Keratoconus specialist Dr. Bonakdar — Bascom Palmer trained, Orange County
Official DesignationKeratoconus Vision Center
4.9on Google

Scleral Lens Fitting Specialist — 5,000+ Scleral Lens Fits

Most clinics see 10 keratoconus patients a year. We’ve treated 5,000+. Same-week appointments near you.

Book Consultation(949) 693-4900

We do not accept Medi-Cal

Scleral Lenses for Keratoconus, Dry Eye & Irregular CorneasCustom Scleral Lens Fitting — 5,000+ FitsComplex & Failed-Fit Cases WelcomeVSP, EyeMed & all PPO Accepted

Who Scleral Lenses Help

Scleral contact lenses are custom-fitted rigid lenses that vault over the cornea and rest on the white of the eye. They restore sharp, comfortable vision when glasses, soft contacts, or RGP lenses no longer work. Dr. Alexander Bonakdar has fitted scleral lenses for over 35 years — more than 5,000 fits — for patients with:

  • ✓Keratoconus & corneal ectasia — the cone-shaped cornea that blurs and distorts vision
  • ✓Severe dry eye & Sjögren's — the saline reservoir bathes the eye all day
  • ✓Post-LASIK, RK or PRK irregularity — smooths the optical surface surgery left behind
  • ✓Corneal transplant & pellucid marginal degeneration — vaults over grafts and irregular shapes
  • ✓RGP or soft-lens intolerance — lenses that don't pop out, scratch, or dry out

Many of our patients were told they had no options left. At Keratoconus Vision Center in Santa Ana, scleral lens fitting is what we do every day — not a side service.

Why Patients Choose Scleral Contact Lenses

  • Sharp vision when glasses and soft contacts can't correct it
  • Non-surgical — nothing touches the cornea
  • All-day comfort, even for dry or sensitive eyes
  • Corneal topography and scleral profilometry for a precise fit
  • Same-week fitting appointments
  • VSP, EyeMed and all PPO plans accepted, plus 0% financing
  • Free scleral lens starter kit and insertion training

How Scleral Lenses Work

Scleral lenses are large-diameter rigid lenses that vault completely over the irregular cornea without touching it. Instead of resting on the cornea like a standard contact, a scleral lens lands on the white of the eye (the sclera).

The space between the lens and the cornea fills with a reservoir of preservative-free saline. This fluid layer fills in every irregularity of a keratoconus cornea, creating a perfectly smooth optical surface. Light then focuses cleanly — which is why scleral lenses deliver sharp vision that glasses and soft contacts simply cannot.

Because nothing presses on the sensitive cone, most patients find scleral lenses remarkably comfortable — even those who could never tolerate other contacts. The same fluid reservoir also continuously bathes the eye, which is why scleral lenses help patients with both keratoconus and severe dry eye.

Scleral Lenses vs. Regular Contacts

  • ✓Fit: Vault over the cornea vs. rest directly on it
  • ✓Vision: Smooth optical surface corrects irregular astigmatism
  • ✓Comfort: No pressure on the cone — comfortable all day
  • ✓Dry eye: Fluid reservoir bathes the eye continuously
  • ✓Stability: Large diameter means lenses don't pop out or dislodge

Curious about cost and coverage? See our scleral lenses cost guide.

Are Scleral Lenses Right for You?

Good Candidates

  • ✓ Keratoconus, ectasia, or an irregular cornea
  • ✓ Severe dry eye that drops and plugs haven't fixed
  • ✓ Blurry vision after LASIK, RK, PRK or a corneal transplant
  • ✓ Soft or RGP contacts are uncomfortable or pop out
  • ✓ Glare, halos, or ghosting that glasses can't correct

Note: Even if you've been told you are a "difficult fit," our specialized technology can often help.

The Scleral Lens Fitting Process

Most patients are fitted in two to three visits.

1

Corneal Mapping & Evaluation

Corneal topography and a detailed eye exam to measure the exact shape of your cornea and sclera.

2

Lens Design

We choose the scleral lens diameter, vault and material for your eye — keratoconus, dry eye, post-surgical or transplant.

3

Diagnostic Fitting & Trial

You try diagnostic scleral lenses in the office; we refine the fit until vision and comfort are right.

4

Dispense & Follow-Up

Insertion and removal training, then follow-up visits to fine-tune the lenses and protect long-term eye health.

See the Difference

Experience how scleral lenses can turn distorted, irregular-cornea vision into clear sight using our interactive simulator.

Patient education · English

Scleral Lenses Explained: Fit, Fluid & Vision

See how scleral contact lenses vault the cornea, hold a fluid reservoir and are individually fitted for irregular corneas and severe dry eye.

Read the video transcript

Scleral Lenses. A lens that vaults the cornea.

At Eyecare Center of Orange County, Dr. Alexander Bonakdar has cared for patients for more than three decades. Trained at Bascom Palmer, board certified, and trusted by more than ten thousand Orange County patients since nineteen ninety one.

A scleral lens is larger than an ordinary contact lens. It rests on the white of the eye rather than on the cornea itself.

That leaves a space underneath, which holds sterile fluid against the surface of your eye all day long.

For an irregular cornea, the lens and the fluid together create a smooth new surface for light to pass through, which can restore vision glasses cannot.

Because the eye stays in constant contact with fluid, scleral lenses are also valuable for severe dry eye.

The gap under the lens has to be right, and we measure it rather than estimate it. Our anterior segment scan takes a cross section straight through the lens and your cornea, and shows us the exact clearance. That is why a well fitted scleral lens usually feels like nothing at all.

Ask us whether a scleral lens would help. They are fitted individually and measured precisely, and most people find them far more comfortable than they expect.

Insurance Plans We Accept

We work with most major vision and medical insurance providers to maximize your benefits.

Vision Plans

  • VSP (Vision Service Plan)
  • EyeMed
  • Davis Vision
  • Spectera
  • Superior Vision
  • Avesis

Medical Plans

  • Medicare
  • Blue Shield of California
  • Anthem Blue Cross
  • United Healthcare
  • Cigna
  • Aetna
  • Tricare

*Medical insurance is often used for medically necessary contact lenses.

CareCredit Financing

Make keratoconus treatment affordable with CareCredit. We offer 0% interest financing for 6- and 12-month plans on scleral lens fittings and other treatments. Apply in minutes — no impact to your credit score to check eligibility.

Apply for CareCredit
HSA/FSA AcceptedMajor Credit Cards

Scleral Lens FAQs

Common questions about scleral lens fitting, keratoconus, dry eye, post-surgical eyes, cost and insurance.

Scleral lenses are larger than standard contact lenses and vault over the entire cornea without touching it. They rest on the sclera (the white part of the eye) and create a fluid reservoir between the lens and the corneal surface. This provides a smooth optical surface that corrects the irregular astigmatism caused by keratoconus, which standard soft lenses cannot adequately address.

A scleral lens fitting for keratoconus typically requires two to three office visits. The process begins with corneal topography and tomography to map the corneal surface, followed by diagnostic lens trials and adjustments. Modern imaging technology has shortened this process compared to older trial-and-error methods.

Yes. Scleral lenses are frequently used after corneal transplant surgery and for post-LASIK or post-RK corneal irregularity. Many of these patients have residual irregular astigmatism that glasses cannot correct. Scleral lenses provide a smooth optical surface over the cornea and can deliver clear, comfortable vision when other options have failed.

Yes. Because scleral lenses hold a reservoir of preservative-free saline against the cornea all day, they continuously bathe the ocular surface and are often prescribed for severe dry eye and ocular surface disease in addition to keratoconus. Many patients with both keratoconus and dry eye find scleral lenses significantly improve comfort.

In most cases, scleral lenses for keratoconus are classified as medically necessary by insurance providers. Many major vision and medical plans — including VSP, EyeMed, Medicare, and others — cover medically necessary contact lenses. Prior authorization is typically required, and coverage varies by plan. We verify your benefits before fitting.

Start Your Journey

If other lenses have failed you, scleral lenses are usually the answer. Schedule your scleral lens consultation with Dr. Bonakdar today.

1
Request Appointment
2
Comprehensive Exam
3
Custom Treatment Plan

Most vision plans & medical insurance accepted

We do not accept Medi-Cal