Scleral Contact Lenses at Washington Eye Institute
Scleral contact lenses represent one of the most significant advances in specialty contact lens technology. These large-diameter gas permeable lenses are designed to vault entirely over the cornea and rest on the sclera, the white portion of the eye. At Washington Eye Institute, our specialty contact lens optometrists fit scleral lenses for patients across our Greenbelt, Rockville, and Cumberland, Maryland locations, providing clear and comfortable vision for individuals with complex eye conditions. If you have been told that traditional contact lenses are not an option for you, scleral lenses may be the solution you have been searching for.
90%
Of Keratoconus Patients Require Contact Lenses
87.7%
Overall Patient Satisfaction Rate
Data from peer-reviewed scleral lens studies and U.S. keratoconus prevalence reports, 2024–2025.
Could Scleral Lenses Be Right for You?
Schedule a consultation with our specialty contact lens team to find out if scleral lenses are the right fit for your vision needs.
Book a ConsultationScleral Contact Lens Specialists
What Are Scleral Contact Lenses?
Scleral contact lenses represent one of the most significant advances in specialty contact lens technology. These large-diameter gas permeable lenses are designed to vault entirely over the cornea and rest on the sclera, the white portion of the eye. At Washington Eye Institute, our specialty contact lens optometrists fit scleral lenses for patients across our Greenbelt, Rockville, and Cumberland, Maryland locations, providing clear and comfortable vision for individuals with complex eye conditions. If you have been told that traditional contact lenses are not an option for you, scleral lenses may be the solution you have been searching for.
Scleral contact lenses are a type of gas permeable lens that differs from standard contacts in both size and function. While conventional gas permeable lenses rest directly on the cornea, scleral lenses have a much larger diameter, typically ranging from 14.5 to 24 millimeters. This larger size allows the lens to arch completely over the corneal surface without touching it, creating a smooth optical surface and a fluid-filled reservoir between the lens and the eye.
The space between the scleral lens and the cornea is filled with preservative-free saline solution at the time of insertion. This liquid reservoir serves multiple purposes. It provides constant hydration to the corneal surface, helps neutralize corneal irregularities, and acts as a cushion that enhances comfort throughout the day.
Patient-Centered Approach
Every scleral lens fitting begins with a thorough evaluation of your corneal health, tear film, and visual needs.
Advanced Lens Technology
We use state-of-the-art corneal mapping and scleral imaging to design lenses that fit your eyes precisely.
Scleral Lenses in Expert Hands
At Washington Eye Institute, our specialty contact lens optometrists bring advanced training and experience in fitting scleral contact lenses for complex corneal conditions. Using advanced diagnostic imaging and personalized lens design, our team delivers exceptional visual outcomes for patients who have struggled with traditional contact lenses or glasses.
Fellowship Trained
Young OD of the Year
Specialty Lens Expertise
3 Maryland Locations
Advanced Corneal Imaging
Personally Involved
Scleral Lens Fitting & Specialty Contact Lens Expert
Scleral Lens Specialist
Our specialty contact lens optometrists combine advanced corneal imaging with years of fitting expertise to deliver customized lenses for even the most challenging cases. Whether you have keratoconus, severe dry eye, or corneal irregularities, our team is dedicated to restoring your visual clarity and comfort.
Corneal Disease Expertise
Specialized training in keratoconus, corneal transplant, and irregular cornea management
Custom Lens Design
Personalized scleral lens design using digital mapping and advanced fitting software
Comprehensive Follow-Up
Ongoing lens evaluation & adjustments to ensure optimal fit, comfort, and visual performance
Proven Patient Outcomes
Extensive specialty lens fitting experience with successful patient outcomes
Board-Certified Optometrist, Specialty Contact Lens Expert
Our Scleral Lens Specialists
Rajini Seevaratnam, OD
Diana Chu, OD
Are You a Candidate for Scleral Lenses?
Scleral lenses are an excellent option for patients with irregular corneas, severe dry eye, or conditions that make traditional contact lenses uncomfortable or ineffective. Our specialists evaluate each patient individually to determine candidacy.
Whether you have keratoconus, have undergone corneal surgery, or simply cannot tolerate other types of contact lenses, scleral lenses may provide the clear and comfortable vision you deserve.
Scleral lenses have helped many patients achieve vision they never thought possible with contact lenses.
Say Goodbye
Advanced Scleral Lens Services
We offer a full range of specialty scleral lens services, from custom fittings to prosthetic lens design and advanced corneal mapping.
Custom Scleral Lens Fitting for Complex Eyes
Custom scleral lens fitting is the cornerstone of our specialty contact lens practice. Each lens is individually designed based on detailed measurements of your corneal topography, scleral shape, and tear film dynamics to provide a precise, comfortable fit.
Our fitting process uses the latest digital lens design software to create a scleral lens that vaults perfectly over your cornea, providing a smooth optical surface and continuous hydration throughout the day.
How Scleral Lens Fitting Works
Evaluation & Imaging
Advanced corneal topography and scleral profilometry map your eye's unique surface contours in detail.
Custom Lens Design
Your measurements are used to design a scleral lens that fits your eye precisely using digital software.
Lens Application
The lens is filled with preservative-free saline and placed on the eye, vaulting over the cornea for immediate comfort.
Fit Verification
OCT imaging confirms proper lens clearance and fit, with adjustments made as needed for optimal performance.
Signs You May Benefit from Scleral Lenses
If you experience any of these symptoms or conditions, scleral contact lenses may provide the vision and comfort solution you need.
Advanced Scleral Lens Technology
Our practice uses the latest diagnostic and design technology to deliver precise, comfortable scleral lens fittings.
Corneal Topography
High-resolution mapping of corneal curvature for precise lens design
Anterior Segment OCT
Cross-sectional imaging to verify lens clearance and corneal vault
Scleral Profilometry
Detailed scleral surface mapping for optimal lens landing zone alignment
Wavefront Aberrometry
Advanced optical analysis to measure and correct higher-order visual distortions
Frequently Asked Questions
How long does it take to get used to scleral lenses?
Most patients adapt to scleral lenses within one to two weeks of consistent wear. The initial adjustment period involves gradually increasing wearing time each day. Because scleral lenses do not rest on the cornea, many patients find them surprisingly comfortable from the very first day. Our doctors provide a personalized wearing schedule and are available to address any concerns during the adaptation period.
Can scleral lenses correct astigmatism?
Yes, scleral lenses are highly effective at correcting both regular and irregular astigmatism. Because the rigid lens surface replaces the irregular corneal surface as the primary refracting element, scleral lenses can correct types of astigmatism that glasses and soft toric lenses cannot adequately address. This makes them particularly valuable for patients with corneal disease or post-surgical irregularities.
Are scleral lenses covered by insurance?
Coverage for scleral lenses varies by insurance plan. Some medical insurance plans cover scleral lenses when they are deemed medically necessary for conditions such as keratoconus, severe dry eye, or corneal irregularities. Our office staff can help verify your insurance benefits and discuss payment options. Call 301.800.7490 for assistance with insurance questions.
How are scleral lenses different from prosthetic lenses?
Scleral lenses are designed primarily to correct vision and protect the ocular surface, while prosthetic contact lenses are used to improve the cosmetic appearance of an eye that has been disfigured by disease, injury, or a congenital condition. In some cases, a scleral lens can be designed with prosthetic features to serve both a visual and cosmetic purpose. Our doctors can discuss which option best meets your needs.
Can I sleep in my scleral lenses?
Scleral lenses are not approved for overnight wear and should be removed before sleeping. Wearing any contact lens during sleep reduces the amount of oxygen reaching the cornea, which can increase the risk of complications. Following the recommended daily wearing schedule and proper removal routine is essential for maintaining long-term eye health.
How often do scleral lenses need to be replaced?
With proper cleaning and care, scleral lenses typically last between one and two years before they need to be replaced. Factors such as lens material, wearing habits, and changes in your eye's shape or prescription can influence the replacement timeline. Regular follow-up appointments at Washington Eye Institute allow our doctors to monitor lens condition and determine when a replacement is needed.
Schedule Your Scleral Lens Consultation Today
Our specialty contact lens optometrists are ready to help you achieve clear, comfortable vision with scleral lenses.