How to Insert and Remove SCLERAL LENSES | Beginners Guide to Scleral Lenses


in this video I’m gonna walk you through
how to put in and take out scleral lenses let’s take a look hello and welcome this
is dr. Allen here from the doctor eye health show helping you learn all about the
eyes and vision and if you’re new here to the channel and you like learning
about contact lenses and different eye diseases then definitely make sure to
hit that subscribe button down below so that you don’t miss any of my future
videos now of course at any point throughout the video feel free to check
out the youtube description below because they’ll include some additional
links and resources that will help you along your scleral lens journey now
inserting sclera lenses can be a bit tricky so I’m gonna walk you through how
I feel it works the best for me but if at any point you have trouble with your
scleral lenses contact your local eye care provider now first thing when
dealing with contacts whether you putting them in or taking them out
you’re gonna be touching around your eye so make sure you wash your hands
thoroughly next we want to identify which contact lens you’re gonna be
putting in I typically always start with my right eye because I am right-handed
that way I don’t mix up which lens I’m putting in which eye it’s just easier to
build a habit out of it that way you don’t have to try to remember which is
which you do have a mix up your lenses some brands do have little laser
markings on them including little dots that will tell you which I belongs to
which usually there’s one dot for the right eye and sometimes you’ll see two
dots for the left eye but ultimately if you do mix them up and you’re not sure
contact your eye clinic for help now when you remove the lens you want to
inspect it to make sure there’s no defects no chips or any other problems
now there’s a few different ways to insert scleral lenses however I prefer to
use a little plunger called a DMV no pro tip is if you get a DMV and it does have
the bottom being rounded you can go ahead and use a scissors to snip that
off because afterward you will have a DMV that has a little hole in the bottom
and with this little hole you can see a light passing through it and it acts as
a guide for you when you’re putting in the lens
they put the lens on the DMV like so and then you want to fill the bowl
completely with non preserved saline solution otherwise if you’re using a
multi-purpose solution of some kind for other types of contact lenses that
solution will have preservatives and those preservatives will get trapped on
the eye and that can lead to a chemical burn you can often buy this special type
of saline solution from your eye clinic otherwise you can also find them online
I’ll include some resources in the description below now you’ll need to
the bowl of the lenss completely all the way to the top that way you can kind of
see a bubble of fluid forming on the top if you don’t fill the bowl completely
then you’re likely gonna get a bubble when you apply two lens and then you’re
not gonna see well and the lens is gonna move and it won’t be as comfortable now
inserting the scleral lens you want to have your face completely parallel to
the floor some people find using a mirror or
something as a fixation target on the counter can help you with inserting the
lens and getting it in the right spot but again you want to be facing down and
parallel to the floor that way you don’t spill the fluid out of the scleral lens
when you’re trying to put it in now most people find it easiest to hold the
scleral lens in one hand while using the other hand to hold both eyelids open as
you putting the lens onto the eye another pro tip is to keep both eyelids
open during this whole process because that’ll help keep the eyelids open as
the eyelids are open wide push the lens onto the eye while staring straight down
toward the floor the lens will gently suction onto the eye and into place
naturally some of the saline solution will be displaced and spill out of the
lens so expect it to be a little messy don’t be afraid this whole process can
take a few tries if you’re just starting out if you do find it challenging to
hold both eyelids open with just one hand look maybe your eyelids are just
too strong then perhaps considering using what’s called the s5 inserter this
is a special type of lens inserter that will hold your scleral lens for you that
suctions onto the counter and then you can just kind of hold both eyelids open
with both of your hands and then you can slowly dip your eye into the scleral
lens having it suction on for a lot of people when you initially get the lens
on things aren’t perfectly clear it takes a little time for that lens to
settle so if it’s not fully clear right away consider that to be pretty normal
now next we’re going to go over how to remove the lens but first if you’re
liking this video hit that like button for me and leave a comment below of what
part of this video you find most helpful now to remove a scleral contact lens
there again there are a couple of different methods you can use however I
still like to use a plunger this plunger is a little different than the first one
we used this one is a little smaller and is the exact same one you can use
to remove things like hard our GP lenses first I want to wet the plunger and then
aim the plunger at the lower 1/3 of the scleral lens then you will pull up and
out until the scleral lens breaks suction at the same time you can push on
the side of the eye and that will help break suction from the lens try not to
put the plunger directly on the center of the eye otherwise it’s gonna put too
much pressure of suction on the eye itself and this can be hard to get off
again try to aim for the lower 1/3 of the lens so it acts kind of like a
fulcrum and is able to come off much easier and there you did it
congratulations now to clean and store the lens make sure you use an approved
solution for hard are GP or sclera lenses or just follow the instructions
by your local eye care provider again this whole process is pretty difficult
so don’t feel discouraged if you didn’t get it on the first few tries but if you
continue to have difficulties make sure to ask your local eye care professional
for some more guided help so hope you found this video helpful if you want to
learn additional information about keratoconus or other eye diseases go
ahead and click or tap the screen over here to decide to check out my full
common eye disease series or if you want to learn more about contact lenses you
can click or tap the screen down over here for additional information about
contacts otherwise keep an eye on it and we’ll talk to you soon

38 comments

  1. Eye Health Question of the day: Do you wear Scleral lenses? Do you like them? What are some of your pro's and cons of sclerals?

  2. any connection to Scleroderma? I tried to wear therapeutic contact lenses as I have damaged corneas, but could never ever learn to get them in or out (after someone helped me get them in) now I see here that there are helpful tools to ease the task, thanks for sharing…

  3. I know this is kinda off topic but are there contacts for people with strong astigmatism? Just asking because my eyes are too shitty for lasik lol

  4. Haven't worn contacts in about 10 years after having Lasik but this brought back so many memories of my morning routine.

  5. Nice video! Very professional. I’m glad I found your channel I have watched your contacts video and they helped a lot

  6. Thank you for being so awesome and making these educational videos!!! Would you be making any videos about “colored contacts for people with astigmatism??”

  7. In Austria we don‘t use the scleral lenses, so what is the positiv and negative side from these lenses. For me, it is harder to put the lenses into the eyes. I hope you understand my bad english. And I hope you can answer my question.😅

  8. I hate scleral lenses. Always had bubbles form a few minutes after insertion. It drove me crazy. And maybe its my eyes but i got like weird mucus like substance swimming around in the lens when i wore them for long usually 8hrs

  9. I was just fitted for scleral lenses. I'm hoping I won't have too much trouble putting them in. The trial lenses were way more comfortable than corneal RGP lenses. I'm excited about getting them, but nervous about putting them in.

  10. Good day sir, I have eye problems. A normal eye has a good eye ball. But my eyeballs have a white and yellowish side. When I look up, down, right and left, my eyeballs are white but the yellow part of my eye is just around my cornea .. What does my eye problem call? I'm also afraid of going to eye doctors.

  11. Having keratoconus, yes, love my scleral lenses! There are already videos out there showing how to insert and remove with plungers. How about showing how to do this with no devise? I use my fingers as a tripod and then remove with my fingers as well. The benefit is I’m nit tied down with having to travel with a million supplies and don’t have to worry about cleaning and sanitizing different tools. My doctors office showed and trained my with devices but also instructed me to move to no device as quickly as possible because it’s so much better! But do a search for a video instruction for this way, and you won’t find much, if any. Being an eye car professional, I’d live to see you do this!

  12. Can you please do a video on what a prism in glasses is and why someone would need a prism in their lenses?

  13. Hey Doc – Do you have any idea about why so many young people get a bad case of floaters? I see a lot of forums filled with young people who have 20/20 vision but a lot of floaters. In my case I have floaters while being 25 and farsighted, so I match none of the usual criteria about age and myopia…

  14. I would like to know if scleral lenses works for some one who wears progressive lenses . I have astigmatism in both eyes & I also have dry eyes . Thank You !

  15. The first time I wore my scleral lenses it took me over 2 hrs to put them on. What helped me the most is using a dmv tool with a hole under and putting a makeup mirror with a light underneath so the light shines through and i can see what im doing. So Don’t be discouraged, keep practicing and find what works for you. It now takes me 5 mins. It takes longer to set up everything i need.

  16. I have been waiting for this video (as I work as a Specialty lens technician). I was just hoping you might have covered what types of conditions scleral lenses could be used for, as many people don't know they may be an option. Great video, will keep an eye out for the next one 🙂

  17. Hi from Florida Pinguecula can have an early surgery ? Where to do? If not and how to cured want you to talk and explain about this on next video Thank you and Thank you for my mum!

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