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The Contact Lens Institute of Nevada helps patients manage complex conditions. The most innovative technology will be used to assess and recommend a solution for your ocular condition.

Posts tagged scleral lenses

Keratoconus Patient Referred To Us For Contact Lens Consultation

Thank you Dr. Wellish for your kind referral of your patient to our clinic! We had a very nice 48 year old patient referred to us for a contact lens consultation. He was diagnosed with keratoconus in his 20's, but his corneas remained stable throughout the years, and he was...

Scleral Lens Assessment Video by Dr. Stephanie Woo

How do I evaluate a scleral lens? Often times I am asked to discuss scleral lens assessment. What do you look for? What equipment is needed? Any other advice? Here is a short video of me assessing a scleral lens on a patient's eye. First, I get an overall view...

Patient Referred To Us For Corneal Inflammatory Condition

Thank you Dr. Stafeeva for your kind referral to our office! A 59 year old patient was kindly referred to us from her corneal specialist, Dr. Stafeeva. This patient had a corneal inflammatory condition of unknown etiology and has been managed with many eye drops including antibiotics, steroids, and other...

Patient switched into a custom scleral lens design after failing in a traditional scleral lens

We have been working with a 25 yo male with h/o keratoconus OS>>OD s/p CXL. He found us online looking to see if he can improve his vision with scleral lenses. His vision with his glasses was 20/30 in the right eye and 20/400 in the left eye. He was...

Live demonstration of an EyePrint Prosthetic

In this video, join Dr. Stephanie Woo for a live demonstration of the EyePrint Prosthetic on a real patient. This patient suffers from poor vision as a result of prior eye surgery. She had radial keratotomy surgery (also known as RK surgery) in the early 1990’s. This surgery was a...

How Do I Get Insurance to Pay for My Scleral Lenses?

How do I get insurance to pay for my scleral lenses? If you have medical or vision insurance, they may contribute toward the cost of scleral lenses. Some insurance companies such as VSP or Eyemed will reimburse eye doctors quite well for scleral lenses, and many offices accept this insurance...

Does Insurance Cover Scleral Lenses

Does insurance pay for scleral lenses? Yes. In many cases, insurance will cover the cost of scleral lenses. This is especially true if you have a medical eye condition, such as keratoconus. Both vision insurance and medical insurance may cover scleral lenses. If you have a non-medical eye condition such...

What Are Custom Scleral Lenses?

The sMap is such a cool instrument, and it tells us a lot of information. Normal topographers map the corneal surface only, and give little (if any) data about the shape of the sclera. Since scleral lenses rest on the white part of the eye (the sclera), it makes sense...

Damage to Eye from a Burning Building

Super interesting case from Dr. Schorr from New Eyes! We saw a 19 year old boy for a consultation today. He suffered a trauma from going into a burning building and when he opened the door, the door flew open and the padlock hit him in the right eye. According...

Can I Use Eye Drops With Scleral Lenses?

 Is it safe to use eye drops while wearing hard lenses or scleral lenses? This is a question we get almost every single day. In general, it is ok to use preservative free artificial tears while you are wearing contact lenses. In some cases, you can use eye drops...

Can Corneal Transplant Patients Wear Scleral Lenses?

Can corneal transplant patients wear scleral lenses? We had the pleasure of seeing a kindly referred patient for a specialty contact lens consultation yesterday. This 78 year old white female has a positive ocular history of radial keratotomy (RK) surgery in both eyes in 1990, followed by a corneal transplant...

Can you use scleral lenses for sports vision?

Topography of keratoconus patient’s right eye Thank you Dr. Jen Burke for your kind referral! Dr. Burke sent a 17 year old patient to use for a corneal consultation. Even though the patient can see 20/20 with glasses, he reports seeing "lines" in his vision when he looks at a...

Contact Lens Options for Corneal Transplant Patients

A very interesting corneal transplant patient arrived today for a consultation. You can see the double running suture for this corneal transplant patient He had a herpes scar years ago, which led him to a corneal transplant in the left eye in 2018. After the transplant healed, he was fit...

What is scleral topography?

The sMap is such a cool instrument, and it tells us a lot of information. Normal topographers map the corneal surface only, and give little (if any) data about the shape of the sclera. Since scleral lenses rest on the white part of the eye (the sclera), it makes sense...

Heartwarming story about a keratoconus patient

Touching stories like these will NEVER get old! We saw a 21 year old boy with keratoconus yesterday for a contact lens fitting. I had originally seen him at my office in Arizona a few months back for an initial consultation, and his father has worked very hard the past...

Monovision scleral lenses

Monovision scleral lenses We saw a 66 year old male with a history of monovision LASIK OU 20 years ago. In the last few years, he began showing signs of ectasia OU and found about 9D of astigmatism. This is a very high amount of astigmatism! For reference, most soft...

Lupus patient with extreme dry eye

Thank you Dr. Mallinger for this kind referral. We have 77 yo F with a h/o of lupus erythematosus and severe dry eyes was referred to us for a scleral lens consult. Her current regime for managing her dry eye symptoms included topical steroids, constant instillation of various artificial tears,...

Stevens-johnson treatment options

Steven’s-Johnson is a rare, but very serious disease. Stevens-Johnson Syndrome (also known as SJS) is unpredictable and can happen to anyone. It is caused by a reaction to a medication or infection. It starts off with flu like symptoms, but then spreads throughout the body in the form of a...

Scleral lenses and eye cancer

Today we saw a very interesting patient for a consultation from Dr. Emily Schorr! This patient was diagnosed with a scleral melanoma, a rare form of eye cancer on the white part of the eye (called the sclera). She underwent cryotherapy to kill the cancer cells, which was successful. She...

Can Radial Keratotomy patients wear contact lenses?

In our practice, we see MANY radial keratotomy (RK) patients. This case is a true representation of why we do what we do. It’s cases like these that inspired me to create a clinic that is solely dedicated to specialty contact lenses. Helping people achieve vision who thought there was...

Are there treatment options after LASIK?

We had a very lovely young lady kindly referred to us from Dr. Wellish! This patient suffers from extreme dry eye syndrome. She had LASIK eye surgery performed years ago, and she did quite well until having children. She explained to me that her eyes became very dry, painful and...

What is that ring around my eye after removing a scleral lens?

If you have a compression ring, or ring on the white part of your eye when you remove your scleral lenses, it could be from a variety of reasons. When you insert a scleral lens, all the weight of the contact lens rests on the conjunctiva. The conjunctiva is a...

Epithelial bogging with scleral lenses

Scleral lens wear can present unique complications not seen with other modalities. During a follow up with one of our scleral lens wear patients, we found this presentation after removing his lenses to assess his corneal health. The patient had been wearing his lenses for about 6 hours and had...

Corneal transplant

Thank you Dr. Nyon for your kind referral today! We had the pleasure of seeing a nice patient today who was kindly referred to us for a specialty contact lens consultation. She had a corneal transplant in the left eye over 15 years ago due to an infection in the...

Sjogren’s patient fit into scleral lenses

A 47 year old female was referred for contact lens evaluation. She was diagnosed with ocular cicatricial pemphigoid and Sjogren's. These two conditions cause the eyes to be incredible red, irritated and dry. She suffers frm extreme dry eye.Her habitual scleral lenses are several years old and feel that they...

Severe Dry Eye and Scleral Lenses

One of our favorite patients came in for her annual exam for her custom contact lenses. This patient suffers from severe dry eye syndrome. She has had multiple treatments and used multiple eye drops without much relief. Dr. Wellish kindly referred her to me for a specialty contact lens evaluation...

Custom Scleral Lenses Help Physician to See Better

We had the pleasure of seeing our patient back for a Latitude custom scleral lens dispense today. This patient had LASIK surgery years ago, and he had monovision correction. This means that one eye is corrected for distance and one eye is corrected for near. In his case, the right...

Keratoconus patient fit into custom scleral lens

A nice patient was seen today for a specialty contact lens consultation. He was diagnosed with keratoconus 2 years ago at the age of 34 years old. He wore focus daily soft lenses for years, but 2 years ago, he noticed some changes in his vision, which led his optometrist...

Sjogren’s Patient Fit Into Custom Scleral Lenses

We had a very nice patient arrives for her scleral lens follow up this week! This patient was kindly referred by Dr. Stafeeva from New Eyes for a scleral lens refit. This patient has ocular pemphigoid and severe dry eyes. She also suffers from a condition called Sjögren’s syndrome. Patients...

EyePrint Prosthetic And Glaucoma

Very exciting and fun case today! We saw a very special glaucoma patient today. Patient's history: She has always had good eyes and never any eye issues until a few years ago. She was diagnosed with glaucoma, and was put onto eye drops, but her condition quickly declined. The left...

Monocular scleral lens patient refit into new scleral lens

Interesting case today sent by Dr. Malik. 56 year old black male with a history of keratoconus in the right eye. The left eye has been blind since birth, due to toxoplasmosis. When a patient only has vision in one eye, the case becomes a lot more complicated, because if...

What Are Scleral Lenses And How Can They Help Me?

Join Dr. Woo and Dr. Morrison as they present a webinar specifically for patients. In this webinar, they discuss what scleral lenses are, and how they differ from other types of contact lenses. They also review some of the most exciting technology on the market, and highlight some of the...

Corneal Transplant Patient sees 20/25 with a Scleral Lens

Today we saw a patient kindly referred by Dr. Ochiltree from Mohave Eye Center. A 69 year old white male arrived to our clinic for a contact lens consultation. He has a full thickness corneal transplant in each eye from keratoconus. He wears spectacle glasses, however, he was looking to...

Keratoconus patient sees 20/20 far and near

 49 year old black female was referred for a scleral lens fit and considering trying monovision for the first time. Her left eye has mild to moderate keratoconus and already had corneal crosslinking. Her right eye was only mildly suspicious for keratoconus. We fit her into the Ampleye scleral lens...

Radial Keratotomy Patient With Scleral Lenses

We recently had our first follow up with our 53 yo M with a history of RK in both eyes (right eye had 8 cuts and left eye had 16 cuts) since we dispensed his Ampleye Lenses. Radial Keratotomy (RK) is a type of eye surgery that was performed in...

Contact lenses for high astigmatism

We saw our Latitude scleral lens patient today for his dispense and insertion/removal training. He is a 35 year old white male and he has regular astigmatism, but a large amount (over 5 diopters in the left eye). He's tried many different contact lenses in the past, but he complains...

Corneal Transplant Patient Fit With Custom Scleral Lens

We had the pleasure of seeing one of our keratoconus patients today for a specialty contact lens fitting for his right eye. This patient has advanced keratoconus in both eyes. Last year, Dr. Stafeeva performed a corneal transplant on the right eye due to the advanced keratoconus disease. Many patients...

Scleral lens and red eyes

Saw one of our OneFit scleral lens patients today for a follow up visit. This patient has an extremely high spectacle Rx (over -26.00 Diopters), and he has worn corneal gas permeable lenses with an orthokeratology type fitting appearance for the past few years. We decided to refit him into...

Corneal Transplant and Aniridia

Saw one of our favorite patients today! We fit her right eye with a custom scleral multifocal (this eye is normal), and we've been patiently waiting for her left eye to heal up from her most recent corneal transplant. Her left eye suffered a trauma, which resulted in multiple surgeries...

Retinopathy of Prematurity patient has improved vision with a scleral lens

We saw a very interesting referral today from Wellish Vision Institute! A 35 year old male was referred to us to see if a specialty contact lens could improve his vision. He suffers from complications from retinopathy of prematurity (ROP). ROP can happen in patients who are born prematurely, hence...

Radial keratotomy patient has drastic vision improvement with scleral lenses

We had the pleasure of seeing one of our patients back for a scleral lens fitting today! We had previously seen this patient in July of this year. He was kindly referred by Dr. Stafeeva for a specialty contact lens consultation. He had radial keratotomy surgery (RK surgery) many years...

Comfortable Keratoconus Contacts

We had a nice consultation for a patient who has keratoconus in each eye today! This keratoconus patient noticed that his vision has declined over the past few months and is in search of a contact lens option to help him see better. He does have a history of hybrid...

Patient With Radial Keratotomy Finds Improvement In Vision With Scleral Lenses

A very nice 79 year old male presented to our office last week from a referral from his ophthalmologist. He has a history of glaucoma, radial keratotomy (RK) surgery, and cataract surgery. He also has a trabeculectomy on the left eye (a surgery performed on patients with severe glaucoma). His...

Keratoconus patient with scar tissue achieves 20/40 vision!

We had a very pleasant patient with keratoconus kindly referred to our office for a specialty contact lens consultation. He's had keratoconus for years, and over time, he has developed corneal scars in both eyes. The right eye scar is much more dense and central than the left eye. Due...

Keratoconus patient fit with Ampleye Scleral Lens

18 year old male was referred to our clinic for a scleral lens fit to improve his vision. He was diagnosed with Keratoconus in both eyes two years ago. The first symptoms he noticed was blurry vision that did not improve with glasses. He wore Corneal Gas Permeable lenses which...

Scleral Lenses Help Dry Eye Patient

Thank you Dr. Landin for this kind referral 36 yo HF who has a history of PRK at age 15 and reports that it may have resulted in a scar OS and dry eyes. She prefers soft CL wear over glasses but feels discomfort with the lenses due to her...

Keratoconus patient switched from corneal gas permeable lenses to scleral contact lenses

Kind referral of a Keratoconus patient from Dr. Starlin! ▪️Keratoconus patient who has been wearing corneal GP lenses for the past 20+ years. ▪️His vision has been great over the years, as well as comfort, but over the past 3 years he has noticed that the lenses keep dislodging from...

Severe Keratoconus In One Eye

We had the pleasure of seeing a lovely patient for a keratoconus consultation. She was diagnosed with keratoconus in the left eye about 6-7 years ago by an eye doctor in Kansas. The doctor attempted a corneal gas permeable lens fit for the left eye, but she could not wear...

Keratoconus Patient Fit With Scleral Lens

Thank you Dr. Ortiz for your kind referral of this keratoconus/dry eye patient! This patient suffers from a corneal transplant as well as a pterygium A hispanic male presented to the office for a contact lens consult. He was diagnosed with keratoconus years ago, by another eye doctor. Keratoconus is...

Keratoconus patient scleral lens follow up

Great one month scleral lens follow up today! Our keratoconus patient was fit into the Latitude custom scleral lens in the right eye after cross linking. At his follow up, he reports excellent vision, improved computer vision, and he is having scleral lens insertion success with the dalsey adaptives see...

High myopia patient fit into scleral contact lens

Thank you Dr. Isozaki for sending us this fun case! 34 year old Asian male was seen at UCLA by my good friend and classmate, Dr. Veronica Isozaki. He has a long history of corneal gas permeable lens wear, since he was about 10 years old. After a very thorough case...

Young keratoconus patient tries scleral lens

We completed a scleral lens fitting on a great 19 year old boy with Keratoconus! ▪️He was originally fit with a piggyback system (soft contact lens with a corneal gas permeable lens on top) and had to wear glasses on top. ▪️He had corneal cross linking surgery on the right...

Keratoconus patient scleral lens fitting

A young Keratoconus patient was kindly referred to us by Dr. Casey at NVision. He was diagnosed with Keratoconus a few years ago and was fit into Europa scleral lenses by another eye doctor. He claimed that his vision was great with the lenses but the lenses hurt a lot....

What to expect during a scleral lens fitting

What to expect during a scleral lens fitting: Full video on YouTube: https://youtu.be/C-igXQ_J_KY ▪️Your Doctor will take several images and measurements to determine the best lens for your eye. ▪️Then, a series of scleral lenses may be placed on the eye. ▪️The Doctor will evaluate the fit with the microscope...

Scleral Multifocal Follow Up

Our 55 year old scleral multifocal patient arrived for her follow up today. ▪️As a refresher, she is a post LASIK patient with dry eyes and seeking a multifocal option. She has high demands at intermediate and near. ▪️She states her right eye feels uncomfortable near the superior temporal area...

What Do You Do If Your Scleral Lens Is Stuck On Your Eye

How do I remove my scleral lens if it is stuck? First, make sure the small plunger is toward the periphery of the lens, not directly in the center of your eye. If the plunger is in the center of your eye, it will be difficult to remove. You can...

Temporally displaced pupil

Awesome complex case referred by Dr. Wellish! - 71 year old male referred for specialty contact lens evaluation. - History of cataract surgery 20 years ago and the right eye went well, but the left eye suffered complications. There were some corneal and iris issues that took an incredibly long time...

Eyeprint prosthetic case

Awesome patient referral from Dr. Murphy from @eyediologylv - 69 year old male who suffered an eye trauma to the left eye over 30 years ago. - The trauma involved a nail gun, and ultimately led to a corneal perforation, and dislocation of capsular bag and zonules. - He ended up...

Scleral lens insertion with a dental ring

You can insert a scleral contact lens with an o ring, or dental ring (orthodontic band) ▪️For patients who have difficulty using a plunger to insert their scleral lens, the use of an o ring or orthodontic band can be helpful. ▪️Simply place the O ring or orthodontic band on...

Keratoconus patient and scleral lens

Another great referral from @wellishvisioninstitute! ▪️Young Hispanic female with Keratoconus presented for a scleral lens consultation. ▪️She had corneal crosslinking with Dr. Wellish in January 2020 for the right eye and early June 2020 for the left eye. ▪️Both corneas show steeping and central striae. ▪️She doesn’t currently use any...

Custom scleral multifocal

Fun case referred by Dr. Wright! ▪️RK patient with dry eyes wanting to find out contact lens options. ▪️She currently wears progressive spectacles, however her nose was broken during her time in the military, and glasses become uncomfortable after a few hours of wear. ▪️We reviewed all of her options,...

Higher order aberration scleral lens

Really fun and exciting case today! I had a keratoconus patient present to the clinic today. I diagnosed him with keratoconus 2 years ago, then sent him to Dr. Wellish for cross linking, and then Dr. Wellish sent him back to me for a scleral lens fit. He was then...

Scleral lens insertion with the ezi ring

How the EZ I ring can help you insert your scleral or hybrid lens. ▪️The EZI applicator is a great product that I discovered during my Contact Lens Residency. The company gave us some free samples to try on patients. ▪️Dr. Ed Bennet and I conducted a study at the...

Radial keratotomy and scleraL lenses

Update on our 79 year old patient! ▪️If you recall, our RK patient (with moderate cataracts OU and sutures OD) returned for her 2 week follow up after her dispense. ▪️With her Latitude custom scleral lenses, she was able to achieve 20/25- in the right eye and 20/20- in the...

How long will it take to get used to scleral lenses?

▪️Scleral lenses are quite comfortable, even right off the bat. ▪️The comfort is a key reason many doctors and patients choose to use them. ▪️When you insert scleral lenses, you will notice they are quite comfortable. You still might have a small foreign body sensation, but that is normal. ▪️As...

How to remove a hybrid contact lens

▪️It is important to know that removing a hybrid lens is much different than removing a soft contact lens or a hard contact lens. ▪️The lens may be removed at the inferior portion of the soft lens, near the 6:00 area. ▪️Place your thumb and index finger together and pinch...

Sclerals help patients with dry eye and LASIK scarring

A 65 year old patient was referred to me by Dr. Harvey Ohriner and Dr. Landin from The Eyecare Center in Las Vegas. She has LASIK in both eyes over 20 years ago, and states the right eye did not go smoothly. She suffers from extreme dry eye, and she is...

How long can I wear scleral lenses?

▪️Many scleral lens patients are able to wear their lenses comfortably all day. Sometimes 12-16 hours per day. ▪️It is highly recommended to always remove your scleral lenses at night to allow your eyes to rest and breathe. ▪️Some patients have complicated ocular conditions in which their eyes cannot support...

Do you ever experience fogging with your scleral lenses?

Fogging can be from a variety of factors. Fogging can be a result of tear film instability, dry eye, meibomian gland dysfunction, debris within the tear chamber of the lens, too much liquid in the tear chamber, or poor fit of a scleral lens. If the fogging is due to...