
Keratoconus can make everyday vision feel unpredictable. As the cornea becomes thinner and more irregular in shape, patients may experience blurry vision, glare, light sensitivity, eye strain, and difficulty wearing standard contact lenses. At Dr. Steven Lutz & Associates, scleral lenses are carefully fit to support patients with keratoconus, dry eye concerns, and other hard-to-fit vision needs.
Keratoconus affects the cornea, which is the clear front surface of the eye. Instead of keeping a smooth, round shape, the cornea gradually becomes more cone-like. This irregular surface can scatter light as it enters the eye, leading to distorted or fluctuating vision.
Because the cornea is already more delicate and uneven, traditional soft contact lenses may not provide enough stability. Some patients also notice discomfort, dryness, or lenses that move around too much throughout the day. This is where scleral lenses can make a meaningful difference.
Scleral lenses are larger than standard contact lenses. Instead of resting directly on the cornea, they vault over it and rest on the sclera, which is the white part of the eye. This design helps create a smooth optical surface over the irregular cornea, improving clarity for many patients with keratoconus.
The space between the lens and the cornea is filled with sterile saline before the lens is placed on the eye. This fluid layer helps keep the front of the eye hydrated and protected during wear, which can be especially helpful for sensitive eyes.
For patients with keratoconus, scleral lenses can provide comfort and visual stability that standard contacts may not offer. Their unique design helps reduce direct contact with the cornea while creating a more consistent surface for light to pass through.
Scleral lenses may help with:
• Blurry or distorted vision caused by an irregular cornea
• Light sensitivity and glare
• Contact lens discomfort
• Dryness or irritation during the day
• Vision that changes or fluctuates with regular contacts
Because every keratoconus case is different, a precise fitting is essential. The lens must be customized to the shape of the eye to support comfort, movement, hydration, and clear vision.
Scleral lenses require more detailed measurements than standard contacts. During a fitting, your Ann Arbor eye doctor evaluates the cornea, lens clearance, comfort, and visual performance to make sure the lens fits properly.
A well-fit scleral lens should feel stable, protect the sensitive surface of the eye, and provide clear vision without unnecessary pressure. Follow-up visits are also important to fine-tune the fit and make sure the lenses continue to work well for your eyes.
Dr. Steven Lutz & Associates provides specialty contact lens care for patients in Ann Arbor and surrounding areas. This includes scleral lenses for keratoconus and other complex vision needs. With the right evaluation and custom fit, scleral lenses can help protect sensitive eyes while supporting clearer, more dependable vision.
Schedule a consultation with Dr. Steven Lutz & Associates to find out if custom scleral lenses are the right fit for your keratoconus, sensitive eyes, or complex vision needs. Contact our office in Ann Arbor, MI by calling (734) 769-2909 to book an appointment today.