Scleral Lens Follow-Ups: What Your Eye Doctor Checks

If your vision is sharp when you put in your scleral lenses but starts to look hazy by lunch, tell us when the change happens. At 20/20 EyeVenue in Westminster and Strasburg, we use scleral lens follow-ups to see how your lenses fit after several hours of wear and how your eyes respond when the lenses come out.

How the Lens Rests on Your Eye

A scleral lens arches over the cornea, the clear front surface of your eye. A thin layer of fluid fills the space underneath. As the lens settles during the day, that space gets smaller. We use a microscope to check that the lens still clears the cornea, including around its outer edge.

We also examine where the lens rests on the white of your eye. If one area presses tightly enough to squeeze the small blood vessels underneath, changing the shape of the lens edge may help. Let us know if one lens feels tight or consistently takes more effort to remove.

What We Look for When Vision Gets Hazy

With your lenses in place, we test each eye separately. We may hold different lens powers in front of your eye while you read the chart to see whether a prescription change sharpens the letters.

If your vision starts clear and gradually clouds over, we also look for deposits on the front of the lens and tiny particles in the fluid beneath it. Where we find the buildup helps us decide whether to adjust the fit or review your lens care routine.

What We Check After Lens Removal

Once you remove your lenses, we look for lingering pressure marks and redness. We may use a temporary dye to highlight small areas of irritation on the cornea. Even if a lens feels comfortable, these findings can show us where the fit needs attention.

How to Prepare for Your Follow-Up

• Follow our instructions on how long to wear your lenses before the visit so we can examine them after they settle.

• Note which eye bothers you, when symptoms start, and whether they improve after you remove the lens.

• Bring your lens case, insertion and removal tools, and the solutions you use for filling and disinfecting your lenses.

If you develop eye pain, new light sensitivity, or sudden blurred vision, remove your lenses and call us right away.

Call 20/20 EyeVenue at (720) 740-0400 to schedule your scleral lens follow-up at our office in Westminster or Strasburg, Colorado.