 years since I was diagnosed. I have an appointment next Monday for a fitting, so I'm doing my due diligence researching what I can so I know what to expect. Thank you for this video.
Same here. Got my eye injured 25 years ago and I was just told today about this. I hope for the best.
I've been wearing one for corneal scarring for about a month now. Still working on inserting it consistently (sometimes I get it in on the first try, but usually it takes me between 5 and 10 tries), though I've gotten pretty good at taking it out. Another commenter here suggested warming the saline solution, so I'm going to try that to see if it reduces my blink reflex. Also, I was taught the method of holding the plunger with the lens in one hand and using the other hand to hold the top and bottom lids open. I'm going to try the method shown in the video of holding the top lid open with one hand, and pulling down the bottom lid and inserting the lens with the other hand.
Hey doc! I got a question, what's the difference between sclera lens and normal lens?
The DMV is the brand that I bought. I have soft contact lenses by the way ððūð
hello! I just got my scleral lenses but its extremely difficult and im getting frustrated, when I do get it in the very few times I digit moves im having difficulty making it stick and not feel blurry
Hi doctor do you which is the best higher order abbretion brand for scleral lens . I having glare and Starburst.
My tips for people experiencing inconsistent comfort levels 1) try different saline solutions 2) when inserting, make sure youâre applying enough pressure - for some reason I get suction but if i donât push a LITTLE further, illl have fogging issues after some time. 3) when removing if you get it right on the edge, think about a gentle peeling motion, up and out. Go slow.
Obviously bring up any issues to your eye doc because it could very well be the fit needing adjustment. But these tips improved my experience greatly
What if i press harder and put it in too too tight on the eye ? My eye feel comfortable and perfect after that but i am worrying about choking the cornea and the endothelium retains fluid later before removal time . Hense a chance of infection .
I have a question about the dental ring or known as o ring does it matter what size dental ring it is? What about the ezi ring too, are you able to make a short about insert them?
Hi some really helpful tips i just started using contacts and having some real problems with them getting them in is ok but getting them out its a night mare.
At the moment i using soft contacts is thete any tools to help remove them .. any advise would be appreciated
Just wanted to know that do we have to press that insertion tool while inserting the contact lens in the eyes.
Hey there, so I ordered some prescription colored sclera contacts, and been trying for a while using your techniques to get them to sit right. I can get them in, but there is always doesn't sit right on the eye and shifts about. Ie not a proper fit. Could it be the contacts? I didn't get any sizing choices when ordering just size 22. Apparently my dr couldn't order these type?
I wear these and they are a gigantic pain in the butt but this is by far the best beginner video I've seen for them. Thank you
Thank you for saying this. I really do appreciate it. How is your vision with your scleral lenses?
@@DrEyeGuy I had a lasik flap from 20 years ago degrade into an ectasia with a classic crab claw astigmatism. Acquity in one eye went down to 20/200 fairly quick. I had epi-off UV crosslinking surgery (extremely painful for a week...like EXTREMELY). That halted the degradation and brought back a diopter or two.
Now with a scleral in place my vision in that eye is decent, so I am very grateful for the technology and not needing a corneal transplant....BUT I'm still a bit cranky about it as I was quite happy only wearing glasses for reading pre-crab topos.
@@MrButterpantz "pre-crab topos".... I might have to use that phrase one of these days. ð
@@DrEyeGuy It's currently copyrighted but we can work something out.
@@MrButterpantz haha! Sounds good!
Can you use this to remove soft contact lenses?
Hello doctor, are large lenses better and are they 6 by 6 eyesight? Are they comfortable on the eye? I have keratoconus and I want to use scleral lenses. Do you advise me on them? I have a doctor in America who said one solution is to use scleral lenses.
I've had my scleral lenses for about a month and see well with them. Just a word of warning, wear protective eyewear when playing racket sports. I took a hard hit by a pickle ball on my eyeball. Me lens broke into pieces while in my eye. Resulted in bruising and swelling of my eyeball and a gash on my cornea. Painful but luckily I didn't lose my vision.
How do you stop blinking/squinting when putting in or taking out contacts? It's hard to take the contacts out when the reflexes shut my eyes immediately when my fingers get near the eye. Any eye relaxing technique would be greatly appropriated!
Tried this once last year and it was terrible. It did its job of making everything clearer, but after about 2 hours of wearing them, they started to hurt and it felt like I was being poked in the eye. Taking it out was a nightmare as well. Wasn't for me, but I appreciate your effort to try to make it easier for people! Job well done! ð
Thanks! Sclerals are not for everybody, but good on you for giving them a shot.
taking them out is a nightmare, they stick firmly on the eye. I'm devastated. Even my optrician had problems.
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You wore the wrong side.
My eyes itch and burns so much about a few minutes after putting it in. Is that normal? I just started wearing them about 4 days ago
Hey doctor do large sized sclerals provide greater and sharper vision than small sized sclerals?
I keep vetting air bubbles trapped no matter how hard I try. The- keeping the eye open with the other hand doesn't work as the plunger tilts once I bring it to my eye.
Doctor when my scleral lens dry it's sticky on eye and very difficult to remove
GREAT tutorial. THANK YOU!!
Glad I could help!
@@DrEyeGuy Not that you care, but prior to my corneal transplant in 2006, on my right eye, I was wearing a small RGP lens on top of a soft contact lens, and wearing glasses. It was uncomfortable when the lenses were in place, and unbearable, when the hard lens would slide into the lower corners of my eye, especially while driving.
I swore to myself, never again will I ever wear another lens. However, 16 years later, my vision has worsened, and my ophthalmologist suggested the scleral lens. He said another transplant wouldn't give me any better vision.
I have decided to give the sclerals a try, since I've been informed, the scleral is less sensitive than the cornea.
Thanks again
@@t.lucalake8963 I hope you end up loving scleral lenses! Have you had your fitting appointment yet?
@@DrEyeGuy
Yes, was fitted for the lens on 02/17
Prior to my appt., I watched TH-cam videos on how to insert/remove/care for the lens. The first lens was a little uncomfortable, but the 2nd lens felt ok.
@@DrEyeGuy
I'll be wearing only one scleral lens.
I get them often fogging after 2 hours. Do you have a solution? Thanks
I've learned that just placing a light below your hand with the insert makes it possible to see the outline of the lens, so you can align with your eye.
Good tip!
You must had a very dedicated optometrist who will not compromise fitting the lens to each eye. The fit must be absolutely perfect - no corneal contact, especially in keratoconus or post-transplant patients. The initial price is so high because the manufacturers must re-do each lens until it fits just right and that may take several fittings. When itâs right, the vision is outstanding (at distance) and the lenses feel natural and comfortable.
Thank you for commenting this. It's true when the fit is just right, the vision can be amazing.
I found using my fingers like a tripod over the suction thingy was easier.
Question, when getting it out, can you damage your eye given the lense is hard? I get it out by hooking my eyelids on the top and bottom to dislodge it
It is possible to scratch or hurt you eyes or eyelids if you use too mich pressure or something is wrong with the lens. Most of the time you should be good
Iâm actually used to using my fingers but it always meant that I had to keep my nails short. I recently got some longer press on nails and I love them but when I tried to put my contacts in or take them out I kept accidentally stabbing my self in the eye. Thankfully no damage but now Iâm trying the applicator. It is a bit tricky though.
U must use the plunger and applicator . I tried to do it with fingers , it worked but when i tried the applicator later i found it much easer and firmer . You need little confidence only . U will see the difference
Question, is there an appropriate amount of force/pressure that you need to put the lenses on? I kinda notice my vision is not as fuzzy if I push on the contact when it makes contact with my eye vs when I stop a bit after I hit the saline.
As long as it goes in without any bubbles, then you should be good.
Una explicaciÃģn increÃble, muy buena, aÚn asà tengo miedo de que algÚn dÃa no salga la lentilla del ojo, que deberÃa hacer?
Se consigue mejor visiÃģn con la lente escleral o con la RPG de keratocono?
Hey doctor, i was wondring if i have to be worried cause whenever i out my scleral lenses my eyes get red after a while ( usully 1 or 2h ) even though i put and remoove theme correctly. My ophtalmologist says that i need a period of adjustement but it's been over 1 year already and my eyes don't feel confortable in thel at all although i see very well with them ( i lust adlit that lfte' i get scarred a'd remoove thel ) i was wondring if i should get worried a'd change my ophtalmologist
Sorry to hear this. If it makes you feel better... this is a fairly common complaint/occurrence with some scleral lens wearers. The causes can range from a slightly tighter fitting lens, to a more sensitive eye when the air hits the surface of the cornea and causes that type of reaction. Sometimes it can be tricky to figure out why it's happening.
Why is saline solution needed to insert them?
Im attempting to try everything before I get a corneal transplant for my left eye. I have very bad Keratoconus in my left eye. How exactly does this lense work to correct whats happening? Best way to describe what I see out of my left eye is : Normally, you have a circle of vision that is in focus like a cone out of your eye, the center, and the outer, is periphial and not in focus. Mine has flipped basically, where the outer edges I see clearly and the inside cone is what is out of focus, unless something is 0.5 inches away from my left eye then I can actually see out of it (which is why my surgeon Dr Rootman in Toronto) wants to do the transplant, since I still have such good vision behind the deformed cornea. Does a scaleral lense counter-act what the Keratoconus has done to my eye (make a cone of the cornea?). Just wondering if its worth the trouble to do. Transplant scares the shit out of me.
side note. I had tried RGP lenses a couple years ago but my cornea is so coned/deformed that it wouldn't sit right and was basically impossible for me to put in/keep in. I've also been recommended to try a "Prose lense" if scaleral doesn't help me at all.
i donât know if i did it wrong but when i put them in they were very uncomfortable and wanted to take it out as soon as possible. how do you fix this?
Were you able to get them in at the doctor's office. Usually patients will go through a fitting process with scleral lenses, where the doctor can make changes to the fit of the lens if necessary. This can help get the fit of the lens more comfortable.
can people remarque the scleral contact on your eye ?
if anyone is having trouble with removal, i find it much easier of doing the lower edge of my eye rather than directly under the pupil
yes, I am....it kinda hurts for a second. I don't like that
Dr. EveGuy , sou brasileira, gostaria de saber se apesar do Boston posso usar sabÃĢo lÃquido neutro da jonsonh para lavar as lentes esclerais????
If this is soap for skin... then no.
That's a huge lens. Virtual reality lenses? Interesting as I just bought the Oculus Quest 2 headset. It's SUCH A PAIN to use with glasses but I have such dry eyes it hard to wear contacts these days.
Thanks for saying this... I was going to reply this, but you beat me to it. ð
As quidnunc said, vr prescription lenses might be a good option. I have a couple videos about those. I was also going to say these scleral lenses are used a lot for dry eyes as well. Who knows, maybe in a few years you can just wear these lenses for your vision, dry eyes, and VR all at the same time. ð
@@quidnunc01 yes this. If you have a high rx, you can try Reloptix. I just got mine but haven't been able to try them yet as I've got an ear infection and don't want to get into VR with that. Reloptix has a flat rate no matter your rx strength.
Hi!
This is more visible on the eye than a hard lens
how to bangladesh price..??
Got mine today to cure the NK/cornea damaged due to a vitrectomy and IOL replacement surgery I had to remove a huge floater I developed back in December of last year and to replace a misalign cataract lens. The problem is that I had complications during surgery while performing the cataract IOL replacement. The floaters are gone but the the Retina specialist never got to replace my new cataract IOL lens. So I've been without a IOL lens since March of this year.
The Cornea specialist Dr. recommended this special Scleral lens and at the time of measuring and getting the process ready I pass the eye test no problem to have it. However, today, was my fitting and it was disappointing and a let down. I still can't see very well with it. Total distortion and I can not focus with my good right eye. They said that I need to get use it and my brain to adjust since I've been without the lens for 5 months. But I can't see how! My vision with it on is like putting someone else's glasses on and I am getting dizzy. So I don't understand. Is this normal?
They double check my Scleral contact lens prescription and eye test it and it seems to be correct but I am having this weird vision distortion effect. I am not happy and it looks like I just wasted so much time and $$. I even did the Oxervate 8-week treatment as well prior to heal/replenish the cornea nerves I also have or had..I just don't know at this point. Losing all hope to see again on my left eye and I might have to live the rest of my life the way It is......What a nightmare!
That sounds like a nightmare, i am suffering from several floaters in my left eye of various sizes and shapes and levels of opacity, all the eye drs keep telling me is to get a vitroctomy and how safe it is and others have said just live with them and the risks aren't worth it if your only reason for vitroctomy is to get rid of floaters, I'm only 43 and been having them since i turned 40 and most articles I've read you shouldn't get floaters till late 50s or mid 60s ð
@@markjohnson1207 Donât do it! Try and live with the floaters. I still have them on my left eye that I had a vitrectomy on even though they are small and not the worm like floaters I had before the surgery. Itâs just not worth the risk. It is really a gamble when you have eye surgery. I am now regretting it. I now have to wear a Scleral lens on my left eye due to an incompetent eye Dr. I am going to see another Cornea specialist and see if I can get a special IOL cataract implant so I donât have to bother with the prescription Scleral lens. However, I will still need to wear one for the dry eye/NK that was damaged due to the surgery complications. But it will be a non prescription Scleral lens that I can put on when needed onlyâĶnot all the timeâĶ.
If you really want to do the surgery, do a lot a due diligence and make sure the Retina doctor you choose has an excellent reputation on Vitrectomy surgery. Good luck!
@@EGGUZMAN they would be doing it on my dominant eye if i ever chose to do it, i only use my right eye for peripheral vision and my left eye for everything else, all my floaters are in my left eye and everyone said that you WILL develop cataracts after the surgery, i thought about going to see the floater dr in Texas but I'm all the way up in Washington state, my floaters mainly consist of the wormy variety but i do have some gray blobs that move around also, I've seen 2 laser floater specialists in my area and both had a rough time finding them but a retina specialist found them within 5mins, I'm amazed more research hasn't been put into the issue with floaters given how many people wind up developing them
That makes me wonder, with your corneas sealed off like that and soaked in saline solution, how do your eyes know to still blink?
They do, but you definitely blink less with contacts, and scleral lenses in.
Do scleral lenses come in natural color?
You can get a "visitint" type of color on the lens, but that mainly helps so you can see the lens better. There are scleral lenses that people use as a type of prosthetic, and can have a color, but those are more custom scleral lenses.
Can these lenses help dry eye and blepharitis?
They can with dryness, not blepharitis. Here is a video I did explaining how it helps with dryness: th-cam.com/video/GSf0EkHT7Qo/w-d-xo.html
@@DrEyeGuy thank you
I have a question! Why would someone need this kind of lens? Is there an advantage over, say, my disposable dailies?
Good question! Most people that have this type of lens have a corneal irregularity. Usually keratoconus or marginal pellucid degeneration, or maybe a corneal transplant. Or people with large amounts of astigmatism do great in scleral lenses. Most people with regular corneas and regular astigmatism don't need a scleral lens.
@@DrEyeGuy wow! thatâs so cool. thank you!!
also many people need them after laser eye surgery because of induced corneal irregularities to restore their vision.
I have a corneal scar due to an infection I had. These are the only option to correct vision
Do you have any tips for putting these on for someone with small asian eyes?
It can be very tricky. There are smaller size scleral lenses that could help. Also, one way is to first slide down the bottom, and then lift the top eyelid up. It's tricky though, it's all about different angles and moving just right.
I have Asian eyes and wear 15mm sclerals. In the beginning I was like there is NO way those will fit in my eye. Dry your fingertips, spread your eyelids, take a breath and spread them farther! Once you feel the coolness of the saline..keep going..then let your eyelids go (to keep it in) blink and youâre good to go!
@@cj9667 Awesome! Thanks for this comment!
Dr. for How long can we wear scleral lenses in a day?
A lot of people can wear them all day long, not sleeping in them. Some people may need to take them out in the middle of the day to clean them and put fresh solution in them.
@@DrEyeGuy okay, thanks doctor
@@DrEyeGuy can you shower in them?
Does this lense give vision sharper the RGP?
It can. I have many patients that see better with scleral lenses.
I was trying for the first time ever, and my blood pressure gone to the roof ð
Yeah, don't "wet" your plunger or any of your lens/supplies with tap water. Use saline.
Wow, interesting Dr eye. The contact looks uncomfortable. It's huge!
It is huge, and the one in the video is a "small" version of scleral lenses. ðŽ
great tutorial. talks fast. the only thing I would change is AVOID tap water at all costs. A drop of sterile unit dose saline on the removing plunger does help, and safer than tap water.
3:23 anyone notice in this shot he doesn't actually get the contact inððð
Haha, I was wondering if anybody would notice that. That clip is from a tip video I did, this one showing if you have the plunger suctioned too tight it can hold on to the contact too much. It was just a good angle of putting the contact on the eye. Nice catch. ð
I was nailing it at the doctors office but then as soon as I get home, that damn lense avoided me like the wife when I want some nooky...
removal show :))))))))))))))))))))))))))
ððð
I hate myself for having this condition. Iâm the only person I know whose stupid f n eye ball jumps in and out while trying to put the lens in. I got 1 foot eye left and once itâs
Bad Iâm done!
I can remove them no problem but...I kinda hurts for a second. Is that normal? Almost like a prick. New subscriber
Pleze give me Hindi understand
fake?...obejrzyjcie w zwolnionym tempie , wyglÄ da jakby soczewka zostaÅa na aplikatorze przy zakÅadaniu.,,,
No way...no matter what I prefer "old" way to put in contact by just tapping it with your finger tip. No need to put a bucket of fluid into your eye...
Nope. Sorry, despite vision issues that these jokers "might" help with, I could just as well put cereal bowls in my eyes. I initially thought these would just be larger soft lenses. Rigid?? NO way.
You would be surprised how well they can work sometimes.
worn schleral lens for a few years Comfortable took a few days to adjust at first
These are so comfortable. I have horrendous scarring and chronic dry eyes. These drops are like bathing them all day in cool saline. Heaven!!
Wawwwww amazing Dr you helped me alot with the removal of the lens.God bless you and the dr 's @bascom palmer in miami