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Dr. Mayank Agarwal

Scleral Lenses

f you have been told that regular glasses or contact lenses cannot adequately correct your vision, scleral lenses may be worth exploring. At Jindal Eye Hospital, Vaishali Nagar, Jaipur, Dr. Mayank Agarwal — Refractive and Cataract Surgeon — provides thorough corneal evaluation to determine whether scleral lenses or another vision correction option may be suitable for your eyes. Our goal is to offer personalised, evidence-based eye care that genuinely serves each patient’s long-term visual health.

What Are Scleral Lenses?

Scleral lenses are large-diameter, rigid gas-permeable specialty contact lenses. Unlike standard contact lenses that rest directly on the cornea, scleral lenses vault entirely over the corneal surface and rest on the white part of the eye — the sclera.

This design creates a fluid-filled space between the lens and the cornea. In selected patients, this reservoir may help maintain corneal hydration and provide a smoother optical surface, potentially improving visual clarity and comfort where conventional lenses fall short.

Who May Benefit from Scleral Lenses?

Scleral lenses are considered for patients with specific corneal or ocular surface conditions.
Following a detailed eye examination, they may be appropriate for those with:

  • Keratoconus — progressive corneal thinning and irregular shape.
  • Irregular cornea from any cause.
  • Post-surgical corneal irregularity (after LASIK, RK, or corneal transplant).
  • Severe dry eye disease not responding to standard treatment.
  • Corneal scarring affecting vision.
  • Intolerance to regular soft or rigid contact lenses.
  • Patients found unsuitable for LASIK or Contoura LASIK after evaluation.

Key Benefits in Selected Patients

Better visual quality

May improve clarity in irregular cornea cases.

Corneal hydration

Fluid vault helps maintain surface moisture.

Custom fitting

Individually designed for each cornea.

Non-surgical option

For patients not suited to refractive surgery.

Improved comfort

Often better tolerated than RGP lenses.

Complex conditions
Useful where standard lenses are inadequate

Scleral Lenses and Keratoconus

Keratoconus causes the cornea to progressively thin and bulge forward in an irregular cone shape, making standard spectacles and soft lenses increasingly less effective over time. Scleral lenses, by vaulting over this irregular surface, may offer improved visual correction in certain stages of the condition.

At Jindal Eye Hospital Jaipur, Dr. Mayank Agarwal performs detailed corneal topography and overall eye evaluation before recommending any treatment. Keratoconus management is highly individualised — the right approach depends on the stage of the condition, corneal health, and several patient-specific factors. Early assessment is strongly advised for better long-term outcomes.

Scleral Lenses vs. Regular Contact Lenses

Regular contact lenses

  • Rest directly on the cornea.
  • Smaller diameter.
  • Suitable for normal corneas.
  • May not correct irregular shapes.
  • Generally easier to handle initially.

Scleral lenses

  • Vault over the cornea.
  • Larger diameter, rest on sclera.
  • Designed for complex/irregular corneas.
  • Fluid reservoir may improve comfort.
  • Requires specialist fitting and evaluation.
Neither option is universally “better” — the appropriate lens depends entirely on your corneal anatomy and eye health, which is why a specialist evaluation is essential.

Scleral Lenses, Contoura LASIK, and Your Vision Correction Options

Not every patient is a candidate for laser vision correction. At Jindal Eye Hospital Jaipur, patients undergo a comprehensive pre-treatment evaluation to determine what is right for their eyes. Depending on corneal thickness, topography, and overall ocular health, the recommended solution may be Contoura LASIK, standard LASIK, glasses, regular contact lenses, scleral lenses, or another specialist treatment. No single approach fits everyone — the priority is always finding the safest and most effective option for each individual patient.

Why Choose Jindal Eye Hospital, Jaipur?

  • Advanced corneal topography & mapping.
  • Expertise in refractive & cataract surgery.
  • Keratoconus & irregular cornea care.
  • Patient-focused, unhurried consultations.
  • Personalised treatment planning.
  • Specialty & scleral lens services.
  • Comprehensive cataract services.
  • Conveniently located, Vaishali Nagar.

When Should You Consult an Eye Specialist?

Consider booking a consultation at Jindal Eye Hospital if you experience any of the following:

  • Blurred or distorted vision.
  • Frequent power changes.
  • Contact lens intolerance.
  • Dryness or irritation.
  • Diagnosed keratoconus.
  • Poor night vision / glare.
  • History of corneal problems.

Medical Disclaimer: Scleral lenses are a specialty option suitable only for selected patients. Whether they are appropriate for you depends on a detailed eye examination and evaluation by a qualified ophthalmologist. This content is for general informational purposes only and does not constitute medical advice or a guarantee of any specific treatment outcome. Please consult Dr. Mayank Agarwal or a qualified eye care professional for personalised guidance.

Frequently Asked Questions (FAQs)
01. What are scleral lenses?
Scleral lenses are large-diameter, rigid gas-permeable specialty contact lenses designed to vault over the cornea and rest on the sclera (white of the eye). They create a fluid-filled space that may improve vision and comfort in patients with irregular or compromised corneas.
They are typically considered for patients with keratoconus, irregular cornea, corneal scarring, severe dry eye, post-surgical corneal changes, or those who cannot tolerate standard contact lenses. Suitability is determined after a specialist evaluation.
In selected keratoconus patients, scleral lenses may provide better visual correction than standard glasses or soft lenses by creating a smooth optical surface over the irregular cornea. The right approach depends on the severity of the condition and overall eye health.

Not universally. For patients with normal corneas, regular lenses are usually sufficient. Scleral lenses are specifically designed for complex corneal conditions where standard lenses may not work well. Your eye specialist will advise what is right for your specific situation.

Keratoconus is generally considered a contraindication for LASIK, including Contoura LASIK, due to progressive corneal thinning. However, each case is different. At Jindal Eye Hospital Jaipur, Dr. Mayank Agarwal performs a comprehensive corneal evaluation to determine the safest and most appropriate treatment option for each patient.

Scleral lens evaluation and fitting is available at Jindal Eye Hospital, located at 10/62, Chitrakoot Scheme, Vaishali Nagar, Jaipur. Call +91 99298 57361 or email jindaleyehospitaljaipur@gmail.com to book a consultation with Dr. Mayank Agarwal.
  • Jindal Eye Hospital Jaipur

Dr. Mayank Agarwal

Book your Contoura Lasik consultation today and start your journey toward spectacle-free vision!

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