Appointment for Boston Sclerals

[Eagle_39]

Hi all,

I set up an appointment with BFS later in the summer to have PROSE lenses made. I am hoping that any veterans could share their vast wealth of knowledge. Are there any tips you all can give that are not in the basic research on the topic? Anything you wish you had done before you went up there? Maybe things you had forgotten?

I will try to post updates if nothing prevents me from making the trip. I am relatively optimistic about this. I've tried everything else, so I am hoping this is a much more aggressive procedure.

How well do the lenses protect against wind or A/C? I have read that some of you have had comfort problems with the lenses. Any thoughts are appreciated.

Never give up,

Eagle_39

[Eagle_39]

Perhaps I should clarify. By "veterans", I meant anyone who has had Boston sclerals done before. I'm simply looking for helpful tips that anyone might have. I work in an air conditioned atmosphere with flourescent lighting although I rarely use a computer at work. Has anyone had success with sclerals against AC, wind, or flourescent lighting?

[Eagle_39]

I have read about some vision problems being corrected with scleral lenses. I have some night vision problems as a result of Lasik. Does anyone know if sclerals might help that?

I have also read that some of you cannot tolerate wearing sclerals. Is that common? Any thoughts are appreciated.

[Rebecca Petris]

I've moved this to open forum (new threads should go there rather than the archives - most people will not see new posts in the archives).

I think sclerals do great with fluorescents. Where I live now we don't really have A/C and I moved here shortly after getting my sclerals so I can't really comment too much. Wind is NOT okay - I still need panoptx style glasses outdoors for the most part or with A/C or heat in the car. I think that's pretty common for sclerals in people who have dry eye. The thing you have to remember about sclerals is that they totally isolate/protect/lubricate the cornea, but there's still the interface of the eyelids and the top of the lens (which is quite large) to deal with.

Most of the people scleral users I speak with have them either for keratoconus or for a relatively extreme form of dry eye such as GvHD, SJS or (sometimes) Sjogrens. Most of them do very well with the lenses though some have issues with mucous.

With a good fit, sclerals should correct most LASIK related night vision defects, which are usually related to corneal surface irregularities or sometimes a disparity between your night pupil size and the treatment zone. My night vision is pretty good with my lenses. (It's toast without, but then, it is during the day too.) One thing to keep in mind is that when the plasma treatment of the lens degrades you may see your night vision degrading a bit - that's one of the clues I get that the lens needs retreatment.

It's difficult to get a clear view of what sclerals and dry eye look like on this bulletin board. That's partly because the bulletin board is a magnet for all the exceptions, rather than the successes. It's the opposite for me during my day because I field calls all the time from successful users (since I stock removers & inserters and such in the shop). But my impression in general is that those who have the severest forms of dryness clinically are the ones with the highest tolerance and overall success rates. When you get into the types of groups we have more of here - people with severe symptoms but not always severe clinical signs - it's harder to predict how things will turn out.

[Eagle_39]

Great info, Rebecca. Thanks! I am trying to temper my expectations, but I am smiling at the thought of regaining some of my night vision : )