Specialty Scleral Lenses & Contact Lens Care in Carson City
Not every patient can achieve clear, comfortable vision with standard contact lenses.
At Advanced Sierra Eyecare, we specialize in evaluating complex vision problems using advanced diagnostic technology and custom specialty scleral lenses for patients with keratoconus, severe dry eye, irregular corneas, and higher-order aberrations.
Advanced Contact Lens Care for Complex Vision Problems
Most contact lens fittings are straightforward. Others require a much deeper understanding of how the eye functions.
Our evaluations go beyond standard measurements by assessing corneal shape, tear film stability, ocular surface health, and visual quality. Using advanced diagnostic technology, we determine whether specialty scleral lenses or other custom solutions will provide clearer, more comfortable vision.
Scleral Lenses for Patients Who Have Struggled With Contacts
Scleral lenses are often used when standard contact lenses are no longer effective or comfortable.
They are designed for patients with conditions such as keratoconus, severe dry eye, or irregular corneas. Instead of sitting on the cornea, the lens rests on the white part of the eye and creates a fluid layer over the surface. This can improve both comfort and visual stability, especially in eyes that have been difficult to fit.
Keratoconus changes the shape of the cornea, which makes vision irregular and difficult to correct with standard lenses. Traditional contacts often move or fail to provide stable vision because they sit directly on the uneven surface.
Scleral lenses vault over the cornea instead of resting on it. This creates a smooth optical surface, allowing clearer, more consistent vision even when the cornea is irregular.
Severe dry eye can make contact lenses uncomfortable or impossible to wear. Standard lenses rely on a stable tear film, which may not be present in these cases.
Scleral lenses hold a layer of fluid against the eye throughout the day. This helps protect the surface of the eye and can significantly improve comfort for patients whose eyes do not stay adequately lubricated.
Some patients are referred here after other contact lens options haven’t worked. Others travel from outside Carson City to explore a fit that hasn’t been successful elsewhere.
Advanced Diagnostics for Precision Contact Lens Fitting
Every specialty lens begins with accurate measurements.
Our practice uses advanced diagnostic technology, including corneal topography, corneo-scleral profilometry, wavefront aberrometry, and detailed ocular surface evaluations to design lenses that match the unique shape of your eyes.
This allows us to improve:
- Lens stability
- Comfort
- Visual clarity
- Overall lens performance
Advanced Diagnostics for Precision Contact Lens Fitting
While our primary focus is specialty contact lens care, we also fit patients who are good candidates for traditional contact lenses.
Daily Disposables
Replaced daily, these lenses reduce buildup and simplify care. They are often used by patients with mild dryness or those who prefer a more consistent routine.
Toric Contact Lenses
These lenses are designed to remain stable on the eye and correct vision affected by astigmatism, helping maintain clearer, more consistent vision throughout the day.
Multifocal Lenses
Used for patients who need correction at multiple distances, these lenses allow for near and distance vision without switching between glasses and contact lenses.
Why Patients Choose Advanced Sierra Eyecare for Specialty Contact Lens Care
Patients from Carson City, Reno, Lake Tahoe, Fallon, Bishop, and surrounding communities come to Advanced Sierra Eyecare for specialty contact lens evaluations because of our experience managing complex visual conditions.
Our approach combines advanced diagnostics, individualized lens design, and ongoing follow-up to help patients achieve clearer, more comfortable vision when conventional options have not been successful.
Request a Specialty Contact Lens Evaluation
If standard contact lenses have never provided the comfort or vision you expected, we can help determine whether specialty scleral lenses or another advanced solution is right for your eyes.


