Who Qualifies for Sclerals After 45? A Practical Guide

At OC Optometry Group, we believe that clear, comfortable vision should be possible at any age. For patients over 45, scleral lenses can be an excellent solution—not only for complex vision problems but also for improving comfort in challenging eye conditions. However, not everyone will be the right candidate. This guide explains who may qualify and what to expect.

What Are Scleral Lenses?

Scleral lenses are large, gas-permeable contact lenses that rest on the white part of the eye (the sclera) and vault over the cornea, creating a fluid-filled space. This unique design can correct irregular vision and provide exceptional comfort, especially for sensitive or dry eyes.

Who May Benefit After 45?

While scleral lenses can be worn by adults of all ages, certain groups over 45 often see the most benefit:

• Keratoconus or other corneal irregularities – Sclerals smooth out distorted corneal surfaces for clearer vision.

• Severe dry eye disease – The fluid reservoir protects the cornea and relieves irritation.

• Post-surgical eyes – After LASIK, corneal transplants, or cataract surgery, sclerals can help restore sharp, stable vision.

• High or irregular astigmatism – They can provide better correction than standard lenses or glasses.

Considerations for Patients Over 45

Age itself isn’t a barrier, but certain factors may influence candidacy:

• Presbyopia – Near vision changes can be addressed with multifocal scleral designs or reading glasses.

• Eye health – Adequate tear production, healthy eyelids, and absence of uncontrolled ocular disease are important.

• Dexterity – Scleral lenses are larger and require specific handling techniques, which some patients may need time to master.

Our Fitting Process

At OC Optometry Group, we start with a comprehensive eye exam and corneal imaging to determine if sclerals are right for you. If you’re a candidate, we custom-design the lenses to your eye’s exact shape and provide detailed training on insertion, removal, and care.

The Bottom Line

Scleral lenses can transform vision and comfort for many patients over 45, particularly those with complex corneal conditions or severe dryness. With the right fit and ongoing care, they can provide clear, stable vision for years to come. At OC Optometry Group, we are here to help you explore whether sclerals could be your next step toward better vision.