Severe dry eye: scleral lenses for surface repair
A scleral lens holds a reservoir of saline over the cornea all day, shielding the surface so it can heal.
- 01Keratoconus: five custom lens options
- 02High myopia: large-diameter lenticular RGP
- 03High astigmatism: rigid lenses only
- 04High hyperopia: why custom soft comes first
- 05Presbyopia: multifocals measured, not guessed
- 06Prosthetic lenses: appearance, comfort and vision
- 07Severe dry eye: scleral lenses for surface repair
How it works
Part 07 · 01For patientsThe lens vaults the cornea and holds preservative-free saline against it all day, shielding the surface from the lids and from drying out so it can heal.
How scleral lenses are fitted →Who it suits
Part 07 · 02Severe dry eye
When it hasn’t responded to other treatment.
Exposure keratopathy
When the lids don’t close fully over the eye.
Neurotrophic keratopathy
When reduced corneal sensation stops the surface healing.
Graft-versus-host disease
Ocular surface disease after a bone marrow transplant.
Sjögren’s and Stevens-Johnson syndrome
Autoimmune and scarring conditions of the eye surface.
Where it sits in the care pathway
Part 07 · 03Treat the glands
IPL and radiofrequency.
Clear the glands
In-clinic gland expression.
Protect the surface
Scleral lens rehabilitation.
Key takeaways
Part 07- 01A scleral lens bathes the cornea in saline all day
- 02It protects the surface from the lids and from drying, so it can heal
- 03It follows gland treatment in the dry eye pathway
Book a contact lens assessment.
Optometrists and ophthalmologists can refer through our referral form.
General health information only, not personal advice. Everyone’s eyes are different. An optometrist or doctor should examine you before any treatment is decided.