The Scleral Lens Fitting Process: What to Expect, Step by Step

Dr. Seth Salley

Optometrist

Memphis native Dr. Salley founded Clearview Family Eyecare after completing his optometry degree and Ocular Disease residency at Southern Eye Associates.

Scleral lenses are custom medical devices, and getting them right is a process — not a one-visit purchase. Knowing what to expect makes the whole experience smoother. Here's how a scleral lens fitting typically unfolds at CFE Memphis.

Step 1: Comprehensive evaluation

First, we assess your eye health, your vision needs, and the condition causing your trouble — whether that's keratoconus, dry eye, or a post-surgical cornea. This confirms that scleral lenses are the right solution and rules out anything that needs addressing first.

Step 2: Corneal mapping and measurements

Next comes detailed imaging. Using corneal topography (and, when needed, scleral profiling), we map the precise shape of your eye. These measurements guide the initial lens design so the lens vaults the cornea correctly and lands comfortably on the sclera.

Step 3: Trial lenses

You'll try diagnostic lenses in the office. We fill each with saline, apply it, and evaluate how it fits — the vault height, how it lands on the sclera, how it centers, and how sharp your vision is. This is where art meets science, and small adjustments make a big difference.

Step 4: Fine-tuning the design

Based on the trial, we order lenses customized to your eyes. For highly irregular corneas, we may use impression-based EyePrintPRO® technology to capture an exact mold of your ocular surface — like a fingerprint for your eye.

Step 5: Dispensing and training

When your lenses arrive, we confirm the fit and teach you how to insert, remove, and care for them. This hands-on training is essential; most patients feel confident after a little practice.

Step 6: Follow-up

We'll see you again to check comfort, vision, and eye health, and to make any final tweaks. Scleral lens wearers also return for periodic check-ups to keep everything healthy long-term.

How long does it take?

Plan for several visits over a few weeks. It's more involved than a soft-lens fitting, but the payoff — comfortable, all-day, sharp vision on an eye that other lenses couldn't correct — is well worth it.

Ready to start the process? Book your scleral lens fitting at CFE Memphis.

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