Scleral lenses are advanced specialty contact lenses designed to provide clear vision and improved comfort for patients with complex corneal conditions or severe dry eye disease. At our Miami Beach optometry clinic, Dr. Rachel Shlomov, OD provides Scleral Lens Fittings in Miami Beach using detailed diagnostic measurements and personalized lens designs. Patients who want the Best Scleral Lens Doctor often choose a specialty practice where precision and follow-up are prioritized, and if you’re searching Scleral Lens Fitting Near me, a structured fitting process matters.
Unlike standard contact lenses, scleral lenses vault over the cornea and rest on the sclera, creating a fluid-filled reservoir that protects the ocular surface while delivering stable, high-quality vision.
What are scleral lenses?
Scleral lenses are large-diameter rigid contact lenses that sit on the white part of the eye (the sclera) rather than directly on the cornea. The space between the lens and the cornea is filled with sterile saline, creating a smooth optical surface and continuous hydration for the eye.
This unique design allows scleral lenses to correct complex vision problems while simultaneously protecting and supporting the ocular surface.

Who are scleral lenses designed for?
Scleral lenses are often recommended for patients who are unable to achieve clear or comfortable vision with glasses or standard contact lenses. They are particularly beneficial for individuals with:
- Keratoconus or corneal ectasia
- Post-refractive surgery complications (including post-RK or LASIK issues)
- Irregular corneas or corneal scarring
- Post Blepharoplasty Eyelid Disfunction
- Lagophthalmos or Incomplete Eyelid Closure
- Severe dry eye disease or ocular surface disease
- Sjögren’s syndrome or autoimmune-related dry eye
- High refractive errors
- Contact lens intolerance
A comprehensive scleral lens evaluation determines whether this lens type is appropriate for your eyes and vision needs.
How is a scleral lens fitting different from a regular contact lens exam?
Scleral Lens Fittings in Miami Beach are significantly more detailed and specialized than standard contact lens exams. Because scleral lenses are custom-designed, precise measurements and advanced diagnostics are required to ensure proper fit, comfort, and eye health. Working with the Best Scleral Lens Doctor can make a meaningful difference in achieving long-term comfort and stable vision.
A scleral lens fitting may include:
- Detailed corneal and scleral measurements
- Evaluation of corneal shape and irregularities
- Assessment of ocular surface health and tear function
- Trial lens fitting and customization
- Multiple follow-up visits to refine lens fit and vision
This process ensures long-term success and safety with scleral lens wear.

Can scleral lenses help with dry eye disease?
Yes. Scleral lenses are one of the most effective options for managing severe dry eye disease. The fluid reservoir beneath the lens continuously bathes the cornea in saline, protecting the ocular surface and reducing symptoms such as burning, irritation, and fluctuating vision. For many patients, a Scleral Lens For Dry Eye can offer a level of day-to-day comfort that is difficult to achieve with drops alone.
For patients with advanced dry eye or ocular surface disease who have not found relief with drops or other therapies, scleral lenses can significantly improve comfort and quality of life.
What conditions can scleral lenses treat?
Scleral lenses can be used to manage both vision and ocular surface conditions, including:
- Keratoconus and corneal ectasia
- Post-surgical corneal irregularities
- Corneal scars or dystrophies
- Severe dry eye disease
- Neurotrophic keratitis
- Exposure keratopathy
- Ocular surface damage related to autoimmune disease
Each lens design is customized based on diagnostic findings and individual eye anatomy.
What is the scleral lens fitting process like?
The Scleral Lens Fittings in Miami Beach process involves multiple steps to ensure optimal results. After a comprehensive evaluation, trial lenses are used to assess fit and vision. Adjustments are made based on eye shape, comfort, and visual performance.
Follow-up visits allow refinement of lens parameters and patient education on insertion, removal, and lens care. This methodical approach helps maximize comfort, vision stability, and long-term eye health.
Why choose Dr. Rachel Shlomov for scleral lenses in Miami Beach?
Dr. Rachel Shlomov, OD is a Miami Beach optometrist with advanced training in specialty contact lenses and ocular surface disease. Her scleral lens fittings emphasize precision diagnostics, customized lens design, and careful follow-up to ensure long-term success. Patients who are looking for the Best Scleral Lens Doctor value the individualized attention, clinical expertise, and commitment to achieving both comfort and visual clarity.
Patients seeking a scleral lens specialist in Miami Beach value the individualized attention, clinical expertise, and commitment to achieving both comfort and visual clarity.
Scleral Lenses for Miami & Miami Beach Patients
Scleral lenses are especially beneficial for Miami and Miami Beach patients who struggle with dry eye symptoms due to environmental factors such as air conditioning, screen use, and contact lens intolerance. Personalized scleral lens fittings help patients achieve stable vision and improved comfort in South Florida’s climate.
Schedule a Scleral Lens Consultation
If you have been diagnosed with keratoconus, have a history of LASIK or refractive surgery, have chronic dry eye or complex vision issues, Dr. Rachel Shlomov offers Scleral Lens Fittings in Miami Beach with a diagnostic-driven, customized approach. If you’ve been searching Scleral Lens Fitting Near me and want to work with the Best Scleral Lens Doctor, a specialty consultation is the next step.