Scleral Lens Fitting Treatment in Laguna Woods, 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.
For Laguna Woods's mature residents, scleral lens fitting management takes into account age-related changes, current medications, and overall health goals to create a practical, effective treatment 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 Laguna Woods 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?
Laguna Woods's active adults should be particularly attentive to these warning signs, as age-related changes can cause symptoms to develop gradually:
- 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?
For Laguna Woods's mature patients, treatment selection accounts for existing medications, systemic health conditions, and quality-of-life priorities:
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 Laguna Woods Patients
Common questions from Laguna Woods patients about our eye care services
Have more questions? Call us at (714) 558-1182
Scleral Lens Fitting Care for Laguna Woods Residents
For Laguna Woods's senior community, scleral lenses address multiple age-related vision challenges in one device: severe dry eye, post-cataract surgery irregular astigmatism, and the corneal changes that accumulate over a lifetime. Many seniors who were told they'd "just have to live with" their vision have found remarkable improvement. We handle all insurance billing and prior authorization.
About Laguna Woods
Active adult 55+ retirement community with exceptional amenities
Population: 16,000+
Languages Spoken in Laguna Woods
Our practice serves the diverse Laguna Woods community. We provide care to patients who speak:
Eye Health Priorities for Laguna Woods
- Cataracts and cataract surgery co-management
- Glaucoma screening and management
- Macular degeneration monitoring
- Diabetic eye disease screening
- Low vision aids and rehabilitation
Conveniently Located Near Laguna Woods Landmarks
Our Orange County practice is easily accessible for Laguna Woods patients living near:
Getting to Our Office from Laguna Woods
Laguna Woods patients typically reach our Santa Ana office via the 5 Freeway in approximately 25 minutes. Free on-site parking is available in our building.
801 N Tustin Ave, Ste 404, Santa Ana, CA 92705 — Get DirectionsLaguna Woods Neighborhoods We Serve
- Laguna Woods Village
Zip codes: 92637
Why Laguna Woods 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 Laguna Woods
Open Monday through Friday 9 AM – 6 PM with easy access from Laguna Woods and surrounding communities.

Your Scleral Lens Fitting Specialist in Laguna Woods
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 Laguna Woods
See why your neighbors in Laguna Woods 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 Laguna Woods and Orange County residents.