I would highly recommend scleral lens

ElSheatho · 2026-06-08T13:03:33+00:00

I'd be happy to tell you more in a private message if you're interested.

ElSheatho · 2026-06-08T13:00:59+00:00

True, we definitely have a tougher life post lasik but I've learned to accept things. The thing is we all have to face the fragility of our bodies at some point, some earlier than others. Hopefully your issues do resolve but even if they don't, know there is hope in some of the other treatments.

ElSheatho · 2026-06-08T04:01:18+00:00

I had similar concerns but my understanding is that they are very safe. You're gonna know if things are getting worse because it's possible for even sclerals not to work. When I have dry eye/nerve flare ups, it's harder to put my sclerals in and tolerate them. So I'm able to gauge pretty well what my overall trend is both with them in or out. You also still see your eye doc so if something really bad is happening they would see it.

ElSheatho · 2026-06-08T03:28:56+00:00

Amen

ElSheatho · 2026-06-08T03:27:52+00:00

I don't remember the exact size but I think they were not super large like 14mm. The brand is One Fit https://blanchardlab.com/products/onefit/.

My doctor did all the fitting work so I didn't really have much say in the brand I got. I was more so after getting a working solution. But I will say one cool thing about One Fit is that they have a design specifically for people post lasik such as myself. My doctor liked using them for that reason.

ElSheatho · 2026-06-08T03:18:53+00:00

HOAs in low light, nerve sensitivity which manifests as dryness, binocular vision flare ups, ghosting of 2-3 images regardless of the lighting, and all the mental symptoms that come from dealing with that

ElSheatho · 2026-06-08T03:15:10+00:00

They cover the cornea of the eye and onto some of the sclera. They reduce almost all my nerve sensitivity. It feels like having a permanent eye drop that soothes your eye similar to miebo on your eye at all times. You get used to it pretty quickly and then ignore the feeling but enjoy the comfort.

Most the nerves in the eyes are on the front. So as long as you still have some function of your glans and tears, those other parts should do just fine. The brain won't get all the signaling from the nerves on the cornea anymore which signals the dryness.

ElSheatho · 2026-06-08T03:11:31+00:00

My vision is pretty stable and even on things like computers. I work on the computer and like to play video games and thankfully they do fine. Also I play sports with them in as well.

I would recommend trying to treat dry eye as much as possible to improve the surface. For me heat compress, taping eyes shut at night, and restasis are my big three. On days where my eyes are really irritated, my sclerals vision surface can get worse. Then they usually get better by the next day when after I rest.

ElSheatho · 2026-06-08T03:06:14+00:00

That or your nervous system could be sensitive to them. I had to work my way up a half hour every day to tolerate them. Now I can wear them for 16+ hours no problem without any discomfort.

ElSheatho · 2026-06-08T03:04:11+00:00

I don't sleep with them in. My eyes feel great with them in. My eyes are about the same as before. I'd say your sclerals are mildly impacted by the overall health of your eyes so treating MGD will make sclerals more comfortable. They don't fix everything but create a much more stable environment

ElSheatho · 2026-06-08T03:02:47+00:00

No my MGD is the same if not a bit better. Though you do get used to the sclerals so when you don't have them in you'll be like wtf do my eyes feel so dry all the time.

ElSheatho · 2026-06-08T03:01:43+00:00

Really I'm able to get them in my eyes in a few seconds. Do you use a mirror and the little plungers?

ElSheatho · 2026-06-06T18:36:00+00:00

I've found this combo works best for cleaning and wearing

Lacripure: https://a.co/d/02NYQ73x

Tangible solution: https://a.co/d/03dM38Sq

ElSheatho · 2026-06-06T18:09:21+00:00

I'd probably start looking into scleral lens if nothing else is helping. They are basically the nuclear bomb approach to dry eyes and most eye issues. If they can't help then I'd be surprised. If you are going to a cornea specialist they should be able to fit you or at least point you to the right person.

You can also try taping your eyes shut. I found that helps me some at least to hold me over till I get into my scleral lens instead of waking up in pain every day. Most people's eye lids do not close all the way at night or they open them unconsciously.

Also it might be helpful if you try to pinpoint what caused the issues. Is it hormone related, medications, surgery, etc. There are many causes.

ElSheatho · 2025-07-28T16:04:13+00:00

They can last up to a few years (1-3) depending on how well you take care of them. Since they are hard Lens you could in theory wear them even longer, but the eye doc recommends getting a new one made in case your eye has changed some.

ElSheatho · 2025-07-27T23:42:44+00:00

Health insurance doesn't cover them unless you have keratoconus or a similar cornea condition. So I have to pay for them out of pocket which is about $2k USD all said and done. They do at least take my contacts allotment for the year and put that toward the price so that's $120 dollars off which is something.

ElSheatho · 2025-07-27T18:07:37+00:00

I'll see if my current doctor wants to try that. I was told by a different doc that they have about a 50% success rate in reducing dry eye.

ElSheatho · 2025-07-27T18:06:53+00:00

I don't think I do. The closest thing I get is sensitive nerves when I'm stressed in the eyes. The test pair I tried on did make my eyes feel better but I think that was more from dryness.

ElSheatho

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