Scleral EyeSpace User manual

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Scleral Care & Maintenance

Scleral lenSeS
• Yourlensesshouldnevercomeintocontactwithtapwater.Tapwatercontainsmicroorganismslike
Acanthamoebathatcancausesight-threateningeyeinfections.
THINGS TO REMEMBER!
Scleralcontactlensesarerecognisedasasafeform ofvisioncorrection.However, incorrectcareof
scleral contact lenses and solutions can increase the risk of eye infections and corneal ulcers. Risk
factors for acquiring an eye infection include improper lens cleaning and disinfection, poor hygiene
practices and smoking. Following your practitioner’s hygiene regime, along with regular reviews, will
minimisethisrisk.
1,2,3,4
Beforehandling,removingorinsertingyourlenses:
Alwaysthoroughlywashyourhandswithanantibacterialbasedhandwashanddrythemwithaclean
towelbefore handling, removing or inserting your lens. Make sure towashallparts of your hands
includingbetweenthengersanddrythoroughly.
• Sitatatableordeskandplacealint-freeclothdowntoinsertandremovelenses.Avoidbathrooms
astheyoftencontainmoregermsthananyotherroominthehome.
• Inspectyourlensesfordepositsanddefectssuchaschips
orcracks.If younoticeany defectsor ifyou areunsure
whetheryourlensesaredamageddonotwearthelenses
andaskyourEyeCarePractitionertoinspectthemrst.
• Ifyoumisplacealens,contactyourEyeCarePractitioner
forareplacement.
Safety and Hygiene:
Care & Maintenance
Removal - Remove lens either manually or with the suction cup
First,ensureyoubreakthesealofyoursclerallens.Dothisbypressingrmlywithyourngeronyour
bottomeyelidjustbelowtheloweredgeofthelens,thenpushupwards.

METHOD 1 – SUCTION TOOL
• Whilelookinginthemirrorinfrontofyou,holdopenyourbottomlid.Wetthetipofthesuctiontool
toallowforbetteradhesionandattachthesuctiontiptothebottomthirdofthelens.
• Usingthesuctiontool,removethelensbytiltingthelensupandoutoftheeye.
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DAILY TWO-STEP CLEANER
Asdirectedbyyoureyecarepractitioner,somepatientsrequireadailytwo-steplenscleaningsystem.
Holdthelensinthepalmofyourhandandinstilonedropofthedailylenscleanerintothebowlofthe
lens.Gentlyrubthelensuntiltheliquidfoamslikesoap.Thenrinseoffwithsalineandplacethelens
intotheconditioningsolutiontostoreovernight.
PEROXIDE CLEANING SYSTEMS
Placelenses inthesupplied basketholder andllthe casewiththe hydrogenperoxidesolution. If
requiredaddtheneutralisingtablet,replacethelidandtighten.Unlessotherwiseindicated,thelenses
shouldtintothebasketcasewiththebasketsclosingoverthelenses.Improperuseofthebasket
case may cause damage to scleral lenses. It is imperative the lenses are not removed before the
solutionhashadsixhourstoneutralise.
Cleaning:
3CLEANING SCLERAL LENSES
METHOD 2 – MANUAL REMOVAL
• Insertadropofpreservative-freesalineorarticialtearstoloosenthelens.
• Tobegin,lookdownontoaatsurface(amirroroftowelcanbeplacedhere).
• Usingyourmiddlengers,opentheeyelidswiderthanthelensdiameter.
• Applypressuretothemiddleofthelidmargins(asclosetothelashesasyou
can–youdonotwanttoshowanyoftheredinsidesurfaceofyourlids),pushinginandtogetherto
moveyourlidsunderthelensandleveritoutoftheeye.
INTENSIVE CLEANER
Tocleanandmaintainthewettabilityofyourlensesuseintensivecleaner.Place
thelensesinto thecontactlenscase holders. Open vial AandBby twisting
thecapandpourthecontentsintothecontactlenscase.Replacethelidand
tighten.Leavethelensesinthesolutionfor30minutes,thenremoveandrinse
thoroughlywithsaline.Lensescannowbewornorsoakedinyourdailycleaner.(pleasenotethatthis
productmaynotbeavailableinallcountries,askyourpractitioner).

4INSERTION OF SCLERAL LENSES
Scleral lenses are manufactured from a durable
gas permeable polymer which resists wear and
tear during normal lens wearing circumstances.
However,itisstillimportanttohandlethemcarefully.
Habitsthatmaycausealenstobreakinclude;
• Pressureonthelens.Ifthelenslandsonamirrororatsurface,gently
slideitofftotheedgeofthesurfaceoruseasuctiontooltoremoveit
fromthesurface.
• Pulling a lens too rmly from the suction tool. Slide the lens off the
suctionpointinstead.
• Forcingthelenstobendwhilecleaning.Someforceisrequiredtocleanarigidlensusingyour
cleaningsolution,butnottoomuch.Thefrictionofyourskinsurfacewilldomostofthejob.If
youarepressingdownonbothsidesofthelens,itwillexandeventuallysnapiftoomuchforce
isapplied.
THINGS TO REMEMBER!
The rst thing you will notice about your lenses
is they have different colours. Usually, the right
lensisclearandtheleftlenshasabluetint.The
different colours will ensure you don’t get the
lenses confused. The way to remember is the
secondletterofblueisLforleft!
PLEASE NOTE:The above products are an example, please check with your Eye Care Provider for the most appropriate product to suit your needs.
Cleaning solution Hydrogenperoxidesolution,suchasAOSept/ClearCarewithHydraglyde,
MenicarePlusandBostonconditioningsolution
2 Step cleaners
Examplesinclude:BostonCleaner,Lobob,Ote&MeniconSprayandClean
Insertion Lubricant Preservativefreesalineonly
Intensive cleaning solutions MeniconProgent,BostondailycleanerorLobobdailycleaner
Removal Tools
DMVClassicorDMVUltracontactlensremover

Abnormal occurrences on insertion:
Ifoninsertionyouexperiencestinging,burningorslightpain,removethelens,rinseandre-insert.If
theproblempersists,removethelensandseeyouroptometristatyourearliestconvenience.
5SCLERAL CARE & MAINTENANCE TIPS
EYESPACELENSES.COM
Normal occurrences on insertion:
Duringtherstfewweeksofwear,itisnotunusualtohavelensfoggingduetoanaccumulationoflipid
andmucusbehindthelens.Thelensfoggingwillimproveovertime.Ifalensbecomesfoggyduring
theday,removethesclerallens,rinseandre-insertbackintotheeye.Mixpreservativefreelubricating
eyedropswiththesalineinsertionsolutiontohelpreducepersistentfogging.
THINGS TO REMEMBER!
Eitherplacethescleralcontactlensbetweenthemiddle,forengerandthumb(knownas
thetripodmethod)orsecureyourlenstoasuctiontool.
STEP 2:
Halfllthebowlofthelenswithapreservative-freesalinesolutiontopreventairbubbles
betweenyoureyeandthelens.Insertthesclerallensdirectlyontothecentreofyoureyein
afacedownposition.Tosaveconfusion,it’sagoodideatoalwaysinserttherightlensrst.
STEP 3:
Removeyoursclerallensesfromthecleaningsolutioncaseandrinsewithsaline.Ifyouare
usingahydrogenperoxidesolution,aminimumsoakingtimeofsixhoursisrequiredforthe
solutiontoneutralise
STEP 1:
Insertion:
Ifyouhappentodropyoursclerallens,usesalinesolutiontorinse.Placethelensinthe
palmofyourhandandthoroughlyrinseforvesecondsandreinsertthelens.
STEP 4:
Dryandwipeoutyourlenscasewithatissue.Leavethecaselidofftoairdrywhilewearing
yourlenses.
STEP 5:

6SCLERAL CARE & MAINTENANCE TIPS
• Makesureyouattendallyourfollow-upappointments–thesewillallowyoureyecarepractitioner
toensureyournewsclerallensisperformingaswellaspossible.
• Initially,itisbesttoincreaseyourwearingtimegradually.Startwithfourhoursontherstdayand
thenaddtwohourseachdayafterthat.
• Donotmodifytherecommendedcleaningroutineorsolutionswithoutconsultingyourpractitioner.
Othersolutions maynot becompatible withyoureyesand lensesand maycause discomfortor
allergicreactions.
• Shortcuts with cleaning solutions
appear to save money but may
ineffectivelycleananddisinfectthe
lens. Incorrect cleaning solutions
candamageyourlensesorleadto
aneyeinfectionwhichcanresultin
losingvision.
• Nevercleanorstoreyourrigidlens
with soft contact lens solutions.
Theseproductsworkinadifferentwaytotherigidlenssolutionsandwillnotcleanandcondition
yourrigidlensesaswell.
THINGS TO REMEMBER!
Normal occurrences include:
• Foreignbodysensationwhilewearinglenses.
• Mucusand lipidbuild upunder thesclerallenscausingend
ofdayfogging.
DURING THE FIRST 2 WEEKS:
Abnormal symptoms (contact your Eye Care Provider immediately) include:
• Redness, discharge, pain, light sensitivity, burning, stinging, and excessive watering of the eyes
whichdonotresolveafterlensesareremoved.
• Feelinglikethelensisstuckontheeyeandhavingdifcultywithremoval.

• Replace your lens case every
timeyou starta new bottleof
lenscleanertoavoidmicrobial
contamination and loss of
effectivity.
• To avoid contamination do
not touch the tips of solution
bottles.Replacecapsafteruse.
• If your eyes are very painful
after hours, consult your local
hospitaloremergencyeyeclinic.
• Ifyounoticescratches,chipsormisplacealens,contactyourEye Care Providerforareplacement.
• Rememberyoureyemust:
◦Lookgood(noredeyes)
◦Feelgood(nopain,discomfortorlightsensitivity)
◦Seegood(nopersistentblurryvision)
◦If in doubt, take them out and call your optometrist
THINGS TO REMEMBER!
EYESPACELENSES.COM
7SCLERAL CARE & MAINTENANCE TIPS
1Sclerallensttingandassessmentstrategies.ContactLensAnteriorEye,2019Feb;42(1):9–14.
2
Modernscleralcontactlenses:areview.EVanDerWorpetal
3Severinsky B, Behrman S, and JF-PCL, 2014. Scleral contact lenses for visual rehabilitation after penetrating keratoplasty: long term
outcomes.Elsevier
4Opticalconsiderationsforscleralcontactlenses:Areview.ContactLensAnteriorEye,2019May1.
REFERENCES
Your practitioner will be able to provide you access to an informative insertion and removal video on
scleral lenses. Alternatively you can nd these by typing “EyeSpace Scleral” into the YouTube search bar.

eyespacelenses.com
Scleral
CARE & MAINTENANCE