How do I know which use applies to me?

You don’t have to — bring the diagnosis or the symptoms, and the evaluation maps your eye and names the right page.

Are scleral lenses comfortable on damaged eyes?

That is their signature: they rest on the white of the eye and never touch the cornea, which is why fragile surfaces tolerate them so well.

Does insurance help for medical uses?

Often — medically necessary scleral lenses are frequently supported by plans; we verify benefits before you commit.

How do scleral lenses work?

A scleral lens is a large rigid gas-permeable lens (a firm lens that lets oxygen through) that vaults over the cornea and rests on the white of the eye, holding a layer of saline between the lens and the cornea. That design works in two ways. Optically, the rigid lens becomes the surface that focuses light, which is why it is used for corneas made irregular by keratoconus, scarring, a transplant or LASIK. Therapeutically, the saline reservoir keeps a dry or damaged surface bathed and physically protected, which is why one lens type has so many uses.

Can scleral lenses help me avoid a corneal transplant?

Often, yes. Scleral lenses are rigid gas-permeable lenses, and in keratoconus that type of lens corrects vision adequately in most cases, so only a few eyes ever need a transplant. Sclerals are also used for corneas left irregular by scarring or surgery. When no lens can give good vision, surgery comes into the conversation. One mapping visit shows how much vision a lens can give your particular eye.

Medically reviewed by Dr. Brandon Cohenmehr, OD Last reviewed October 24, 2026

Everything Scleral Lenses Can Do

One platform. A dozen rescues.

A scleral lens does two things at once — vaults a damaged or irregular cornea, and bathes it in fluid all day. That pair of tricks turns out to solve a remarkable range of problems. This page is the map; each use has its own deep page.

Book appointmentOr call 310-828-2010 Accepted insurance

A scleral lens catching the light, macro

Fit here: Free-form only, Eaglet ESP mapped
Overseen by: Dr. Brandon Cohenmehr, OD
Patients: Fly in from across California
Coverage: Often supported when medically necessary

The map

Twelve jobs, one lens platform.

Keratoconus & pellucid: The classic rescue: vault the cone, mask the distortion. The Keratoconus Center →
Corneal scarring: Scars from infection, injury or shingles scatter light; the lens restores a smooth optical surface. Corneal scarring →
Post-LASIK ectasia: When vision deteriorates years after laser surgery. Post-LASIK ectasia →
Radial keratotomy (RK) eyes: The fluctuating vision of RK-era corneas, steadied. After RK →
Corneal transplants: Sharp vision over a healed graft, without touching it. Transplant co-management →
Stevens-Johnson syndrome: Protection and vision for the most fragile surfaces. SJS →
Bell’s palsy & facial palsy: A liquid shield for lids that cannot close. Bell’s palsy →
Severe dry eye: A saline reservoir worn all day, when drops have lost. The dry eye program →
Sjögren’s & autoimmune dryness: Moisture the body stopped supplying. Sjögren’s →
Graft-versus-host disease: Comfort for post-transplant ocular GVHD. GVHD →
Rare tear-deficiency syndromes: Including the Triple A case Dr. Brandon published. Rare syndromes →
Sport & active lives: Stability no small lens can match. Sports →

Why here

The fitting is the product.

Free-form scleral lenses exclusively; no stock trial-set fits
Designed from an Eaglet Eye Surface Profiler map: hundreds of thousands of scleral points
Personally overseen by Dr. Brandon Cohenmehr, OD
Travel-friendly visit clusters for out-of-town patients

Book a scleral evaluation

Common questions

Scleral lens uses, answered.

Anything else, call the office at 310-828-2010.

You don’t have to — bring the diagnosis or the symptoms, and the evaluation maps your eye and names the right page.
That is their signature: they rest on the white of the eye and never touch the cornea, which is why fragile surfaces tolerate them so well.
Often — medically necessary scleral lenses are frequently supported by plans; we verify benefits before you commit.
A scleral lens is a large rigid gas-permeable lens (a firm lens that lets oxygen through) that vaults over the cornea and rests on the white of the eye, holding a layer of saline between the lens and the cornea. That design works in two ways. Optically, the rigid lens becomes the surface that focuses light, which is why it is used for corneas made irregular by keratoconus, scarring, a transplant or LASIK. Therapeutically, the saline reservoir keeps a dry or damaged surface bathed and physically protected, which is why one lens type has so many uses.
Often, yes. Scleral lenses are rigid gas-permeable lenses, and in keratoconus that type of lens corrects vision adequately in most cases, so only a few eyes ever need a transplant. Sclerals are also used for corneas left irregular by scarring or surgery. When no lens can give good vision, surgery comes into the conversation. One mapping visit shows how much vision a lens can give your particular eye.

Scleral lens uses near you

12222 Wilshire Blvd, on the Santa Monica border.

West Los Angeles Brentwood Santa Monica Westwood Beverly Hills Culver City Pacific Palisades West Hollywood Marina del Rey Newport Beach

Also consider

Next step

Somewhere on this map?

Book the evaluation — one mapping visit with an eye doctor in Los Angeles tells you what a free-form lens can give your particular eye.

Book a scleral evaluation Or call 310-828-2010