Advanced Scleral Lenses & Higher Order Aberration Correction
If glare, halos, ghosting, or blurred vision continue even with glasses or traditional contact lenses, advanced scleral lenses may provide a better solution. At Advanced Sierra Eyecare, our eye doctors use advanced corneal profilometry and specialty scleral lens technology to create highly customized contact lenses for patients with complex visual needs.
The goal is to improve visual acuity with a more comfortable fit, greater lens stability, and clearer vision for everyday life.
How Specialty Scleral Lenses Can Improve Complex Vision Problems
Some vision problems cannot be fully corrected with standard glasses or soft contact lenses. Conditions that change the shape of the cornea can cause light to scatter before it reaches the retina, leading to distorted vision, glare, and difficulty seeing clearly, especially at night.
Our eye doctors evaluate your eyes carefully using advanced diagnostic technology, including corneal topography and corneoscleral profilometry, to determine whether custom scleral lenses are the right solution for your visual needs. These lenses can often help patients who have undergone refractive surgery, corneal transplants, or other eye surgeries and continue to experience visual distortions.
We May Recommend Specialty Scleral Lenses For:
Keratoconus
Corneal ectasia
Corneal scarring
Irregular astigmatism
Post-LASIK vision complications
Severe dry eye
Glare and halos
Ghosting or double images
Poor night vision
Eyes that have been difficult to fit with contact lenses
Symptoms That May Benefit from Advanced Specialty Scleral Lenses
Even if your vision seems sharp during a routine eye exam, higher-order aberrations and irregular corneas can affect the quality of what you see. If you're experiencing any of the following, advanced specialty scleral lenses may be worth discussing with our eye doctors.
- Common Vision Symptoms
- Glare, especially from bright lights
- Halos around headlights or streetlights
- Difficulty driving at night, particularly after a blizzard or in other challenging weather conditions
- Vision distortions, including ghosting, shadowing, or blurred images
If these symptoms are making everyday activities more difficult, our eye doctors can carefully evaluate your eyes and determine whether custom specialty scleral lenses may help improve your vision.
What Are Higher Order Aberrations (HOAs)?
Higher-order aberrations are tiny optical imperfections that cannot be corrected with a standard glasses prescription. They may cause symptoms such as glare around headlights, halos, starbursts, blurred vision, ghost images, or poor night driving.
Some of the most common order aberrations, including spherical aberration, affect the quality of vision rather than the sharpness measured during a routine eye exam. Our advanced diagnostic technology helps identify higher-order aberrations by measuring how light travels through the eye. When appropriate, measurements such as root-mean-square (RMS) values provide additional information about these optical distortions and help guide lens design.
Advanced Corneal Profilometry for Specialty Scleral Lens Fitting
A successful scleral lens begins with accurate measurements. At Advanced Sierra Eyecare, our eye doctors use advanced corneal profilometry to map the cornea, limbus, and sclera with exceptional precision.
Combined with corneal topography, this technology captures hundreds of thousands of data points across the front surface of the eye. These detailed measurements allow us to design custom scleral lenses that closely match your eye, improving comfort, visual acuity, and overall lens performance while reducing the need for repeated adjustments.
Benefits of advanced corneal profilometry for specialty scleral lenses:
- Better lens alignment
- Improved rotational stability
- Greater day-to-day comfort
- Better visual outcomes
- Improved visual acuity
- Fewer fitting visits
Our Specialty Scleral Lens Fitting Process
Every eye is different, especially when the cornea has an irregular shape. That is why our eye doctors take a personalized approach rather than relying on standard measurements alone.
Your consultation includes a comprehensive eye exam, advanced imaging, corneal topography, and careful evaluation of your vision goals and daily activities. We also assess factors such as pupil size and overall optical quality. Trial lenses may be used during the fitting process to evaluate comfort, vision, and lens alignment before your final custom scleral lenses are manufactured.
Whether you spend long hours on a computer, drive throughout Northern Nevada, or enjoy outdoor recreation in the Sierra region, we design your lenses to support how you use your vision every day.
Why Patients Choose Custom Specialty Scleral Lenses
Unlike traditional contact lenses, scleral lenses rest on the sclerae, the white part of the eye, rather than the sensitive cornea. A layer of fluid remains beneath the lens, helping protect the eye's surface while creating a smooth optical interface for clearer vision.
Many patients experience:
- Better visual acuity
- More comfortable lens wear
- Improved vision throughout the day
- Better vision in low-light conditions
- Reduced glare, halos, and ghosting
- Greater comfort for severe dry eye
- Improved vision after refractive surgery or corneal transplants
Results vary depending on each person's eye condition, but many patients notice meaningful improvements that were difficult to achieve with traditional glasses or contact lenses.
Why You Should Choose Advanced Sierra Eyecare for Advanced Specialty Scleral Lenses
Patients throughout Carson City and surrounding communities trust our eye doctors for advanced medical eye care and complex vision problems.
Our practice combines years of experience with advanced diagnostic technology, corneal topography, and precision corneo-scleral profilometry to provide highly customized specialty scleral lenses for patients whose visual needs go beyond conventional correction. We take the time to explain your options, answer your questions, and work toward improving your vision with lenses designed specifically for your eyes.
Advanced Specialty Scleral Lens FAQ
In some cases, yes. If vision remains distorted due to corneal changes after LASIK or other refractive surgery, custom scleral lenses may improve visual acuity and overall visual quality. Our eye doctors will determine whether they are appropriate for your eyes.
Many people with severe dry eye experience improved comfort because the fluid reservoir beneath the lens keeps the eye's front surface continuously hydrated during wear and protects sensitive corneal tissue.
A specialty scleral lens fitting is more detailed than a standard contact lens fitting. Because every eye is unique, the fitting process often includes advanced imaging, trial lenses, and follow-up visits to achieve the best possible fit and vision.
Although they are larger than traditional contact lenses, most patients find specialty scleral lenses very comfortable because they rest on the sclera rather than the sensitive cornea. Their stable design also helps maintain consistent vision throughout the day.
Experience Clearer Vision with Custom Specialty Scleral Lenses
If glare, halos, ghosting, poor night vision, or distorted vision are affecting your daily life, our eye doctors can determine whether advanced specialty scleral lenses are the right solution for you. Contact Advanced Sierra Eyecare to schedule a comprehensive evaluation and begin a personalized fitting process designed around your vision goals.