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Keratoconus Contact Lenses: Tips for First-Time Wearers

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Living with keratoconus can present unique vision challenges. Standard glasses may not fully correct your sight, and traditional soft contacts often don’t fit well on an irregularly shaped cornea. 

However, many people with keratoconus find success with specialty lens options like scleral lenses. With the right guidance and a bit of practice, you can adapt to your new lenses and enjoy a new level of visual freedom.

Your First Step: The Custom Lens Fitting Process

Your journey with keratoconus contact lenses begins with a contact lens fitting. This helps ensure that you get the clearest vision and best comfort possible.

What to Expect at Your Exam

Your eye doctor will perform a few extra steps beyond a typical eye exam. Using a technique called corneal topography, they’ll map the surface of your cornea to create a detailed, 3D picture of its shape. This allows them to choose a lens type that will work best for you.

Why a Custom Fit Matters for Keratoconus

Because keratoconus causes the cornea to have an irregular shape, it’s especially important that your lenses fit. A custom-fit scleral lens, for instance, vaults over the cornea, creating a smooth surface for light to focus correctly. This is key to correcting the distorted vision caused by keratoconus.

Master the Basics: Insertion & Removal

At first, putting in and taking out your lenses might feel a bit strange. However, with a little practice, it will quickly become a natural part of your daily routine. 

A Step-by-Step Guide to Put Your Lenses In

  1. Wash your hands with soap and water, then dry them with a lint-free towel. This helps keep your contact lenses clean and helps avoid infection.
  2. Place the lens on the tip of your index finger.
  3. Use your other hand to hold your upper eyelid open.
  4. Pull down your lower eyelid with the middle finger of your inserting hand.
  5. Look straight ahead and gently place the lens on your eye.
  6. Slowly release your eyelids and blink.

How to Take Your Lenses Out Safely

Your optometrist will show you the best technique for your specific type of lens—whether it’s a soft lens, RGP, hybrid, or scleral lens. Many patients appreciate the benefits of scleral lenses for keratoconus due to their stability and comfort. Always follow your optometrist’s instructions to avoid irritating your eye. Some lenses require a small tool for removal, while others can be removed with your fingers.

Relax & Be Patient

Most people feel nervous at first. It’s okay to take your time and go at your own pace. If you feel frustrated, take a break and try again in a few minutes.

Your New Daily Routine: Lens Care & Hygiene

Keeping your lenses clean is one of the most important things you can do for your eye health. Following proper contact lens care guidelines helps prevent eye infections and keeps your lenses comfortable to wear. A consistent routine makes all the difference.

Clean Lenses, Clean Hands & A Clean Case

This simple rule is your key to success. Always wash your hands before handling your lenses. Clean your lenses every time you take them out, and care for your case as directed by your eye doctor.

Use the Right Solution

Your eye doctor will recommend a cleaning and disinfecting solution that works with your lenses. Don’t switch brands without asking first. Some solutions aren’t compatible with certain lens materials.

Replace Your Case Regularly

Your lens case can collect germs over time. It’s a good habit to replace it every one to three months. After you put your lenses in each morning, rinse the case with fresh solution and let it air-dry upside down. This is part of learning how to store contact lenses safely.

The Adjustment Period: What to Expect

It takes time for your eyes to get used to wearing contact lenses. It’s normal to be aware of them in your eyes for the first few days. This feeling should fade as you adapt to them.

How Long Does It Take to Adjust?

Everyone is different, so the adjustment period can vary. Some people feel completely comfortable within a few hours, while others may take a week or two. Always follow the wear schedule that your optometrist recommends.

Manage Mild Discomfort or Blurriness

Blurriness can sometimes arise as your eyes adjust to new lenses, but it should clear up quickly. If you experience persistent discomfort, including unusual eye pain, redness, or blurry vision, take your lenses out. Then connect with your eye doctor for guidance.

Stay Hydrated for Better Comfort

Drinking plenty of water helps keep your eyes—and your contact lenses—from feeling dry. If dryness is a persistent issue, your eye doctor may recommend dry eye therapy to improve your comfort. They may also recommend rewetting drops that are safe to use with your type of lenses. This can improve comfort throughout the day.

Long-Term Success & Professional Support

Following your prescribed wear schedule and developing good habits will set you up for success with your new lenses. Think of your optometrist as your partner in your eye health journey. Open communication is key to making sure your lenses continue to work well for you.

Follow Your Recommended Wear Time

Your optometrist will tell you how many hours a day you can safely wear your lenses. In some cases, you may start with a shorter time and slowly build up to the maximum recommended wear time. This helps your eyes adapt comfortably.

What Not to Do With Your Lenses

There are a few important rules to follow to protect your eyes:

  • Don’t sleep in your lenses unless they’re specifically approved for overnight wear.
  • Don’t rub your eyes, as this can worsen keratoconus.
  • Don’t wear a lens that appears damaged or torn.
  • Don’t use tap water to clean or store your lenses.

Signs You Need an Adjustment

Get in touch with your eye doctor’s office if you notice any of these signs:

  • Sharp pain or ongoing discomfort
  • Persistent redness or irritation
  • Sudden blurry vision
  • Increased sensitivity to light

The Importance of Follow-Up Visits

It’s important to remember that keratoconus can progress over time, which means your lens prescription might need to change, too. Regular follow-up appointments are a key part of all comprehensive eye exams, allowing your doctor to check the fit of your lenses. They can make any adjustments needed to keep your vision clear and comfortable.

Our team at 2020 Eyecare Ohio is here to support you every step of the way. Contact us to schedule your consultation and learn more about keratoconus contact lenses.

Written by Dr. David Williams O.D.

Dr. David J. Williams is originally from Columbus, OH, but made his initial voyage to Southwest Ohio for his undergraduate studies. He obtained his Bachelor of Arts degree from Miami University, then attended The Ohio State University College of Optometry. He graduated as the recipient of the esteemed Patient Care Excellence Award in recognition for Exceptional Clinical Skills. After graduating, he moved to Cincinnati to begin practicing in private, commercial, and refractive surgical settings. While honing his clinical skills, Dr. Williams discovered a strong passion for business operations and team building that ultimately drove him back to school. He earned his MBA with a concentration in Finance. He utilized these skills to earn awards in practice excellence and service leadership before deciding to venture out and create 2020 Eyecare with Dr. Gibberman. Dr. Williams has a keen interest in specialty contact lens fitting, diagnosing and treating dry eye disease and glaucoma, and co-managing LASIK and PRK. He also enjoys providing comprehensive eye care for a host of diseases and ocular conditions, including diabetic retinopathy, macular degeneration, anterior uveitis, and other anterior segment conditions. In his free time, Dr. Williams enjoys spending time with his wife Grace, dog Barrett, golfing, reading non-fiction, watching The Ohio State Buckeyes beat up on other Big Ten Teams, and traveling the world.
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