Scleral Lens Question

[eyeneedhelp]

I was diagnosed with MGD and have had issues tolerating soft contact lenses in the past because I would develop giant papillary conjunctivitis. Would it be impossible for me to tolerate scleral lenses as well or might it help with the dry eye and be comfortable. I really need advice. Thank you!

[Hokucat]

According to The Scleral Lens Society link below, GPC is more commonly associated with soft contacts than rigid gas permeable (RGP) lenses. Sclerals are RGP, so sclerals may be better for this reason and also for the potential relief it might be able to provide your dry eyes.

https://www.sclerallens.org/ocular-allergies

Would suggest going for a consult to discuss your GPC condition with a scleral specialist, and to try on a trial pair to see if you can tolerate them and if they provide comfort. Given you have both GPC and MGD, would suggest seeing one of the top scleral fitters with extensive scleral experience like the PROSE scleral specialists, EyePrintPro, or Dr. Gemoules in Texas, especially if you are in the U.S.

http://www.bostonsight.org/PROSE/PRO...nt/About-PROSE

https://www.eyeprintpro.com/patient/

https://laserfitlens.com/

[eyeneedhelp]

Thank you so much for your advice, I really appreciate the support! My GPC is almost completely healed right now, but my suspicion is that my dry eyes cause my soft lenses to be dry also which then results in the mechanical irritation leading to the GPC. I am hoping that since scleral lenses are meant for individuals with dry eye that this won't be a problem

[RedEyes277]

I'm just curious, how did you cure the GPC?

[eyeneedhelp]

I have been out of my contacts for about 3 months and have been using Pazeo (once a day) and Alrex (as needed)

[ebi1368]

Hello

I have been dealing with Dry eye since my lasik 5 month ago.

Two month after lasik, I was diagnosed with Ocular Rosacea. Then my eyes get worse and worse every day. I am having lot of problem with Ghosting, starburst and Halo recently.

I have been doing all these dry eye treatments and nothing has helped me.

I would like to get Scleral lens. Is there anybody here from Canada Alberta got Scleral lens with good success rate? I have talked to a few optometrist and they all say they can fit me with Scleral lens. I do not think it is that easy.

I would love to go to Dr G but the problem is I have Iranian passport and I can not get USA Visa because of USA immigration policy.

Thanks

[diydry]

I recommend trying a scleral lens. As discussed, our symptoms are pretty similar (ocular rosacea, MGD post-lasik). The lens has helped me. It's not a game-changer, unfortunately, but it has bee a useful addition to my treatment and my comfort. I wear it roughly every other day (3 days/week) for 6-10 hours. Unfortunately I can't tolerate it more than that, we are not sure why. Others on this forum have recommended I see Dr. G or a get a premium PROSE lens which will likely be my next lens in a year or two. However if you have access to scleral lens in Albert and it is partially covered by insurance or not too prohibitive in price, you should give it a try.

[ebi1368]

I recommend trying a scleral lens. As discussed, our symptoms are pretty similar (ocular rosacea, MGD post-lasik). The lens has helped me. It's not a game-changer, unfortunately, but it has bee a useful addition to my treatment and my comfort. I wear it roughly every other day (3 days/week) for 6-10 hours. Unfortunately I can't tolerate it more than that, we are not sure why. Others on this forum have recommended I see Dr. G or a get a premium PROSE lens which will likely be my next lens in a year or two. However if you have access to scleral lens in Albert and it is partially covered by insurance or not too prohibitive in price, you should give it a try.

Did Scleral lens eliminate your abberasion like double vision?

[diydry]

Yes it definitely improves the ghosting and double vision, however the purpose for me was to help with dry eyes. I think if HOA are really bad then a special lens like Laser Print Pro (etc.) that contours especially to the shape of your eye is used to correct HOA. Did you see Dr. G's testimonials? I have not used his product but a lot of people on the forums have. https://laserfitlens.com/patient-stories/

However in my case, the scleral lens does create other visual problems - for instance the lens has a tendency to de-center in my eye when I blink sometimes, thus causing some temporary blurriness. So it's not a perfect solution, but then again nothing is.

[ebi1368]

Yes it definitely improves the ghosting and double vision, however the purpose for me was to help with dry eyes. I think if HOA are really bad then a special lens like Laser Print Pro (etc.) that contours especially to the shape of your eye is used to correct HOA. Did you see Dr. G's testimonials? I have not used his product but a lot of people on the forums have. https://laserfitlens.com/patient-stories/

However in my case, the scleral lens does create other visual problems - for instance the lens has a tendency to de-center in my eye when I blink sometimes, thus causing some temporary blurriness. So it's not a perfect solution, but then again nothing is.

Thanks for your answer. It is not possible for me to go to US at this moment. Maybe in two year or so when I get my Canadian passport.

Just wondering, have your doctor told you what causes your double vision? Have you done corneal topography and/or wavefront? I was hoping it was tear film but it seems to be not.

My doctor keep telling me wavefront does not show any sign of HOA. He is suspicious that lens is going to help me. I do not want spend money and do not get my double vision/starburst fixed.

My dry eye is bad but it is not that bad to get Scleral lens just for dry eye. I think changing my diet to absolutely NO Sugar and staying away from wind helped me a lot.