Contact Lens Appointment
Call Office: (248) 545-2800
Referral Form
see clearly this week

Keratoconus doesn't wait.
Neither do we

Learn About Our Scleral Lens Process

Schedule an Appointment:

(248) 545-2800
Rated 5 out of 5

Doctor was prompt and very personable. Exam was thorough, with a complete, understandable explanation of findings. Would highly recommend her!

J F
Rated 5 out of 5

Dr Kresch is a professional optometrist.She was able to spend extra time with me to resolve my issues with contact lenses and select the best fit for my vision .She is precisely and accurately analyze the lens characteristics to make sure that the lens are the correct one’s for my vision

A C
Rated 5 out of 5

Dr. Kresch is the first optometrist in a long time to give me the correct prescription- it actually cleared my distance vision without blurring my near vision . She also fitted me for contact lenses and gave me several brands to sample before buying....

J N
Scleral Contact Lenses
Dry Eye Treatments
Myopia Management
A diagnostic scleral lens from a fitting kit, used by a Dry Eye Specialist in Detroit to find a custom fit.
Dr. Kresch Topography for contact lenses
Michigan Contact Lens

A Contact Lens Specialist, You Can Trust

Dr. Shira Kresch has been practicing optometry at some of the most prestigious medical centers in the country, including Columbia University’s Department of Ophthalmology and Kresge Eye Institute.

Sclerals are customized lenses designed to provide vision correction for a variety of complex conditions. 

Contact lenses are made of a comfortable, flexible material that allows oxygen to pass through. 

Multifocal contact lenses are a type of contact lens that corrects vision for people with presbyopia.

Rigid Gas-Permeable (RGP) lenses are made of a hard, oxygen-permeable material that are most often used when soft lenses are not optimal.

MORE ABOUT US

Frequently Asked Questions

Dr. Kresch doesn’t do “good enough.”

Other doctors might try one lens, maybe two, and call it a day. Dr. Kresch will try ten if that’s what it takes. She works with multiple scleral lens labs—not just one—because every eye is different and she refuses to force your eyes into a one-size-fits-all solution.

When cases get complex, she doesn’t refer you out and wish you luck. She picks up the phone and collaborates directly with Metro Detroit’s top corneal specialists to find answers.

The result? Patients who were told they’d never wear contacts comfortably are now seeing 20/20.

With tools most practices don’t have—and expertise to match.

Our Keratograph M5 captures a detailed map of your eye’s surface and tear film, showing Dr. Kresch exactly what she’s working with before fitting even begins.

Then there’s the Gaudi Profilometer. This is the game-changer. It allows Dr. Kresch to design fully custom freeform lenses—not just “custom” from a dropdown menu, but lenses built from scratch for your exact eye shape. Steepest keratoconus cone we’ve ever seen? The Gaudi handles it. Need prism built into your scleral lens? Done. These freeform lenses represent the pinnacle of technology in the scleral lens space.

Technology this advanced is rare. A doctor who knows how to use it? Even rarer.

Specialty Contact Lens Consultation: 60-90 minutes
Plan for a comprehensive evaluation with our specialty lens expert, including time for advanced diagnostic imaging, precise measurements, and custom lens design. Please arrive 10 minutes early to complete intake paperwork.

Step 1: Initial Consultation (60-90 minutes)
Your journey begins with a comprehensive Specialty Contact Lens Consultation, where we perform all necessary testing and advanced imaging to determine the optimal lens solution for your unique eyes. You may try diagnostic lenses during this visit to assess your visual potential with different options.

Step 2: Custom Lens Ordering (1-3 weeks)
Once we’ve designed your custom lenses, we’ll order them specifically for you. Manufacturing typically takes 1-3 weeks depending on the complexity of your prescription.

Step 3: Initial Fitting & Evaluation
When your lenses arrive, you’ll return to try them on for the first time. We’ll evaluate the fit, assess your vision and comfort, and if everything looks promising, you’ll take the lenses home for a trial period.

Step 4: Fine-Tuning & Follow-Ups
After wearing your lenses, you’ll return so we can gather your feedback on comfort and vision quality. We may need to adjust lens parameters to achieve the perfect fit. You’ll have unlimited follow-up visits and lens modifications for three months until we achieve your ideal final product—because getting specialty lenses right takes precision and patience.

Payment Methods
We accept cash, credit cards, and HSA/FSA cards. Payment is due on the day of service for any procedures or treatments performed during your appointment.

Specialty Contact Lens Consultation – Complimentary
Your initial Specialty Contact Lens Consultation is completely free, including the comprehensive examination, advanced imaging, detailed discussion with the doctor, and personalized recommendations. This applies to scleral lenses, prosthetic lenses, hybrid lenses, and other specialty options.

Fitting Fees (If You Proceed with Treatment)
If you choose to move forward with specialty contact lenses within one month of your consultation, fitting fees apply:

  • Scleral Lenses: $1,600 fitting fee

These fitting fees include all follow-up visits, adjustments, and lens remakes for three months. We also offer flexible payment plans tailored to fit your budget and make specialty lens care accessible.

Plan for at least three appointments to perfect your specialty contact lens fit—all included in your initial fitting fee at no additional cost.

Appointment 1: Dispensing (3-6 weeks after ordering)
Once your custom lenses are manufactured, you’ll return for your dispensing appointment where we’ll fit the lenses, evaluate your vision, and make initial adjustments as needed.

Appointment 2: Fine-Tuning (2-3 weeks later)
At your follow-up visit, we’ll assess how the lenses are performing in real-world conditions and make any necessary modifications to optimize fit and vision quality.

Appointment 3+: Perfection
Most patients achieve their ideal fit within three visits, though some require up to five appointments during the three-month fitting period. Dr. Kresch is meticulous about perfecting every detail—even microscopic adjustments—to ensure you achieve optimal comfort and the sharpest vision possible. Every follow-up during this period is covered under your global fitting fee.

Yes! We offer two flexible financing solutions to make specialty lens care accessible:

In-House Financing Plan
We can set up a custom payment plan directly through our office tailored to your budget. Here’s how it works:

  • We require 25% of the total balance before ordering your lenses and beginning the fitting process
  • Once 100% of the balance is paid, you can take your lenses home
  • Simple, straightforward terms with no third-party involvement

CareCredit – No-Interest Financing
We accept CareCredit, a healthcare credit card offering 6-month interest-free payment plan.

  • Apply easily online at carecredit.com
  • Once approved, pay your balance through our patient portal
  • We’ll order your lenses as soon as payment is processed
  • Important transparency note: CareCredit charges our office a fee (not you), which is how they can offer true 0% interest financing to patients

Both options ensure cost doesn’t stand between you and the vision care you need.

Approximately How Much Do Scleral Lenses Cost?

Our scleral lens fittings use a global fee structure, meaning you pay one all-inclusive price that covers:

  • Initial comprehensive examination and advanced diagnostic imaging
  • Unlimited follow-up visits for three months
  • All custom lens designs and any remakes needed to perfect your fit
  • The lenses themselves
  • Insert/removal training and starting supply of solutions
  • High-level corneal scans at every visit

No hidden fees or surprise charges—everything is included.

Total Investment: $800 – $3,200
This range depends on whether you’re correcting one or both eyes and the complexity of your lens design. Highly specialized lenses (such as those incorporating prism correction or addressing multiple surgical complications) may cost up to $5,000.

Why the Investment?
Unlike disposable soft contact lenses, scleral lenses are durable, long-lasting devices that don’t require regular replacement unless your prescription changes. The cost reflects:

  • Extensive professional time spent designing your lenses using specialized CAD software
  • Direct collaboration with manufacturers for custom fabrication
  • Advanced diagnostic technology and precision imaging
  • High-quality, medical-grade materials built to last
 
 

Sign up for 10% off your exam!

Need Hard Lenses?

Try Them For Free

Book an Appointment
(248) 545-2800