Wavefront-Corrected Scleral Lenses
Wavefront-Corrected Scleral Lenses
Some patients achieve a stable, comfortable fit with a standard scleral lens but still notice glare, ghosting, or vision that is not as sharp as expected. In many of these cases the remaining problem is residual higher-order aberrations — optical imperfections that contact standard scleral lenses cannot correct.
Wavefront-corrected scleral lenses add highly customized optics to a scleral lens to address those residual aberrations. The goal is clearer vision once the lens is already fitting well.
When wavefront correction may help
Wavefront correction is considered after a conventional scleral lens has been successfully fitted. It is most often discussed for patients with:
- Keratoconus or other irregular corneas
- Post-corneal transplant or corneal trauma
- Residual ghosting, halos, or reduced clarity despite a good scleral fit
Not every patient needs wavefront correction. If a standard scleral lens already provides the vision you need, that is the simpler solution. Wavefront correction is an option when higher-order aberrations continue to limit acuity after the lens is properly fitted.
Our Approach
Dr. DeNaeyer fits the scleral lens first, using the same mapping and design process used for other custom sclerals (including sMap3D corneo-scleral topography). Once the fit is stable, wavefront measurements can be taken and the optics of the lens customized to reduce the residual higher-order aberrations.
The lens still rests on the sclera and vaults over the cornea, with a fluid reservoir underneath. The difference is the customized optics on the lens surface.
What to expect
The process starts with a standard scleral evaluation and fitting. If residual higher-order aberrations are limiting vision after the lens is dispensed and the fit is confirmed, wavefront correction can be discussed. Additional measurements and a customized lens are required; the timeline is longer than a standard scleral fitting.
As with any scleral lens, the first visit includes a medical eye exam, mapping, and scleral lens fitting.
Request an evaluation
At The Scleral Lens Center, we’re committed to helping you achieve comfortable, clear vision.
If you already wear scleral lenses and still have bothersome glare, ghosting, or reduced clarity, or if you have been told that higher-order aberrations are limiting your vision, call (614) 228-4700 or use our contact form to request a scleral lens evaluation.