Tips for alleviating some of the fogginess of sclerals?

[CJ L.]

Has anyone tried anything that works to reduce fogginess in their scleral lenses? I'm still working with my OD to find the right fitting but it's really frustrating. Any tips and tricks would be greatly appreciated.

CJ

[Alix]

Has anyone tried anything that works to reduce fogginess in their scleral lenses? I'm still working with my OD to find the right fitting but it's really frustrating. Any tips and tricks would be greatly appreciated.

CJ

Have you been checked for GPC? The lenses may be causing too much friction with the insides of your eyelids which can cause fogging.

Also I know they are not the same thing, but when I used to wear RGPs I would get fogging when I used something different to my usual solution (like when I was on holiday and picked up a random solution in the local chemist). So it might be an allergic reaction. Might be worth trying a different brand?

[CJ L.]

Alix I haven't been checked for GPC. Right now I'm using my normal solution; I'm thinking my doctor hasn't been able to supply me with a pair of sclerals that are the exact right fit. I guess this calls for more patience...which is wearing thin....

[Alix]

Alix I haven't been checked for GPC. Right now I'm using my normal solution; I'm thinking my doctor hasn't been able to supply me with a pair of sclerals that are the exact right fit. I guess this calls for more patience...which is wearing thin....

I hear you, I didn't think it would take this long either but it will be worth the wait.

[Hokucat]

Hi. Fogging after a few hours is a common occurrence. There can be several reasons for this, here’s some common ones:

1) The saline may be bothering your eyes. You should always use a preservative-free saline like Purilens, ScleralFil, Addipak, Modulose, etc. to fill your sclerals. Some people do better with buffered saline, others with unbuffered. This forum’s Dry Eye Shop sells many of these salines and identifies which are buffered, etc. (I personally do better with buffered like Purilens and ScleraFil):

https://dryeyeshop.com/collections/p...e-free-salines

2)The residual from cleaning solutions are irritating your eyes. For PROSE sclerals, the standard is typically cleaning the lenses with Lobob ESC and then soaking them overnight in Clear Care in a scleral basket. All this is also sold in the Dry Eye Shop:

https://dryeyeshop.com/collections/l...g-disinfection

3)You may need more cushioning and sealant to keep out debri than just saline. Many scleral specialists suggest using a few drops of Refresh Celluvisc PF with the saline when filling the lenses, which is a thicker eye drop many with sclerals do find helpful, including myself. I was recently getting some clouding toward the end of the day, and using a couple drops of Celluvisc (as recommended by my PROSE specialist) did help resolve that. Or perhaps use your favorite thicker PF drop with the saline.

4)Sometimes if the eye is dry, with the lens sitting on the scleral/white part of your eye, it gets irritated. When my eyes were drier, periodically I’d put several drops of saline or PF artificial tears above and below the lens edges while wearing them and blink a few times to spread the lubrication over my entire eyeball, and that helped with fogging.

5)Lens fit may not be optimal. Some people had reduced fogging after a few more lens fittings to adjust the size and shape of the lenses.

6)Make sure to wash you hands with a soap free if fragrances and moisturizers before inserting and removing your lenses. This residual can get on your lenses.

There’s can be other reasons, sometimes it can’t be better, and people just resort to taking out their lenses, cleaning, and reinserting them every few hours. I don’t know if the above will help, but just some ideas based are personal experience, experience of those in this forum, and scleral specialists input. Of course you should check with your scleral fitter about all this first.