Medically reviewed by Dr. Brandon Cohenmehr, OD Last reviewed
Specialty Contact Lenses in Los Angeles
When standard lenses can’t, custom lenses can.
Some eyes can’t be corrected off the shelf — keratoconus and corneal disease, severe dry eye, post-surgical corneas, Bell’s palsy and facial palsies. For those eyes we fit free-form scleral lenses exclusively — designed from an Eaglet Eye Surface Profiler map with hundreds of thousands of points across the sclera. Very few offices in California carry this technology, and patients fly in for it.
- Led by
- Dr. Brandon Cohenmehr
- Mapping
- Eaglet Eye Surface Profiler mapping
- Designs
- Scleral, RGP, hybrid, custom soft
- Coverage
- VSP, EyeMed and others often help
The designs
Every lens in the toolkit.
- Scleral lenses
Large lenses that vault the cornea entirely on a cushion of saline. They are the workhorse for keratoconus, severe dry eye and exposure.
- Rigid gas permeable (RGP)
Small rigid lenses whose tear layer rewrites the cornea’s optics, for crisp vision in experienced wearers.
- Hybrid lenses
Rigid center, soft skirt: sharp optics with soft-lens comfort when an RGP won’t stay put.
- Piggyback systems
A soft lens under a rigid lens, cushioning sensitive corneas that need rigid clarity.
- Custom soft designs
Thicker, specially profiled soft lenses for mild irregularity, high astigmatism and early cones.
- Ortho-K
Overnight shaping lenses for myopia control and lens-free days on appropriate corneas.
- Post-surgical designs
Lenses engineered for corneas after cross-linking, ring segments, transplants or post-LASIK ectasia.
The fitting
Mapped, designed, refined.
- 01
Map the eye
Eaglet Eye Surface Profiler mapping, corneal topography and anterior-segment imaging capture the true shape of your cornea and sclera.
- 02
Design the lens
Free-form designs, including Visionary Optics Latitude, are built from your map, not adapted from a stock curve.
- 03
Train and dispense
Insertion, removal and care, taught by our optometrists in Los Angeles until it’s routine. Saline, plungers and cleaning covered.
- 04
Refine
Clearance, landing and optics checked and adjusted at follow-ups until comfort and clarity hold all day.
A specialty fitting may be the answer if
- Glasses correct you on paper but vision still ghosts or doubles
- Standard soft lenses are uncomfortable or unstable
- You have keratoconus, ectasia, scarring or a transplant
- Severe dry eye makes ordinary lenses unwearable
- Your lids don’t close fully (Bell’s palsy, facial palsy)
Led by
All specialty lens evaluations and fittings are personally overseen by Dr. Brandon Cohenmehr, OD — published in scleral lens care and recognized with the SUNY Chancellor’s Award for Excellence.
Who travels for this
The free-form fitting patients fly in for.
- Keratoconus and corneal ectasia
- Severe and treatment-resistant dry eye
- Bell’s palsy and facial palsies (exposure)
- Post-transplant, post-cross-linking and post-LASIK corneas
- Keratoconus care, in full
Common questions
Specialty contact lenses, answered.
Anything else, call the office at 310-828-2010.
Specialty contact lenses near you
12222 Wilshire Blvd, on the Santa Monica border.
Also consider
Next step
Bring us the eyes other lenses gave up on.
Book a specialty contact lens evaluation in our West Los Angeles office, on the Santa Monica border. We’ll map your eyes and tell you plainly what will work.

