What type of solution should be used in scleral lenses?

Using a non-preservative solution or saline for scleral lenses is crucial due to the unique nature of these lenses and their interaction with the ocular surface. Scleral lenses are larger than standard contact lenses, fitting over the entire cornea and resting on the sclera. This design creates a fluid reservoir between the lens and the cornea, which is essential for maintaining eye health by keeping the cornea hydrated and protected.

The use of non-preservative solutions or saline minimizes the risk of irritation or adverse reactions. Preservatives, while effective in some scenarios, can lead to inflammation or discomfort, especially during extended wear of scleral lenses. Additionally, non-preservative solutions help maintain the biocompatibility required for these lenses because they are worn for longer periods and can have a significant impact on ocular health if preservatives are introduced into the eye.

Buffered saline solutions also fit within this category but may not have the same properties as non-preservative solutions specifically designed for scleral lenses. Therefore, the most appropriate and safe choice is a non-preservative solution or saline, which supports optimal lens performance and eye health.