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A Guide to Scleral Lenses

Vision And Medicine Concept. Accessories For Contact Lenses: Con

Many people can’t wear standard contact lenses. This is especially true of patients with severe dry eye syndrome, keratoconus, irregular astigmatism, among other conditions.

That’s why eye doctors often prescribe scleral lenses to such patients. These specialized rigid, gas permeable contact lenses have a very wide diameter and extend over the entire corneal surface, making them effective and comfortable for people with irregular corneas.

At first, some patients may find scleral lenses to be difficult to insert and remove. However, after some practice, you’ll find it easy to care for your sclerals!

Safety and Hygiene for Scleral Lenses

Handling scleral lenses incorrectly can increase your risk of eye infection. Additional risk factors include improper lens cleaning, poor hygiene, and smoking. Therefore, it’s important to follow your eye doctor’s instructions on how to handle your lenses hygienically.

Before handling, inserting, or removing scleral lenses, make sure to:

  • Always wash your hands thoroughly with non-oily soap or antibacterial-based pump soap and dry them with a clean lint-free towel or paper towel.
  • Sit at a desk or table and place a lint-free cloth down to insert and remove lenses. Avoid bathrooms, as they often contain more germs than other rooms in the home.
  • Inspect your lenses for chips or cracks and protein deposits on the lens surface. If you notice any defects or are unsure whether your lenses are damaged, don’t wear them until your eye doctor has inspected them.

How to Insert Scleral Lenses

  1. Remove your scleral lenses from their storage case and rinse with them with saline. If you’re using a hydrogen peroxide solution, wait at least 6 hours from when the lenses were placed into the storage case for the solution to neutralize. Always rinse with saline before placing the lens on the eye.
  2. Either place the scleral lens between your middle, forefinger, and thumb — known as the tripod method — or secure the lens to a suction tool (plunger) supplied by your optometrist.
  3. Fill half the bowl of the lens with preservative-free saline solution to prevent air bubbles from forming between your eye and the lens. Insert the lens directly onto the center of your eye in a facedown position.
  4. Dry and wipe your lens case with a tissue and leave the case lid off to air dry.

How to Remove Scleral Lenses

There are two methods to remove scleral contact lenses: with your fingers, or with the aid of a plunger. First, to detach your scleral lenses from your eye, press firmly with your finger on your bottom eyelid just below the edge of the lens, then push upwards.

Method 1 – Manual Removal

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    Insert a drop of preservative-free saline solution or artificial tears to loosen the lens.

  2. Look down onto a flat surface (a mirror or towel can be placed there).
  3. Use your middle finger to open your eyelid wider than the lens diameter.
  4. Apply pressure to the middle of the lid — as close to the lashes as you can — and push down on the eyelid to move your eyelid under the lens and lever it off the eye.

Method 2 – Suction Tool

  1. While looking at a mirror in front of you, hold your bottom lid open. Wet the tip of the suction tool to allow for better adhesion and attach it to the bottom of the lens.
  2. Using the suction tool, remove the lens by tilting the lens up and out of the eye.

How To Care for Your Scleral Lenses

The number one rule in contact lens care is always to follow the professional advice of your optometrist. If you need any clarification, always contact their office first.

Never ever use tap water in any area of lens care, whether to rinse or fill your lens case. Tap water contains a multitude of dangerous microorganisms, including acanthamoeba, that can cause a severe, painful, and sight-threatening infection. Be sure that your hands are fully dry after using a lint-free towel prior to handling your lenses.

Remove Before Going to Sleep

Most people can comfortably wear scleral contact lenses for up to 12-14 hours at a time. Approximately an hour before going to sleep is the best time to remove the lenses. If your lenses fog up in the middle of the day, it’s best to remove them and try various methods to clear up the fogginess before reinserting.

Use a Peroxide Cleaner

You can sterilize your scleral lenses by immersing them in 3% hydrogen peroxide. Over a period of 6 hours, the catalyst in the case transforms the hydrogen peroxide into water and oxygen gas. This gives your lenses a deep clean and removes the need to rub them, thus decreasing the risk of accidental breakage. Do not use the lenses until they have been immersed for 6 hours, as the un-neutralized peroxide will painfully sting your eyes. Leave the lens case to dry when not in use.

Use a Filling Solution That Is Preservative-Free

When inserting scleral lenses, use unpreserved sterile saline solution by filling the bowl of the lens upon insertion. Don’t use tap water or a preserved solution as these can lead to an eye infection.

Remove Debris Using Multi-Purpose Lens Solution

Once you’ve thoroughly washed and dried your hands, remove your scleral lenses and rub them for 2 minutes in a contact lens case filled with saline solution. This effectively removes microorganisms and deposits, lowering your risk of infection. While scleral lenses are strong, too much force or an incorrect technique can cause them to break.

After rubbing your lenses, thoroughly rinse them using the solution for 5-10 seconds. Then place them in a case filled with fresh solution and leave them to disinfect for at least 4 hours.

Routinely Clean and Replace Your Lens Case

Regularly clean and replace your lens case to prevent infection due to bacterial contamination.

It is recommended to clean the storage case on a daily basis and to replace it monthly or as advised by your eye doctor.

Your optometrist will recommend when to get a new pair of scleral lenses, and will advise you when to schedule follow-up appointments. Failure to show up for scheduled appointments can compromise the lenses’ efficacy.

At Heights Eye Care Scleral Contacts Center, we can recommend the best wearing schedule for your contact lenses to ensure the highest level of comfort and visual acuity. Always follow the instructions provided by your eye care professional. Call to schedule an eye exam and a scleral lens fitting today.

Heights Eye Care Scleral Contacts Center serves patients from Hasbrouck Heights, Hackensack , Passaic, and Rutherford, all throughout New Jersey.

Q&A

 

Q: Why do I need to use preservative-free solutions to fill the lens?

  • A: Long-term exposure to preservatives can cause corneal toxicity or sensitivity that results in irritation and redness.

Q: How long do my application and removal plungers last?

  • A: Plungers should be replaced every 3 months, or sooner if necessary.


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Can Scleral Lenses Help You? Find Out! 201-288-1109

Why Bother With Myopia Control?

Boy Trouble LearningMyopia control is a hot topic these days — and for good reason. More and more parents are providing their nearsighted children with myopia control treatments in hopes of slowing down the rapid progression of this very common refractive error.

Is myopia control worth all the effort? Why not just get new glasses every time your child needs a higher prescription? Is childhood myopia really that big of a deal?

Below, we’ll answer these important questions so you can make informed decisions and feel confident about your choices. If your child has myopia, contact Heights Eye Care Myopia Management Center to learn more about how we can help.

Myopia Is Not Harmless

Myopia is far more than just blurry distance vision. What many don’t realize is that it can seriously impact a child’s long-term eye health.

A child with myopia is significantly more likely to develop sight-threatening diseases, such as glaucoma, cataracts, retinal detachment, and macular degeneration, later in life.

Because the cause of myopia is an elongated eye, the stretching of the eye takes a toll on the retina (the light-sensitive lining at the back of the eye). Over time, the stressed retina is more prone to damage and tearing.

Your Child’s Lens Prescription Matters

Suppose your child’s lens prescription is -3.00D (mild to moderate myopia). Although you may think that it’s too late for myopia control at this point, research suggests otherwise.

The level of myopia a child has is directly correlated to their risk of eye disease — the higher the myopia, the greater the risk.

A child with myopia that’s between -0.75D and -3.00 is more than 3 times more likely to develop retinal detachment in the future. That number triples for individuals with high myopia (-5.00 and above).

The risk of myopic maculopathy is also influenced by the level of a child’s nearsightedness. Children under -5.00 have just a 0.42% of developing this serious eye condition, but anything above -5.00? That risk level leaps to 25.3%.

Slowing down or stopping your child’s eyesight from worsening will greatly increase their chances of having a healthy vision in adulthood. Halting myopia as early as possible renders the best outcome.

Myopia Is On The Rise

This is the time to act. With myopia cases escalating exponentially, it’s expected that about half of the world’s population will be nearsighted by 2050, and about 10% of those individuals will have high myopia.

Offering your child myopia control now can potentially prevent them from being part of that 10% in 2050.

If your child has myopia or is at risk of developing it, we can help! To schedule your child’s myopia consultation, contact Heights Eye Care Myopia Management Center today.

Q&A

 

Q: #1: How do I know if my child is at risk of developing myopia?

  • A: If one or both parents have myopia, a child is predisposed to becoming nearsighted. Other factors that influence myopia include excess screen time, not enough time spent in the sunlight, and being of a certain ethnicity (people of Asian or Pacific Islander descent have the highest risk).

Q: #2: What treatments are used for myopia control?

  • A: The 3 main treatments are atropine eye drops, orthokeratology (Ortho-k) contact lenses, and multifocal contact lenses. Your optometrist will help you decide which method best suits your child’s eyes and lifestyle.

 

Heights Eye Care Myopia Management Center serves patients from Hasbrouck Heights, Hackensack , Passaic, and Rutherford, all throughout New Jersey.


Request a Myopia Management Appointment
Want To Discuss Myopia? Call 201-288-1109

What’s the Link Between Dry Eye and Menopause?

Dry Eye and Menopause 640Around 61% of perimenopausal and menopausal women are affected by dry eye syndrome.

During menopause, the body produces less estrogen, progesterone, and androgen, causing a variety of uncomfortable symptoms such as sweating, insomnia, and hot flashes.

Among these physical symptoms is dry eyes, characterized by dry, itchy and burning eyes.

If you’re experiencing dry eyes, contact Heights Eye Care Dry Eye Center today for effective and lasting dry eye treatment.

Biological Changes That Affect Your Eyes

During menopause, the androgen hormone decreases, affecting the meibomian and lacrimal glands in the eyelids. The meibomian glands produce the essential oils for the tears, so the reduction in oil results in increased tear evaporation and drier eyes.

When these fluid and oil-producing glands are affected, the eyelids can become inflamed, reducing tear quality and production, resulting in dry eye syndrome.

Some researchers believe that dry eye is connected to changes in estrogen levels. This explains why many women experience dry eye symptoms during certain times of a woman’s monthly cycle, or while taking birth control pills.

Symptoms of dry eye syndrome

  • Red eyes
  • Burning in the eyes
  • Itchy eyes
  • Blurred vision
  • Gritty feeling in the eyes
  • The feeling something is caught in your eye. Excessive tearing

How Is Hormone-Related Dry Eye Treated?

Because reduced hormones during and after menopause can cause meibomian gland dysfunction, treatment should be focused on reducing dry eye symptoms.

Dry eye treatments can include:

  • Artificial tears
  • Lubricating eye drops
  • Eyelid hygiene
  • Oral antibiotics
  • Corticosteroid eye drops
  • Medications that reduce eyelid inflammation
  • Punctal plugs – to reduce tear flow away from the eyes

Frequently Asked Questions with Dr. James Aversa

Q: Are there home remedies to treat dry eye syndrome?

  • A: Yes. Here are a few things you can do at home to reduce dry eye symptoms.

    Limit your screen time. People who work at a computer all day blink less, which harms the tear film. Remember to take frequent breaks and to blink.
    Protect your eyes. Sunglasses that wrap around your face can block dry air and wind.
    Avoid triggers. Irritants like pollen and smoke can make your symptoms more severe.
    Try a humidifier. Keeping the air around you moist may help.
    Eat right. A diet rich in vitamin A and omega-3 fatty acids can encourage healthy tear production.
    Warm Compress. A warm compress will improve oil flow through your eyelid glands and clean your eyelids.

Q:Can dry eye syndrome damage your eyes?

  • A: Yes. Without sufficient tears, your eyes are not protected from the outside world, leading to an increased risk of eye infections. Severe dry eye syndrome can lead to abrasions or inflammation on the cornea, the front surface of the eye. This can cause pain, a corneal ulcer, and long-lasting vision problems.

    Menopause causes many changes throughout your body. If you’re experiencing dry eye symptoms due to hormonal changes, contact Heights Eye Care Dry Eye Center to find out what dry eye treatments are available to give your eyes relief.



Heights Eye Care Dry Eye Center serves patients from Hasbrouck Heights, Hackensack , Passaic, and Rutherford, all throughout New Jersey.

Request A Dry Eye Appointment
Do You Think You Have Dry Eye? Call 201-288-1109

4 Common Myopia Myths Debunked

4 Common Myopia Myths Debunked 640Myopia (nearsightedness) occurs when the eye elongates and rays of light entering the eye are focused in front of the light-sensitive retina rather than directly on it.

It’s by far the most common refractive error among children and young adults.

To help understand and learn more about what myopia means for your child’s vision, we’ve debunked 4 common myopia myths.

Myth: Myopia only develops in childhood

Fact: While it’s true that in most cases nearsightedness develops in childhood, it can also develop during one’s young adult years.

Myth: Wearing eyeglasses or contact lenses cause myopia to worsen

Fact: Prescription eyeglasses and contact lenses in no way exacerbate myopia. Optical corrections help you see comfortably and clearly. Another common misconception is that it’s better to use a weaker lens power than the one prescribed by your eye doctor. This is simply not true. By wearing a weaker lens you are contradicting the purpose of using corrective eyewear, which is to comfortably correct your vision.

Myth: Taking vitamins can cure myopia

Fact: Vitamins have been proven to slow the progression of or prevent some eye conditions, such as age-related macular degeneration (AMD) or cataracts. However, no vitamin has been shown to prevent or cure myopia. All vitamins and supplements should only be taken under the advice of your healthcare professional.

Myth: There is no way to slow the progression of myopia.

Fact: There are a few ways to slow down the progression of myopia:

Get more sunlight. Studies have shown that children who spend more time playing outdoors in the sunlight have slower myopia progression than children who are homebodies.

Take a break. Doing close work, such as spending an excessive amount of time looking at a digital screen, reading, and doing homework has been linked to myopia. Encouraging your child to take frequent breaks to focus on objects farther away can help. One well-known eye exercise is the 20-20-20 rule, where you take a 20-second break to view something 20 feet away every 20 minutes.

Other options to slow myopia progression include:

  • Orthokeratology/Ortho-k. These are specialized custom-fit contact lenses shown to decrease the rate of myopia progression through the gentle reshaping of the cornea when worn overnight.
  • Multifocal lenses offer clear vision at various focal distances. Studies show that wearing multifocal soft contact lenses or multifocal eyeglasses during the day can limit the progression of myopia compared to conventional single vision glasses or contact lenses.
  • Atropine drops. 1.0% atropine eye drops applied daily in one eye over a period of 2 years has shown to significantly reduce the progression of myopia

Prevent or slow the progression of your child’s myopia with myopia management. Contact Heights Eye Care Myopia Management Center to book your child’s consultation today!

Heights Eye Care Myopia Management Center serves patients from Hasbrouck Heights, Hackensack , Passaic, and Rutherford, all throughout New Jersey.

Frequently Asked Questions with Dr. James Aversa

Q: Can myopia be cured?

  • A: Currently, there is no cure for myopia. However, various myopia management methods can slow its progression.

Q: How much time should my child spend outdoors to reduce the risk of myopia?

  • A: Make sure your child spends at least 90 minutes a day outdoors.


Heights Eye Care Myopia Management Center serves patients from Hasbrouck Heights, Hackensack , Passaic, and Rutherford, all throughout New Jersey.

 

Request a Myopia Management Appointment
Want To Discuss Myopia? Call 201-288-1109

Tips For Wearing Scleral Lenses

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Scleral lenses are ideal for patients with corneal irregularities, dry eyes, and hard-to-fit eyes. Their uniquely large circumference offers the best in visual comfort and clarity. But wearing and caring for your scleral lenses can take some getting used to.

Below are our top 5 tips for anyone who wears scleral lenses. If you have questions about scleral lenses or any other optometric matter, Heights Eye Care Scleral Contacts Center in Hasbrouck Heights is here for you.

1. Lens Hygiene is Top Priority

Keeping your scleral lenses hygienic and free of buildup is key in ensuring the clearest possible vision. When you remove them from your eyes, rub them for several seconds with lens cleaner to remove surface debris and bacteria. Then, rinse them on both sides with saline solution before storing them.

Another hygiene tip: Before handling your lenses, be sure to wash your hands with soap and water, and to rinse and dry them with a lint-free cloth or paper towel. Good hygiene will significantly minimize possible complications and keep your eyes feeling fresh.

2. Manage Your Dry Eye

Many patients with dry eye syndrome (DES) choose to wear scleral lenses for their hydrating and soothing properties. While sclerals can offer substantial relief from their dry eye symptoms, patients shouldn’t forget to seek treatment for their DES.

That’s because scleral lenses help manage dry eye, but don’t actually treat it. So, it’s best to follow up with your eye doctor about any eye drops, medications, or at-home remedies to support healthy tears.

3. Use a Cotton Swab For Cleaning

Patients with long fingernails can find it challenging to thoroughly clean their scleral lenses. Rubbing the inside bowl of the lens with a cotton swab and cleaning solution can effectively remove the buildup from the lens. Then, rinse off the cleaning solution with saline to remove the cleaning solution and any lint from the cotton swab.

4. Try Different Insertion Tools

Is your current insertion method not working as smoothly as you’d like? No worries! Ask your eye doctor about different tools you can use, such as the O-ring or applicator ring.

But please only insert your lens with tools that your eye doctor recommends!

5. Follow Up With Your Eye Doctor

Because scleral lenses are customized, they often require a few visits with your optometrist to optimize their fit. Even after the fitting process is complete, follow-ups will help ensure that your lenses are still in good condition.

If your scleral lenses are giving you any trouble at all, we can help. To schedule your scleral lens consultation, call us today!

Heights Eye Care Scleral Contacts Center serves patients in Hasbrouck Heights, Hackensack , Passaic, Rutherford, and throughout Hasbrouck Heights.

Frequently Asked Questions with Our Scleral Lenses Expert in Hasbrouck Heights, New Jersey:

Q: How do scleral lenses work?

  • A: Scleral lenses rest and vault over the entire sclera (white of the eye), encasing a hydrating reservoir in between the lens and the cornea (front surface of the eye). This allows people with irregular corneas to wear contact lenses, since the lens isn’t in direct contact with the cornea itself.

Q: How long do scleral lenses last?

  • A: Scleral lenses generally last 1-2 years, depending on how well you care for them and how your tear film reacts with them. Even so, check-ups every 6 months are recommended to ensure they still fit well and provide clear vision.


References

Request A Scleral Lens Appointment
Can Scleral Lenses Help You? Find Out! 201-288-1109

Are Contact Lenses Safe For Young Children?

Here’s a question we often get at our practice: ‘Is my child too young for contact lenses?’ This is an important question, and the answer may surprise you.

For children with myopia (nearsightedness), contact lenses can be a convenient method of vision correction. It allows kids to go about their day without having to worry about breaking or misplacing their glasses, and enables them to freely participate in sports and other physical activities.

Some children and young teens may ask their parents for contact lenses because they feel self-conscious wearing glasses. Contact lenses may even provide children with the confidence boost they need to come out of their shell. Moreover, these days, it is very popular for children to wear single-use one-day disposable soft contacts, since there is no cleaning or maintenance involved.

Some parents may deny their child’s request for contacts due to concerns about eye health and safety. There’s no reason to worry: contact lenses are just as safe for children as they are for anyone else.

At Heights Eye Center, we provide children, teens, and patients of all ages with a wide variety of contact lenses. If you’re concerned about the safety of contacts for your child, we’ll be happy to explain and explore ways to ensure maximum safety, optimal eye health and comfort. To learn more or to schedule a pediatric eye exam for contact lenses, contact us today.

What Are the Risks of Having My Child Wear Contact Lenses?

A study published in the January 2021 issue of The Journal of Ophthalmic & Physiological Optics found that kids aren’t at a higher risk of experiencing contact lens complications.

The study followed nearly 1000 children aged 8-16 over the course of 1.5-3 years to determine how contact lenses affected their eye health.

The results indicate that age doesn’t have an effect on contact lens safety. In fact, the researchers found that the risk of developing infections or other adverse reactions was less than 1% per year of wear — which is comparable to contact lens wearers of other ages.

But before you decide that contact lenses are right for your child, you may want to consider whether your child is ready to wear them. During his or her eye doctor’s appointment, the optometrist may ask about your child’s level of maturity, responsibility, and personal hygiene. Since many children are highly motivated to wear contacts, they tend to display real maturity in caring for their lenses. That said, in the initial stages, parents may need to play an active role, as their child gets used to inserting and removing the new contact lenses.

It’s important to note that just as with any other medical device, contact lenses are not risk-free. Anyone who wears contact lenses has a chance of developing eye infections or other complications with contact lenses. However, when worn and cared for according to your eye doctor’s instructions, contact lenses are low-risk and perfectly safe for children and teenagers.

So, go ahead and bring your child in for a contact lens consultation! We’ll help determine if your child is ready for contacts and answer any questions you or your child may have. To schedule your child’s contact lens fitting or eye exam, contact Heights Eye Center in Hasbrouck Heights today.