Scleral Lens Fitting Treatment in Coto de Caza, California
Scleral Lens Fitting — At a Glance
Severity & Type
When to See a Doctor
Schedule a comprehensive eye exam if you experience persistent symptoms.
Key Symptoms
- Vision not fully correctable with glasses or standard contacts
- Irregular astigmatism causing distorted or ghosted images
- Eye pain or discomfort from ill-fitting standard lenses
- Fluctuating vision throughout the day
- Chronic dry eye despite drops and treatments
Treatment Options
- Custom Scleral Contact Lens Fitting
- Scleral Ortho-K (Overnight Reshaping Lenses)
- Corneal Topography-Guided Lens Design
- Medical Insurance Prior Authorization
- Insertion/Removal Training
Scleral contact lenses are large-diameter specialty lenses that vault completely over the irregular cornea, creating a fluid-filled reservoir that corrects vision even when glasses and standard contacts fail. Ideal for keratoconus, post-LASIK complications, radial keratotomy (RK), severe dry eye, irregular astigmatism, and post-corneal transplant patients. Dr. Bonakdar has 35+ years and 500+ scleral fittings.
Coto de Caza families should know that scleral lens fitting can affect patients of all ages. Our practice provides age-appropriate evaluation and treatment, with clear explanations that help every family member understand the care plan.
Dr. Bonakdar on Scleral Lens Fitting
Direct Answers from Dr. Bonakdar
Dr. Alexander Bonakdar at EyeCare Center of Orange County provides expert scleral lens fitting diagnosis and treatment for patients in Coto de Caza and throughout Orange County. With over 35 years of clinical experience and advanced diagnostic technology, each patient receives a personalized treatment plan based on their specific condition severity and lifestyle needs.
What is scleral lens fitting?
Scleral lens fitting is a specialty eye care process where an eye doctor designs large-diameter contact lenses that rest on the white part of the eye, vaulting completely over the cornea. The process involves mapping the corneal shape and precisely customizing the lens to create clear, comfortable vision for conditions like keratoconus, dry eye, and post-surgical complications.
How long does it take to get fitted for scleral lenses?
Scleral lens fitting typically takes 2 to 3 appointments over 2 to 4 weeks. The first appointment measures the eye, the second involves trial lens fitting and adjustments, and the final visit confirms the prescription. An experienced fitter can often complete the process more quickly than average.
Who needs specialty scleral lens fitting?
Scleral lens fitting is for patients whose corneas cannot be adequately corrected with glasses or regular contact lenses. This includes people with keratoconus, severe dry eye, post-LASIK complications, radial keratotomy problems, corneal scarring, and irregular astigmatism from any cause.
Does insurance cover scleral lens fitting?
Scleral lenses are often covered under medical insurance rather than vision insurance, especially when they are prescribed for a medical condition like keratoconus or post-surgical complications. Coverage varies by plan. Your eye doctor's office can submit a prior authorization to determine your specific benefits.
What are the symptoms of Scleral Lens Fitting?
Parents and families in Coto de Caza should watch for these symptoms in both children and adults, as early detection significantly improves treatment outcomes:
- Vision not fully correctable with glasses or standard contacts
- Irregular astigmatism causing distorted or ghosted images
- Eye pain or discomfort from ill-fitting standard lenses
- Fluctuating vision throughout the day
- Chronic dry eye despite drops and treatments
- Post-surgical vision changes that glasses cannot correct
What happens if scleral lens fitting is not treated?
Without proper diagnosis and treatment, scleral lens fitting can lead to:
- Continued poor vision with ill-fitting standard lenses
- Ongoing discomfort and dry eye from lenses that don't fit the cornea
- Progressive corneal damage from poorly fitting rigid lenses
- Inability to work, drive, or perform daily activities requiring clear vision
- Reduced quality of life from uncorrected post-surgical complications
- Unnecessary acceptance of vision that can be significantly improved
How is Scleral Lens Fitting treated?
We work with Coto de Caza families to select treatments that fit both the patient's needs and the family's schedule, with clear instructions parents and patients can follow at home:
Standard Care vs. Specialized Treatment for Scleral Lens Fitting
| Aspect | Standard Approach | Specialized Treatment |
|---|---|---|
| Lens Position | Rests on the cornea | Vaults over cornea, rests on sclera |
| Dry Eye | Worsens tear film instability | Fluid reservoir hydrates cornea all day |
| Irregular Corneas | Cannot correct keratoconus or post-surgical irregularity | Creates smooth optical surface over any shape |
| Wearing Time | 8-10 hours (decreasing comfort) | 12-16 hours with consistent comfort |
| Customization | Limited parameter adjustments | Fully custom design for each cornea |
Scleral Lens Fitting FAQs for Coto de Caza Patients
Common questions from Coto de Caza patients about our eye care services
Have more questions? Call us at (714) 558-1182
Scleral Lens Fitting Care for Coto de Caza Residents
Coto de Caza families are discovering scleral lenses for a wide age range — teenagers with keratoconus, parents who had LASIK complications, and grandparents managing severe dry eye. Our practice provides scleral fitting for patients from adolescence onward. We make the process comfortable and teach insertion techniques in a calm, patient-paced environment.
About Coto de Caza
Exclusive guard-gated community with luxury amenities and equestrian facilities
Population: 15,000+
Languages Spoken in Coto de Caza
Our practice serves the diverse Coto de Caza community. We provide care to patients who speak:
Eye Health Priorities for Coto de Caza
- Pediatric eye exams and vision screening
- Myopia control and management
- Sports vision for young athletes
- Digital eye strain from screens
- Learning-related vision problems
Conveniently Located Near Coto de Caza Landmarks
Our Orange County practice is easily accessible for Coto de Caza patients living near:
Getting to Our Office from Coto de Caza
Coto de Caza patients typically reach our Santa Ana office via the 5 Freeway in approximately 30 minutes. Free on-site parking is available in our building.
801 N Tustin Ave, Ste 404, Santa Ana, CA 92705 — Get DirectionsCoto de Caza Neighborhoods We Serve
- Coto de Caza community
Zip codes: 92679
Why Coto de Caza Patients Choose EyeCare Center for Scleral Lens Fitting
35+ Years of Experience
Dr. Alexander Bonakdar has served Orange County since 1991, with extensive experience treating scleral lens fitting.
Advanced Diagnostics
OCT imaging, corneal topography, visual field testing, and retinal photography for precise diagnosis.
Insurance Accepted
VSP, EyeMed, Medicare, Medi-Cal, and most major vision and medical insurance plans.
Convenient for Coto de Caza
Open Monday through Friday 9 AM – 6 PM with easy access from Coto de Caza and surrounding communities.
Your Scleral Lens Fitting Specialist in Coto de Caza
Dr. Alexander Bonakdar is a board-certified ophthalmologist with over 35 years of experience treating scleral lens fitting and complex eye conditions. Trained at the #1-ranked Bascom Palmer Eye Institute, he has helped over 10,000 patients achieve and maintain clear vision.
Patient Stories from Coto de Caza
See why your neighbors in Coto de Caza trust us with their vision.
Comprehensive Exam
"Not a fan of getting my eyes checked but the receptionist and Dr. were very nice and eased my anxiety."
Comprehensive Exam
"I came back for my yearly visit and had a great experience as always."
Schedule Your Scleral Lens Fitting Consultation
Expert diagnosis and treatment for Coto de Caza and Orange County residents.