Scleral lenses are among the most advanced and effective solutions for complex eye conditions — from keratoconus to severe dry eye. Yet like many new or less familiar treatments, they’ve attracted a fair share of myths and misconceptions.
This article sets the record straight. We’ll review the most common misunderstandings and counter them with facts, clinical experience, and expert insight.
Myth 1: “Scleral lenses are painful or uncomfortable”
Many assume that such a large lens would feel awkward on the eye. In reality, scleral lenses don’t touch the cornea — the sensitive part of the eye — at all. Instead, they gently rest on the sclera (the white of the eye), which has far fewer nerve endings. This makes them surprisingly comfortable, even for people with very sensitive eyes.
In fact, many patients report greater comfort with scleral lenses than with regular contact lenses — especially after proper personalized fitting of scleral lenses.
Myth 2: “They look strange or overly noticeable”
Not true. Scleral lenses are made from clear, ultra-thin materials and are nearly invisible even at close range. As long as they’re properly fitted, nobody around you will notice a thing.
Myth 3: “They’re only for people with keratoconus”
While keratoconus is one of the most common conditions treated with scleral lenses, they’re used for many other issues as well, including:
- Severe dry eye (including Sjögren’s syndrome)
- Corneal injuries or scarring
- Post-surgical complications
- Optical issues caused by ptosis (drooping eyelid)
- Support for athletes and active users
- Prisms in contact lenses
- Multifocal lens applications where stability is critical
Myth 4: “They’re too hard to insert or remove”
This can seem intimidating at first, but with the right training and a bit of practice, even elderly patients or those with physical or visual limitations can learn the process easily. Many of our patients report that within a week or two, inserting and removing their lenses feels completely natural.
The clinic provides step-by-step guidance, training videos, and ongoing support throughout the journey.
Myth 5: “Scleral lenses are just for comfort – not vision improvement”
False. These lenses do more than protect and hydrate the eye. They create a new, smooth optical surface that corrects the distortions caused by an irregular cornea. For keratoconus patients, the improvement in sharpness and visual stability is often dramatic.
There are many types of scleral and mini-scleral lenses, with different sizes, shapes, and materials — each designed to address a specific condition.
Myth 6: “They’re too expensive and not worth it”
While it’s true that scleral lenses are a premium medical solution that requires customization, they are crafted based on the unique shape of your eye — unlike shelf lenses. For many, they are truly life-changing.
In some cases, especially with a clear medical diagnosis, coverage is available through national health providers or private insurance.
When measured against long-term visual quality and quality of life, these lenses are often well worth the investment.
Myth 7: “They’re too hard to care for and require special solutions”
Not really. Maintaining scleral lenses is quite similar to caring for standard lenses. They are rinsed, disinfected, and stored in dedicated solutions, with a clear and simple routine.
As part of the fitting process, patients receive full instruction, video tutorials, and personalized care guidance. After a few days, it becomes second nature.
Myth 8: “You have to refill them with solution during the day”
Properly fitted scleral lenses don’t need refilling throughout the day. When designed correctly, they offer continuous comfort and clear vision for the majority of your waking hours.
Myth 9: “They can only be worn for a few hours a day”
That’s rarely the case. Good fitting allows for stable, long-duration wear. Only in very rare cases — such as post-corneal transplant situations or highly delicate medical conditions — might your optometrist recommend limiting wear time based on clinical judgment.
With proper fit, patients enjoy comfort, eye health, and stable vision all day long.
Final Thoughts
Scleral lenses are a precise, advanced, and safe solution that restores clear vision and quality of life for hundreds of thousands around the world. The myths surrounding them are often rooted in outdated or incomplete information.
When guided by professional fitting and expert care, patients quickly discover a different reality: these lenses work — and they work beautifully.
If you’ve ever hesitated due to one of these myths, it’s time to get the facts. M’Eye Clinic is here to support you with experience, knowledge, and truly personalized care.
