Preservative-free salines
Suitable for filling and rinsing scleral lenses
Tangible Fill is a preservative-free unbuffered saline (0.9% sodium chloride solution). It is packaged in 5mL vials and sold in a box of 60 vials.
VibrantVue is a preservative-free unbuffered saline (0.9% sodium chloride solution). It is packaged in 5mL vials and sold in a box of 100 vials. It has a low pH (between 5.1 and 5.6) according to the packaging.
Scleralfil is a preservative-free saline packaged in 10mL vials and sold in a box of 30 vials. It is a buffered saline, i.e. it has additives which stabilize the pH at a level similar to the eye.
Scleralfil vials are exceptionally user-friendly as they are easy to open and designed to stand up on their own.
Nutrifill is a preservative-free saline solution with electrolytes (Calcium, Magnesium, Potassium, Phosphate, Sodium). As a buffered saline, it has additives which maintain the pH at a level similar to the eye.
Nutrifill is packaged in 10mL vials and in a box of 35 vials. It is particularly popular with people who have ocular surface diseases.
Lacripure is an unbuffered preservative-free saline (0.9% sodium chloride solution) packaged in 5mL vials. It comes in a box of 98 vials. For people who need very little saline per session, it can last up to 3 months.
As an unbuffered saline, Lacripure is slightly acidic, though its pH seems to be significantly higher than the inhalation solution which are sometimes recommended for use with scleral lenses for cost savings.
Purilens Plus (and Purilens Mini) is a pH balance preservative-free saline sold in 4oz or 2oz bottles. It is buffered (i.e. it has additives to maintain a pH similar to the eye). It is very popular with new scleral lens users who need a lot of saline for multiple insertion attempts, and it is popular with people who, in general, need a lot of solution for rinsing, for example if they are repeatedly removing, cleaning and re-applying their lenses during the day.
Purilens is packaged in a multi-dose bottle. It is important to understand that these bottles can become contaminated and must be discarded within 14 days. You must be very careful to avoid touching the tip of the bottle to your lenses, eyes, or any surface. Some providers recommend refrigerating this product and some may recommend that you discard it within a shorter period than the FDA-approved 14 day labeling, if you are using it for filling lenses and not just rinsing.
The Purilens caps are the “puncture” type: you remove the cap, remove the white plastic ring, then replace the cap and screw it in hard to puncture the sealed bottle top.
Cleaning & Disinfection Solutions
Clear Care Plus is a hydrogen peroxide disinfection system for contact lenses that is suitable for GP (including scleral) lenses. It has more additives that “regular” Clear Care. User preferences vary between the two, but many scleral lens users prefer the Triple Action version for both comfort and vision.
Clear Care Plus is used to clean and rinse lenses, then disinfect them. It comes with a special “basket” style case that contains a neutralizing disc. You place your lenses in the cage, fill the case with solution, then place the cage in the case. Over a 6-hour period the lenses are disinfected and the the disc converts the solution (which is mostly hydrogen peroxide) to saline.
CAUTION: The Clear Care case is not suitable for use with larger or deeper scleral lenses. Consult your provider to ensure your lenses can be used with the Clear Care case.
Clear Care Plus is a “red cap” solution that cannot be used in the eye.
Clear Care Triple Action is a hydrogen peroxide disinfection system for contact lenses that is suitable for GP (including scleral) lenses.
Clear Care is used to clean and rinse lenses, then disinfect them. It comes with a special “basket” style case that contains a neutralizing disc. You place your lenses in the cage, fill the case with solution, then place the cage in the case. Over a 6-hour period the lenses are disinfected and the the disc converts the solution (which is mostly hydrogen peroxide) to saline.
CAUTION: The Clear Care case is not suitable for use with larger or deeper scleral lenses. Consult your provider to ensure your lenses can be used with the Clear Care case.
Clear Care is a “red cap” solution that cannot be used in the eye.
Tangible Clean is a multi-purpose solution suitable for rinsing, cleaning and disinfecting scleral lenses. It is sold in 12oz bottles and 3.4oz travel-friendly bottles.
Tangible Clean is compatible with Tangible Hydra-PEG coated lenses.
Boston Simplus is a popular multi-purpose solution for cleaning, rinsing, disinfection and condition of GP lenses including sclerals. It is sold in a 3.5oz bottle.
Unique pH is a multi-purpose solution suitable for rinsing, cleaning, conditioning and disinfection of GP lenses. It is quite popular particularly with people who are sensitive to other contact lens solutions.
Unique pH is sold in 4oz bottles and 2.5oz bottles. The 2.5oz bottles are popular for domestic ravel as they are TSA-compliant.
Unique pH is compatible with Hydra-PEG coated lenses.
Menicon PROGENT is a highly effective deposit and protein remover suitable for gas permeable lenses, including sclerals. It is popular for people with chronic stubborn deposits on their lenses.
To use Progent with scleral lenses, you need to separately purchase a special basket style case (Progent Large Diameter Case) . This case cannot be used for disinfection with Clear Care because it is not vented.
Application Devices & Systems
The DMV Scleral Stand is an inexpensive, collapsible scleral application stand. It consists of a translucent base and tube and a DMV Vented Scleral Cup. This stand has no light source. However, for those who need a light to assist with lens positioning, you can shine a light at the base or tube and you will be able to see the light through the plunger.
The DMV stand is particularly popular for learners and convenient for travel due to its size.
The DMV Vented Scleral Cup is a popular scleral lens application plunger. It can be used on its own or in certain stands, such as the DMV Scleral Stand.
This vented plunger does not apply any suction to the lens. However, it allows light to come through the shaft, which is helpful for correctly positioning your lens, especially if you have low vision.
Careful: DMV cases are airtight. Don’t use this case for storage unless your plunger is completely dry.
The DMV Scleral Up is a popular lens application tool for use with fingers. It is not commonly used with stands. The shaft is hollow but solid on the handle end. This allows suction to be applied to the lens in order to hold the lens in position while you fill it and apply it, without risk of “tipping over”. You squeeze to apply suction, and squeeze again to release the lens onto the eye.
Careful: The case it comes in is water-tight. Don’t use it for storage unless your plunger is completely dry.
Careful: DMV cases are airtight. Don’t use this case for storage unless your plunger is completely dry.
EZI Scleral Lens Applicator Ring is placed on a finger (with hand extended palm up) which allows you to make use of both hands for the lid spread. It’s a simple concept which for some patients can be a game changer.
There are two sizes of this product - Scleral, and Mini Scleral / Hybrid. The sizes refer to the cup where the lens is placed, as the ring itself is adjustable. Typically, the Scleral one is recommended for lenses 15mm or larger but please check with your provider for guidance.
The See Green Scleral Lens System is a complete kit consisting of scleral lens stand, scleral lens light system, application and removal plungers, and a vented plunger case. This is an extremely popular system for applying scleral lenses due to its thoughtful design, quality manufacturing and attentive manufacturer support.
The See Green Plunger Stand is a compact, contoured base for use with an application plunger. Plunger stands are very helpful for scleral lens users who need both hands for their lid spread or who have hand tremors.
Please note that there are two versions of the stand, one of which has a slot for use with the See Green Inserter (the light).
The S5 Mini inserter is a 5.5” high lighted plunger stand whose base suctions to a counter top for stabilization.
The S5 offers advantages for those concerned about the stability of their scleral lens application stand or who have to stoop too far for other stands. According to Amazon, personal coaching is included with the purchase.
See also: S5 Inserter, which is the same concept but has a telescoping base that allows you to raise the plunger holder to standing height.
The See Green Scleral Lens Inserter provides a small powered green light which is inserter into a specially adapted application plunger. This light helps guide lens positioning during lens application.
Some people use the See Green light, some use the See Green stand, and some use both.
The S5 inserter is a lighted plunger stand on a telescoping base that suctions to a counter top for stabilization.
The S5 is by far the tallest stand on the market and may be particularly helpful for taller individuals. According to Amazon, personal coaching is included with the purchase.
See also: S5 Mini inserter, which is the same concept but without a telescoping base.
Removal devices
The DMV 45 is an alternative removal plunger which is helpful as a way to attach a plunger without placing your hand immediately in front of your eye as needed with a standard removal plunger (DMV Ultra). This can be particularly useful in cases of low vision or just one seeing eye.
The DMV 45 is shorter than the DMV Ultra, which for some people makes it more difficult to use. One suggested “hack” is to place a piece of plastic straw over the handle end.
Careful: DMV cases are airtight. Don’t use this case for storage unless your plunger is completely dry.
The DMV Ultra Remover is the most common way to remove a scleral lens. See Scleral Lens Removal Guide for details on use.
Careful: DMV cases are airtight. Don’t use this case for storage unless your plunger is completely dry.
Handling & Storage
Drain strainers and “catch mats” help protect against losing lenses down your sink’s drainpipe.
Dental bibs are a practical accessory for using scleral lenses on the go. The plastic backing and absorbent surface makes them suitable to cover any surface where you may need to handle your sclerals - at work, even in flight.
High magnification mirrors are an essential tool for some scleral lens users. They can assist with the application and removal processes and help to determine whether there are any bubbles present under the lens.
Many hand soaps today contain moisturizers. But the hand soap you use before handling sclerals should be moisturizer free so that oils are not transferred to the scleral lens surface.
Options can be as simple as Dawn dish soap, or a hand soap sold specifically for contact lens users, such as the popular Ocusoft brand.
Flat cases can be used for daily disinfection of sclerals with multi-purpose solution as long as the size is compatible. They are also handy for temporary lens storage in multi-purpose solution even if you normally use a hydrogen peroxide disinfection system with a “basket” style case.
The PROSE case is a specialty case from BostonSight designed for PROSE device disinfection using hydrogen peroxide systems (Clear Care). It is very large and requires approximately 1.5oz (44mL) of Clear Care or hydrogen peroxide per use.
This case requires a catalyst disc, which is not included and cannot be purchased separately. To obtain a catalyst disc, you need to purchase Clear Care, remove the disc from the Clear Care case and place it in the PROSE case. This is an OFF LABEL use of Clear Care, so consult your provider.
This case is suitable for lenses from 16mm to 22mm diameter and is not suitable for corneal RGPs or soft lenses. The basket diameter is approximately 25mm. If your lenses are larger than 22mm, please ask your provider for guidance.
Do not use Progent cleaner with this case.
The Progent case is a Menicon brand “basket”-style specialty case for using Progent cleaning solution with scleral lenses.
The Progent case accommodates lenses between 11mm and 23mm diameter.
As a matter of safety, this case should never be used with hydrogen peroxide cleaning systems (Clear Care). H2O2 requires a vented case.
Other specialty products
Tangible Boost is a prescription-only, monthly treatment to restore the Tangible Hydra-PEG coating, and maintain the wettability of Tangible Hydra-PEG coated lenses.
Protective Eyewear
Also called “Moisture Chamber Glasses” or “Dry Eye Glasses”
Wiley-X Climate Control sunglasses (which are also available with clear lenses) have a foam-lined gasket designed to create a goggle-like seal around the eyes. They are great for “windproofing” your eyes.
Wiley-X glasses are available in various styles and are Rx ready.
Similar to: 7eye AirShields.
7eye AirShield sunglasses (which are also available with clear lenses) have a foam-lined gasket designed to create a goggle-like seal around the eyes. They are great for “windproofing” your eyes.
AirShields are available in various styles and are Rx ready.
Similar to: Wiley-X Climate Control
Ziena Eyewear are very popular with people who have severe dry eye, particularly for computer use. They are glasses frames with a removable discreet silicone shield which is meant to fill the gap between the frame and your skin. This shield blocks moving air (from vents, forced air heating, fans, or wind) and causes an increase of humidity in the space immediately in front of the eyes.
Ziena glasses are Rx ready, they come in many styles and colors, and can be purchased with a variety of lens types.