If Contact Lenses Haven’t Worked, This Is Where to Start
Contact lenses work well for many patients, but not every eye responds the same way. Some eyes need a more precise fit due to keratoconus or severe dry eye. This is common when standard lenses have not worked well.
Contact Lens Exams in Carson City That Go Beyond a Standard Fit
A contact lens exam in Carson City is used to determine whether your eyes can support lens wear comfortably and safely.
This includes assessing your corneal shape, tear film quality, and how your eyes respond to different lens options. For some patients, this process is straightforward. For others, especially those with dry eye or irregular corneas, we need more detailed measurements. The fitting process is usually slower.
The goal is to find a lens that works consistently, not just in the eye exam room, but throughout your day.
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.
Find Lenses That Work for Your Eyes
For patients whose eyes tolerate standard lenses well, several options are available based on prescription and lifestyle.
Some patients are looking for convenience. Others are trying to solve a problem that hasn’t been resolved elsewhere.
Whether you’re new to contact lenses or have struggled with them before, our optometrists base your options on how your eyes respond, not a standard fit.
Advanced Sierra Eyecare sees patients from Carson City as well as Reno, Lake Tahoe, Fallon, and Bishop for both standard and specialty contact lens care.
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.


