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Specialty Contact Lenses·Laguna Woods, Orange County

Scleral Lens Fitting Treatment in Laguna Woods, California

Medically reviewed by Dr. Alexander Bonakdar, O.D. · Updated February 2026

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:

Custom Scleral Contact Lens Fitting
Scleral Ortho-K (Overnight Reshaping Lenses)
Corneal Topography-Guided Lens Design
Medical Insurance Prior Authorization
Insertion/Removal Training
Follow-up Monitoring & Adjustments

Standard Care vs. Specialized Treatment for Scleral Lens Fitting

AspectStandard ApproachSpecialized Treatment
Lens PositionRests on the corneaVaults over cornea, rests on sclera
Dry EyeWorsens tear film instabilityFluid reservoir hydrates cornea all day
Irregular CorneasCannot correct keratoconus or post-surgical irregularityCreates smooth optical surface over any shape
Wearing Time8-10 hours (decreasing comfort)12-16 hours with consistent comfort
CustomizationLimited parameter adjustmentsFully custom design for each cornea

Scleral Lens Fitting FAQs for Laguna Woods Patients

Common questions from Laguna Woods patients about our eye care services

At EyeCare Center of Orange County, we diagnose scleral lens fitting using advanced diagnostic equipment including corneal topography, OCT imaging, and comprehensive eye examinations. For Laguna Woods's mature adults, we incorporate age-related screening and medication review as part of the diagnostic process, since systemic conditions can affect results.
We offer comprehensive treatment options for scleral lens fitting including specialty contact lenses, medical therapy, and advanced procedures. For Laguna Woods's senior patients, we select treatments with attention to medication interactions, dexterity considerations, and overall comfort for long-term management.
Call (714) 558-1182 or book online. Initial consultations take 60-90 minutes and include comprehensive testing. Laguna Woods's senior patients appreciate our unhurried appointments and clear communication about treatment timelines and what to expect at each visit.
Yes, we accept most major vision and medical insurance plans including VSP, EyeMed, Medicare, and Medi-Cal for scleral lens fitting diagnosis and treatment. We verify your coverage and discuss costs before any procedures.
Yes. Dr. Alexander Bonakdar has fitted specialty contact lenses for over 35 years and has completed 500+ scleral lens fittings. Laguna Woods patients are referred to our practice from UCI Medical Center and CHOC specifically for complex scleral lens cases that other practitioners cannot resolve.
Laguna Woods's mature patients most commonly need scleral lenses for keratoconus that has progressed over decades, post-LASIK regression or ectasia, radial keratotomy complications from procedures in the 1980s-90s, and chronic dry eye that doesn't respond to drops alone.

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+

RetireesActive seniorsGolfersSocial community

Languages Spoken in Laguna Woods

Our practice serves the diverse Laguna Woods community. We provide care to patients who speak:

EnglishSpanishKoreanMandarin

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:

Laguna Woods Village
Laguna Woods Village Golf Courses
Laguna Woods Village Clubhouses
Saddleback Memorial Medical Center

Getting to Our Office from Laguna Woods

Drive Time
25 min
Primary Route
5 Freeway
Distance
12.4 mi

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 Directions

Laguna 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.

Dr. Alexander Bonakdar - Board Certified Ophthalmologist

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.

35+ Years10,000+ PatientsBascom Palmer
Learn more about Dr. Bonakdar →

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."

emily garcia
Santa Ana, CA

Comprehensive Exam

"I came back for my yearly visit and had a great experience as always."

Eduardo arias
Santa Ana, CA

Schedule Your Scleral Lens Fitting Consultation

Expert diagnosis and treatment for Laguna Woods and Orange County residents.