If you've been told you can't wear contacts — because of keratoconus, corneal scarring, post-surgical changes, or punishing dry eye — scleral lenses were designed precisely for you.
A scleral lens is a large-diameter rigid lens that arches completely over the cornea and lands on the sclera — the white of the eye. The space underneath fills with saline, creating a smooth liquid optical surface where an irregular cornea used to be.
That fluid reservoir is why sclerals do double duty: crisp optics for irregular corneas, and continuous moisture for severe dry eye.
Keratoconus patients often see their sharpest vision in years. Post-LASIK and post-transplant corneas gain a stable surface. Severe dry-eye sufferers get all-day relief that drops can't match. And complex prescriptions — high astigmatism, odd multifocal needs — get custom-built optics.
Fittings are genuinely specialist work: mapping the cornea, iterating the vault and landing zone, and training you on handling. It's a process measured in weeks, and worth every visit.
We start with corneal topography — a detailed elevation map of your eye — then trial lenses, adjustments, and follow-ups until the fit is stable and the vision is right. You'll leave confident with insertion, removal, and care.
If you've written off contacts, don't. Book a consultation with Dr. Carrie and find out what modern specialty lenses can do.
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Read →Keratoconus, post-LASIK ectasia, corneal scarring and irregularity, severe dry eye, and prescriptions too complex for standard soft lenses. They're often the difference between functional and blurry vision.
Surprisingly, yes — usually more comfortable than standard rigid lenses. They vault over the sensitive cornea entirely and rest on the white of the eye, with a cushion of fluid in between.
Dr. Carrie Roitstein at Eyeland Optique specializes in scleral, hybrid, and custom multifocal fittings — specialty work that usually requires a trip to a university clinic.
