Free 58-Page Guide

The Scleral Lens Survival Guide

Fitting, troubleshooting, insertion and removal, supplies, and daily care — from Dr. Shira Kresch and Dr. Melissa Barnett.

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A Straight-Talking Guide to Living With Scleral Lenses

Everything we wish every patient knew on day one. If you’ve been told your vision can’t be corrected — or you’re simply tired of blurry days, dry eyes, and hearing “there’s nothing else we can do” — this book was written for you. It’s the 58 pages we find ourselves explaining to patients over and over, gathered in one place and written in plain English.

It’s free, there’s no catch, and it lands in your inbox in about a minute.

Why We Wrote It

Most people arrive at scleral lenses after years of frustration — a keratoconus diagnosis, a corneal transplant, LASIK that didn’t go as planned, or dry eye severe enough that ordinary contacts became unbearable. By then they’ve usually collected a lot of advice and very few clear answers.

This guide closes that gap. It explains what’s actually happening on the surface of your eye, what a well-fit scleral lens can and can’t do about it, and how to handle the day-to-day realities nobody warns you about. Every claim is referenced — the book closes with a full sources section citing peer-reviewed research, public-health guidance, and manufacturer labeling.

Exam during a Post-Surgery Ectasia consultation

What's Inside

  • What scleral lenses are, and how they actually work. Why vaulting the cornea entirely changes both vision and comfort — and which conditions it helps most.
  • Is this you? Keratoconus, post-transplant and post-LASIK corneas, corneal scarring, severe dry eye, GVHD, Stevens-Johnson — who sclerals are designed for.
  • The questions worth asking your eye doctor. The handful of questions that separate a specialist from a general practice, and what good answers sound like.
  • What the fitting process really involves. Scans, diagnostic lenses, follow-ups, and how long it honestly takes to get it right.
  • Insertion and removal, mastered. Step-by-step technique, the mistakes that cause bubbles, and a daily routine that takes under five minutes.
  • Troubleshooting. Midday fogging, redness, blur, a lens that feels stuck, discomfort that shows up at hour six — what causes each and what to do about it.
  • Supplies, safety, and the long haul. Solutions, cases, plungers, replacement schedules, travel, and the warning signs that mean call your doctor today.

Who This Guide Is For

You’ll get the most out of it if you’re:

  • Newly diagnosed with keratoconus or another irregular-cornea condition and trying to understand your options
  • Considering scleral lenses but unsure whether they’re worth the process
  • Already wearing sclerals and fighting fogging, discomfort, or handling problems
  • Caring for a family member who wears them
  • An eye care provider looking for something plain-spoken to hand a patient

Take a Look Inside

Here are the first ten pages. Flip through them before you decide whether the whole book is worth your inbox.

About the Authors

Dr. Y. Shira Kresch, O.D., M.S., F.A.A.O.
Dr. Y. Shira Kresch
O.D., M.S., F.A.A.O.
Dr. Melissa Barnett, O.D., F.A.A.O., F.S.L.S., F.B.C.L.A.
Dr. Melissa Barnett
O.D., F.A.A.O., F.S.L.S., F.B.C.L.A.

Dr. Y. Shira Kresch, O.D., M.S., F.A.A.O. is the clinical lead of the 1-800-DRY-EYES Specialty Vision Institute and owner of Michigan Contact Lens in Southfield, MI. She earned her Doctorate in Optometry and Master of Science from SUNY College of Optometry and completed her residency at the NY VA Harbor Healthcare System. She served on the faculty at Columbia University Medical Center’s Department of Ophthalmology and was Director of Optometry at Kresge Eye Institute before opening her own practice. A Fellow of the American Academy of Optometry and winner of the 2023 Young OD Theia Award of Excellence, Dr. Kresch specializes in specialty contact lens fittings, advanced dry eye treatment, and ocular surface disease. She remains a voluntary Clinical Assistant Professor of Ophthalmology at Wayne State University School of Medicine.

Dr. Melissa Barnett, O.D., F.A.A.O., F.S.L.S., F.B.C.L.A. is an internationally recognized expert in dry eye disease, specialty contact lenses, scleral lenses, keratoconus, and presbyopia. A clinician, author, and global speaker, she co-edited Specialty Contact Lenses and Contemporary Scleral Lenses: Theory and Application, and her work appears in leading medical journals, professional magazines, and consumer publications. She is energized by her passion for helping people improve their lives by optimizing their vision, health, and wellness with a customized approach. As a Professional Certified Life Coach, she also empowers individuals to thrive personally and professionally through mindful leadership and communication skills.

Guide FAQs

Yes. Enter your email and the full 58-page PDF arrives within a minute. There’s no cost and no obligation to become a patient.

We use it to send you the guide and the occasional note about scleral lens care. You can unsubscribe from any email in one click, and we never sell or share your address.

No. The guide is written for anyone living with — or considering — scleral lenses, wherever you’re treated. Plenty of readers are outside Michigan entirely.

No. The guide is educational. Scleral lenses are custom medical devices that must be professionally fitted and monitored, so please talk with a licensed eye care provider about your own eyes.

Prefer to talk it through? Call our eye specialists in Southfield, or book a specialty lens consultation.

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58 pages on fitting, troubleshooting, insertion and removal, supplies, and long-term care — sent straight to your inbox.

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