
Scleral Lenses vs RGP Lenses: Finding Your Best Vision Solution
Understanding Scleral Lenses
Scleral lenses are large, custom-designed contact lenses that vault over the cornea and rest on the white part of the eye called the sclera. They create a fluid reservoir that keeps your eye moist and protected, making them an excellent choice for patients with complex eye shapes or conditions where other lenses have failed.
Scleral lenses are much larger than standard contact lenses, covering the entire cornea and extending onto the sclera. Their size and carefully designed shape provide a stable fit that minimizes lens movement throughout the day, even for highly irregular or damaged corneas. This stability enhances comfort and can reduce the irritation that patients sometimes experience with smaller lenses.
These lenses are made from highly breathable gas-permeable materials that allow sufficient oxygen to reach your cornea despite their larger size. The fluid reservoir beneath the lens not only keeps your eye hydrated but also supports corneal healing and protects your eye from irritation caused by environmental factors like wind, dust, and dry air.
The cushion of fluid under scleral lenses provides superior comfort for patients dealing with severe dry eye or corneal scarring. By creating a smooth optical surface over an irregular cornea, these lenses can significantly improve your visual acuity and reduce bothersome glare or visual distortion that might otherwise affect your daily life.
Our ophthalmologists at ReFocus Eye Health Hatboro commonly prescribe scleral lenses for patients with:
- Severe dry eye disease that has not responded to traditional treatments like eye drops or ointments
- Keratoconus and other corneal ectasias that cause significant cone-shaped or irregular corneal surfaces
- Corneal scarring or surface irregularities resulting from injury, infection, or previous surgery
- Recovery and healing following procedures like corneal transplants or other corneal surgeries
- Significant intolerance or discomfort with soft contact lenses or standard rigid gas permeable lenses
Understanding Rigid Gas Permeable (RGP) Lenses
Rigid Gas Permeable lenses, commonly called RGP lenses, are smaller, firm contact lenses that rest directly on your cornea to provide reliable vision correction. They are a well-established and time-tested option known for their durability and superior optics compared to soft contact lenses.
RGP lenses are considerably smaller than scleral lenses and fit directly on the corneal surface, moving slightly with each blink you make. This natural movement facilitates tear exchange beneath the lens, which helps maintain a healthy corneal surface and washes away debris and old tears that can accumulate underneath.
RGP lenses are constructed from hard, oxygen-permeable plastic materials that allow a high level of oxygen transmission to reach your cornea. This excellent oxygen flow helps prevent corneal swelling and maintains a healthy eye surface when the lens is properly fitted and well-maintained.
Although RGP lenses may feel uncomfortable during the first few days of wear, most patients adapt successfully within a few days to a few weeks and experience exceptionally sharp, crisp vision. The rigid structure of these lenses allows them to correct many refractive errors, particularly astigmatism, more precisely than soft lenses can achieve.
Our eye care team typically recommends RGP lenses for patients who need:
- Correction of myopia, hyperopia, and astigmatism with maximum clarity
- Management of early to moderate keratoconus or other mild corneal irregularities
- Durable lenses for active individuals who participate in sports or physical work
- A more cost-effective long-term vision correction option compared to scleral lenses
- Multifocal lens designs for presbyopia correction to address reading difficulty as you age
Comparing Scleral and RGP Lenses
Both lens types offer unique advantages and have different limitations depending on your individual ocular condition, lifestyle, and vision needs. Understanding their key differences helps you and your eye doctor make the best decision for achieving optimal vision and comfort.
Scleral lenses vault completely over your cornea, offering comprehensive protection and a liquid cushion for irregular or sensitive corneas. In contrast, RGP lenses rest directly on your cornea and move slightly with each blink, which promotes natural tear flow but may feel less secure in comparison.
The fluid reservoir beneath scleral lenses keeps your eye consistently moist throughout the day, making them the ideal choice for those suffering from dry eye syndrome. RGP lenses depend on your natural tear film for lubrication and may prove less comfortable if you experience severe ocular dryness.
Both lens types deliver exceptionally sharp vision for most wearers. Scleral lenses improve vision on highly irregular corneas by using their fluid layer to neutralize surface irregularities. RGP lenses offer crisp optics by maintaining a rigid, consistent shape over the surface of your cornea.
Scleral lenses require filling with preservative-free saline solution before insertion and meticulous daily cleaning to prevent serious infections. RGP lenses are smaller and generally easier to handle, but they still require regular cleaning and disinfection to maintain their integrity and keep them safe for your eyes.
Scleral lenses typically have higher initial costs due to their custom design and larger size. RGP lenses are usually less expensive upfront, but they may require more frequent replacements over time. Insurance coverage varies for both lens types, especially when they are deemed medically necessary to treat a specific eye condition.
Who May Benefit from Each Lens Type
Selecting between scleral and RGP lenses depends on several important factors, including your ocular surface health, the type of refractive error you have, your comfort requirements, and your daily lifestyle.
Scleral lenses are especially well-suited for individuals who have:
- Moderate to severe dry eye syndrome causing significant discomfort
- Advanced keratoconus or other significant corneal irregularities
- Corneal scarring resulting from injury, infection, or previous eye surgery
- Intolerance or persistent discomfort with other types of contact lenses
- A need for stable vision during high-impact activities and sports
RGP lenses are often recommended for individuals who have:
- Mild to moderate refractive errors and regular, normally-shaped corneas
- Early or mild forms of keratoconus that respond well to RGP correction
- Active lifestyles where they need durable contact lenses for sports or physical work
- A desire for a cost-effective, long-term vision correction solution
- Willingness to adapt to the initial sensation of the lens resting on the eye during the adjustment period
Insertion and Removal Tips
Proper insertion and removal techniques support your comfort, protect your eyes from damage, and reduce the risk of lens damage or infection. Learning the correct methods is an essential part of successful specialty contact lens wear.
Always have a clean lens case, the recommended solutions for your lens type, and a mirror positioned nearby before you begin. Wash your hands thoroughly with a fragrance-free soap and dry them completely with a lint-free towel before handling your lenses to prevent contamination.
Fill the lens bowl completely with preservative-free saline solution to avoid trapping air bubbles, which would create discomfort or blur your vision. Use a suction cup device, or carefully use your fingers to position the lens gently on your eye, then blink slowly to help the lens settle into its proper position.
Use a plunger tool or carefully pinch the lens edge after tilting your head back and looking upward. Avoid sharp contact with your cornea during removal to prevent scratches or small abrasions to the eye surface.
Handle RGP lenses carefully with your fingertips, ensuring the lens is oriented correctly before placement. Place the lens lightly on the center of your cornea and blink to help secure it in place. To remove the lens, pull down your lower eyelid gently, look upward, and apply gentle pressure on the lens edge to dislodge it.
For stable and comfortable lens wear throughout your entire day:
- Blink deliberately and slowly immediately after inserting your lenses
- Use recommended rewetting drops if you develop dryness during the day
- Avoid rubbing or touching your eyes while your lenses are being worn
- Follow the wearing schedule advised by your eye care practitioner carefully
Care and Maintenance
Good lens hygiene is absolutely essential to prevent serious eye infections and support long-term healthy contact lens wear. Taking time each day for proper care ensures your lenses remain safe and effective.
After each use, rinse your lenses thoroughly with the prescribed cleaning solution designed for your specific lens type. Rub them gently with your fingertip to remove surface deposits and buildup, then soak the lenses overnight in a fresh disinfecting solution to kill any bacteria that may have accumulated.
Keep your lenses in a clean case filled with fresh disinfecting solution every single day. Replace the lens case at least every three months to reduce the risk of bacterial buildup and contamination that can develop over time in the case.
Always discard used solution from the case after each use and never top off old solution with new solution, as this reduces its effectiveness. Use only preservative-free saline specifically designed for filling scleral lenses before insertion to prevent irritation.
To protect your lenses and your eye health:
- Always wash and dry your hands thoroughly before handling your lenses
- Avoid touching lenses with your fingernails to prevent scratches or damage
- Inspect lenses carefully for any chips, cracks, or debris before each use
- Never wear a lens that appears damaged or scratched
Potential Risks and Complications
Understanding the possible issues associated with contact lens wear helps you respond promptly and protect your long-term eye health. Being aware of warning signs allows you to seek care immediately when needed.
Poor lens hygiene can introduce bacteria and lead to serious infections such as microbial keratitis, which requires emergency treatment. Warning signs include redness, eye pain, light sensitivity, or unusual discharge. If you notice any of these symptoms, remove your lenses immediately and contact your eye doctor right away.
Incorrect insertion or removal techniques may scratch the surface of your cornea, causing sharp pain, excessive tearing, and light sensitivity. If you suspect you have a corneal abrasion, remove your lenses immediately and contact your eye doctor for evaluation.
Some wearers develop chronic discomfort, redness, or dryness over time, which can signal that your eyes are becoming intolerant to lens wear. This issue may require changing your lens type, material, or wearing schedule to resolve, and your eye doctor can help identify the best solution.
GPC is an inflammatory reaction to protein deposits that accumulate on the lens surface over time, causing itching, grittiness, and mucous discharge. Maintaining excellent lens hygiene and following your recommended wearing schedule helps prevent this condition from developing.
Lifestyle and Activity Considerations
Your personal lifestyle and daily activities can significantly influence which lens type offers the most practical benefits and greatest comfort for your specific situation.
Scleral lenses provide stable, secure vision that is ideal for high-impact and contact sports because they are much less likely to dislodge during activity. While very durable, RGP lenses may shift during vigorous physical activity, and protective eyewear is always recommended regardless of lens type.
Patients who spend many hours at a computer often benefit significantly from the hydrating effects that scleral lenses provide throughout the workday. RGP lens wearers may need to use rewetting drops more frequently and practice intentional regular blinking to reduce dryness during extended screen time.
In dry or dusty conditions, scleral lenses shield your ocular surface by trapping moisture and blocking irritants from reaching your cornea. RGP lenses allow natural tear exchange but may feel less comfortable in harsh environmental conditions, making it important to carry cleaning supplies and artificial tears when traveling away from home.
Frequently Asked Questions
Our patients at ReFocus Eye Health Hatboro often ask similar questions about scleral and RGP lenses. Here are answers to the most common questions we receive.
Most patients adapt quickly to scleral lenses, achieving stable vision on the first day of wear, with full comfort typically developing over one to two weeks. RGP lenses usually require two to four weeks of gradually increasing wear time to allow your eyelids and ocular surface to adjust properly to the lens.
Insurance coverage often applies when these lenses are deemed medically necessary to treat specific conditions like keratoconus, severe dry eye, or corneal irregularities. Coverage varies significantly by insurance provider, and prior authorization or documentation of medical necessity is usually required before the fitting.
Yes, older children and teenagers can successfully wear both lens types with proper instruction and sufficient motivation for good care habits. Strong hygiene practices and correct handling techniques are crucial, and parental supervision plays an important role in ensuring safe and successful lens wear.
The replacement timeline depends on the material used, how frequently you wear them, and how well you care for your lenses. Typically, RGP lenses are replaced every one to two years, while scleral lenses can often last one to three years. Regular eye exams will help determine the appropriate replacement schedule for your specific lenses.
If you experience discomfort while wearing your lenses, remove them and rinse them with preservative-free saline solution. You can also use preservative-free artificial tears to rehydrate your eyes. Inspect the lens carefully for debris or damage before reinserting it, and contact your eye doctor if the discomfort continues.
Scleral lenses may provide significant benefits for patients with allergies by shielding your cornea from direct exposure to environmental allergens like pollen, dust, and mold spores. However, a consultation with our eye care providers at ReFocus Eye Health Hatboro is essential to determine the best approach for managing your specific allergies and eye care needs.
Yes, care should be taken when using eye makeup with specialty contact lenses. It is best to insert your lenses before applying makeup and remove them before you remove your makeup to avoid contamination. Using hypoallergenic and oil-free makeup products can also significantly reduce the risk of irritation and lens cloudiness.
Scleral lenses work very well alongside other dry eye therapies, such as prescription eye drops, artificial tears, and punctal plugs. The consistent hydration provided by the lens's fluid reservoir can enhance the effectiveness of these other treatments and lead to improved overall comfort and better eye health.
Finding Your Perfect Lens Solution
If either of these advanced contact lens options seems suitable for your vision needs, we encourage you to schedule a comprehensive evaluation with our eye care team at ReFocus Eye Health Hatboro. Serving patients throughout the Greater Philadelphia Metropolitan Area, including communities in Hatboro, Warminster, Southampton, and Abington, our experienced ophthalmologists and optometrists provide personalized fittings and expert guidance. A thorough fitting session will help determine the best lens type, size, and prescription to provide you with clear, comfortable vision that supports your lifestyle and vision goals.
Contact Us
Tuesday: 8AM-4PM
Wednesday: 8AM-4PM
Thursday: 8AM-4PM
Friday: 8AM-4PM
Saturday: Closed
Sunday: Closed
