Hi I appreciate your comment. Im 20 years old and I too have keratoconus and I have a few questions if you do not mind me to ask. I have contact lenses, but I always find them uncomfortable to wear. In the video I see her place and mention to fill saline solution inside the contacts before wearing them. What is saline solution and should I be filling up my contact lenses with this solution to make wearing contacts more comfortable. My eye is always dry and it makes wearing my contacts unbearable? I am considering switching from gas permeable contact lenses to these, but I am bit intimidated because of there huge size of Scleral. Im not sure if my discomfort problem is due to lack of saline solution use or the type of lens itself. Can you share some of your experiences using contact lenses? Have you found similar problems before making the switch from GP to Scleral lenses?
@@Christopher-sh9uh If you use hard rgb lens, you don't need saline solution before applying the lens. I've used both and i can say scleral lens are much more comfortable. But scleral lens are quite costly.If you can afford it, i would say give it a try, they are 100 times more comfortable than scleral lens. Talk to your eye care practitioner and see if he can fit you with one.
@@Christopher-sh9uh I have Keratoconus and have worn RGP for 40 +years. Recently changed to sclera lenses due to corneal scarring. They have made a huge difference in seeing clearer. To answer your question about comfort with your RGPs..I’ve used Refresh Contact drops and it helped with the dry feeling. It was suggested by my ECP and it worked.
@@Blahmanwhysoserious There are many sizes.. My Doctor invented the "Jupiter Lens", which is a smaller diameter lens. Those huge ones scare me and remind me of the lenses my late mother had in 1947 ( those were all that were available )..
I would like to share my experience. (I have Keratoconus) I always use a DMV suction cup to insert and remove. I use AVIZOR preservative free saline solution and overfill the scleral lens, then I insert until I can feel the saline touch my eye and then lightly press on. This for me gives minimal fluid loss and a good seal. What isn't mentioned is each week I use a deprotienization cleaner which is imperative for this type of lens as a scleral lens is still an RGP and protein builds up quickly. I use Ever Clean Scleral which can if you want to be used daily. Another drawback of these lenses is "Midday Fog" so sometimes the lenses need to be removed and reinserted throughout the day. You can combat this by using a higher viscosity saline solution (artificial tears) like Systane Ultra unidose and top off with your usual saline solution. For the midday fog issue though I'd recommend going back to your practitioner as it might be an issue with lens clearance or edging causing debris to accumulate inside or outside of the lens. For guidance I use the following: DMV suction Cup Menicare Pure (Rinse/disinfection daily) AVIZOR Saline Solution Unidose (lens) Systane Ultra Unidose (Midday Fog issue) Ever Clean Scleral (Deprotienization weekly) My lenses are extremely comfortable and I don't even know I have them in. Though... The lenses for me are far easier to put in than take out as I have rather large diameter lenses. If you're new don't panic, take your time and if you don't get it right then take a break and then try again. Practice makes perfect. EDIT: Since the time of writing this I now use AVIZOR Ever Clean Scleral daily. Because it is hydrogen peroxide it can be used daily and gets a much better clean and neutralises in just 2 hours. I also find it helps reduce midday fog because the lens is much cleaner.
@@Swisslady49 You can if you're careful place the removal tool on the bottom half of the lens (Never in the middle as thats where the strongest suction is) and either gently twist to try and break the suction or being extra careful and this is what I do is gently lift the bottom of the lens edge with your finger nail being careful that it's not too sharp and you just lift the lens edge while gently pulling outwards and up with the removal tool. This usually is enough to break the suction and release the lens. Always consult your practitioner though if it happens on a regular basis, especially if you notice other signs when the lens is in like pain or diminished vision as it might be too tight. Best of luck. They are great lenses but they do come with their own problems at times.
@@vincentgranville964thank you very much for this advice, I appreciate it, it worked today. But after cleaning the lens with saline und put them again in they, the left weye went immediately painfully red and once irritated, I was again unable to remove it. Luckily, the optometrist was aside so he could do it. But what when I am at home .. I'm scared of such a situation. But, overall, there was a huge progress today. I'm just wondering why one eye wase so irritated, maybe because of the Saline solution? Greetings from Switzerland I got my whole set today to start with at home. :)
@@Swisslady49 Greetings from France :) It's possible that the adaptation will take a little time. From my experience of irritation and pain it is usually because I have pressed the lens on a bit too hard and the suction is too great and causes the cornea to swell. In this case you may see rainbows around lights and if you do then remove right away and let your eyes rest before trying again. The saline is just a mixture of salty water so should not cause irritation however if you use fragranced soap or gel to wash your hands with then this can cause irritation. It took me around 3-6 months to get used to mine and even today I sometimes do not put the lens in correctly. Some tips from my experience: Overfill the lens with preservative free saline so that when you insert it there is plenty of saline left in the lens after spillage. Open your top and bottom eyelids as wide as possible so that the lens can fit straight on to the eye. Do not press too hard onto the eye, just enough to feel a light resistance. You'll know if it is not quite right as the lens will feel uncomfortable. After inserting the lens allow around 30 minutes for it to settle. I usually rinse mine with saline before filling at the end of each day I always put my lens in Peroxide cleaning solution like Ever Clean Scleral. This removes any enzymes and lipids from your day of wear. It also has the added bonus that once the peroxide solution is neutralised (2hrs in the case of ever clean scleral) it becomes sterile saline solution. Good luck, you'll get there and one day you'll put them in without evening thinking too much about it and not even know they are in there.
Thanks for the excellent video! I had a lot of trouble inserting the lenses, what ended up working for me is to put a drinking glass (one that lets light through) upside down and place the DMV plunger (with the end cut off to let light through) between the two sides of a normal pair of tweezers. Then you can hold your eye open with two hands, and move your eye down onto the contact, which makes insertion much easier and more reliable for me. Amazon sells stands to do this, but they are a few hundred dollars.
This is a great management tool for happy #keratoconus patients! we have had great results using these lenses in patients either prior or after #CXL (Cornea cross-linking)
I've struggled put my scleral in until I bought online see green scleral lenses inserter. Now no problem both hand are free to open my eye. Google see green scleral lenses inserter. It had been my saver.
@@Dan-iy8ig No, it's more than a plunger, comes with stand, green light and the plunger but I believe all three cost about $100. I built my own with a plastic cup (drill hole and stand upside down), $5 plunger with the bottom cut, a tea light which I bought 2 for $1.00 at the Dollar Tree and an empty small bottle which I put the tea light on so the light shines through the bottom of the plunger.
I just got one and did ok at opticians but at home I finally succeeded but lens was slightly above pupil. It kept moving but going back to same place after an hour or so it seemed to fit correctly and I could see but eye was irritated. Was this something I did wrong or is the fit incorrect. I have very bad KC I this eye
watch the full video How insert, remove the lanses. how to clean, rinsing and storing the lanses properly. ru-vid.com/video/%D0%B2%D0%B8%D0%B4%D0%B5%D0%BE-e-Xtf7csISo.html
Hi I am a Keratoconus patient Just got my lenses a week ago, I even went back to my mother's house so she can assist me on hoe to insert them I was not getting it right and the eye drops and solution were finished, I feel like i need something that can hold and open my eyelids while I insert the lenses I can see better than I ever did in the past 10 years but the insertion of this lenses is troubling me 😮💨😮💨😮💨
Hi, Im 20 years old and I too have keratoconus and I have a few questions if you do not mind me to ask. I have contact lenses, but I always find them uncomfortable to wear. In the video I see her place and mention to fill saline solution inside the contacts before wearing them. What is saline solution and should I be filling up my contact lenses with this solution to make wearing contacts more comfortable. My eye is always dry and it makes wearing my contacts unbearable? I am considering switching from gas permeable contact lenses to these, but I am bit intimidated because of there huge size of Scleral. Im not sure if my discomfort problem is due to lack of saline solution use or the type of lens itself. Can you share some of your experiences using contact lenses? Have you found similar problems before making the switch from GP to Scleral lenses?
Just got some of these. Somehow, I put them on once successfully at the doctor the day they finally let me take them home. I put on some relaxing music, and tried to put them in at home. I gave up after spending 45 minutes on two separate attempts. I never got even one in. I don't see how I can incorporate this into my morning routine. My KC isn't that bad and I'm not seeing the benefit at this point. Very frustrating. I will keep trying...
Practice....sometimes I can get them in using one vial of saline..other days I struggle and go thru several. Yes it’s frustrating...but once they are in..I can see so much better than my RGPs. (KC as well) This is my second week...good days and bad days when it comes to insertion.
I had the EXACT same experience. But luckily I got my lens about a week before our Xmas break and we have two weeks off. I initially gave up after 20 minutes and in the beginning and/or I got one eye in and gave up on the other eye. But with practice as CA Jung said, it got better. But there are days that there are air bubbles and if I'm in rush for an early meeting, I give up. It's been on them for a few weeks and there are good days and bad days still. But even after insurance I paid $1,300 out of pocket for them so I'm going to keep trying!
These are the hardest lens to insert. I am so disappointed! I went through way too many refresh drops to count to insert my right lens. The pack of drops is not inexpensive.
I am brand new to using scleral lenses and luckily got the hang of i aeration and removal immediately with coaching from my eye doctor. The little suction cup to pull them out is simple. My vision was so clear and the lenses were much more comfortable than synergeyes. The trick is getting them fitted to the right size. 15 - 16 seems the best for me.
I got them in on the first try. It may be because I've been wearing the old hard lenses for years. These new lenses are way more comfortable than my old lenses.
While this is true you shouldn’t chop peppers before inserting the lenses with your fingers, my doctor assured me that these lenses don’t absorb like other lenses do, so the pepper juice would easily rinse off. ;-)
They are large, but actually more comfortable than synergeyes since most of the lens is not even touching your eye. There is a layer of saline between the lens and your cornea.
@@Livinlifegood I wonder if I should bring these up to my eye doc. I had rgps for years but they became too uncomfortable. I wonder though, what if you got punched in the eye with these things in? Would they break and cut your eye?
A Scleral lens actually still is an RGP lens but it fits on the Sclerea (the white bit of your eye, hence scleral) and volts out over the cornea with fluid filling the gap between the lens and cornea. This means they are a good choice for correcting refractive errors. It could cause a rupture if you got punched in the rye but it's unlikely to break.
