What do you fill your sclerals with, and why?

[Rebecca Petris]

[Blinks]

My Prose doc prescribed sterile saline and Celluvisc, one vial of celluvisc in each device. Works great,

[pythonidler]

I use 20% serum tears. I change the serum tears in the lenses twice per day.

Does anyone else fill with serum tears and had problems with infections?

[L8rgator]

Serum tears and celluvisc were too thick for me. had issues with bubbles and stickiness. No problems with infections though. I use Unisol. Yes, I still have 7 boxes left of (now expired I'm sure) Unisol. And sometimes Addipak/Modulose

[farmgirl]

When I was trying them I had to use Addipak cause couldn't tolerate anything else. I would add just 1 drop of serum though. Too expensive to fill them with serum and I think it would be overkill.

[Hokucat]

I put two drops of Genteal Tears PF (previously known as Tears Naturelle) in each lens and roll it around to coat the entire inside of lens, then fill the rest with Purilens PF saline.

My PROSE doctor recommended I use Refresh Celluvisc, but the main ingredient Carboxymethylcellulose Sodium, bothered my eyes.

[MGD1701]

Scleral Lens
Would such lens help against all environmental factors such as wind, air pollution, smoke, fan, cold weather etc?
If so, how effectively, 100%? More benefits? Thanks!

[farmgirl]

If you can tolerate them they can be very helpful in protecting the eye. I couldn't but many swear by them.

[Rebecca Petris]

Scleral Lens
Would such lens help against all environmental factors such as wind, air pollution, smoke, fan, cold weather etc?
If so, how effectively, 100%? More benefits? Thanks!

They help against everything BUT depending on the state of your cornea and conjunctiva and how dry you are, realistically, you're probably looking at wearing moisture chamber glasses over them when in challenging environments. Certainly true for me in wind, smoke, etc. - The thing with sclerals is that they keep the cornea very wet and happy, but there's still the other ocular surfaces to deal with and the interface between the top of the lens and the lid.

[MGD1701]

Thank you Rebecca. Will consult dr next time.

[MGD1701]

Just found this.

Published May 3, 2018 • RO/RCCL Staff

Scleral Lens Wear Increases IOP

This modality is helpful in many cases, but practitioners should still monitor patients closely.

Wearing scleral contact lenses could increase a patient’s intraocular pressure (IOP), a recent study, presented this week at ARVO, shows. To gauge the effect of these lenses on IOP, researchers from the University of the Incarnate Word’s School of Optometry in San Antonio, Texas, fit seven individuals with normal corneas and IOP levels with a scleral lens in one eye and a soft lens in the other eye. The subjects wore the lenses for eight hours and researchers compared pre-wear IOP measurements with post-wear measurements.

In the scleral lens eye, IOP increased notably in all subjects after eight hours of wear. While IOP did increase slightly in some of the soft lens eyes, it decreased in others; overall, the changes in these eyes were not significant. Additionally, the study ruled out lens settling as a possible cause of IOP changes in the scleral lens eyes.
“Because scleral contact lenses place all of their weight on the white part of the eye [… ] some believe that they might cause the fluid to back up in the eyes, resulting in high pressure inside the eye or glaucoma,” the study said.
“After eight hours of wear, the scleral lens group showed a significant increase in IOP of 5.81 +/- 1.62mm Hg,” says Joseph P. Shovlin, OD, of Scranton, PA.
“
Long-term effects should be considered and examined in patients who might be susceptible to optic nerve changes due to IOP increases. Careful follow-up in all scleral lens patients should include IOP assessment on a regular basis.”

https://www.reviewofoptometry.com/ne...-increases-iop

[Hokucat]

Thanks for the article, MGD1701. I have read about this before, but others may not have. Maybe good to post this in a new thread so people don't miss it.

Everyone should have their IOP monitored regularly. If one has sclerals, they should have a check up annually with their scleral specialist who typically also checks IOP, among other things.

Like many other things, good reminder to wear sclerals in moderation. I'm finding because sclerals help my eyes feel better for at least a few days after wearing them, I try to go a couple days a week without them to give my eyeballs a rest from the lenses. Also, if I'm done going out for the day, I'll take my sclerals out earlier.