Wearing guide

The scleral lens daily routine

Morning and night, step by step: inserting, removing, cleaning, and storing your lenses, plus the weekly and monthly jobs that keep your eyes safe.

By the Scleral Lens Team · Updated October 2, 2026 · 6 published sources cited

The short answer

Mornings: wash your hands, inspect and rinse the lenses, fill with preservative-free saline, insert, and empty and air-dry the case. Nights: remove over a towel, rub each side with your cleaner, and store in fresh solution, never topping off. Replace your case every three months.

Before you start

Time: Allow extra time for the first few weeks. It gets quicker.

  • Preservative-free saline in single-use vials
  • The daily cleaner your fitter recommended
  • Your disinfecting solution and the case that goes with it
  • Inserter and removal plunger
  • Plain, non-moisturizing soap and a lint-free towel

Step by step

  1. Morning: wash and dry your hands

    Plain, non-moisturizing soap. Dry completely with a lint-free towel.

  2. Morning: take out and inspect the lenses

    Remove them from the case and hold each one up to the light. Look for chips, cracks, or deposits. If you use a hydrogen peroxide system, make sure the full soak time on the label has passed.

  3. Morning: rinse, fill, and insert

    Rinse each lens with preservative-free saline, fill it to the brim from a fresh vial, and insert. Do the three checks: light, vision, comfort.

  4. Morning: empty and dry the case

    Throw away the old solution, rinse the case with fresh solution (never water), and leave it upside down to air-dry.

  5. Night: remove over a towel

    Artificial tears first if your fitter approves, then the removal plunger on the lower third of the lens.

  6. Night: rub each side

    Put a few drops of your daily cleaner on the lens and rub each side gently with a clean finger, about 20 seconds per side. Rubbing removes film that soaking alone leaves behind.

  7. Night: store in fresh solution

    Fill the case with fresh solution every night. With a hydrogen peroxide system, use the case that came with that bottle and soak for at least the time on the label. Never top off old solution.

  8. Night: never sleep in them

    Lenses come out before any sleep, including naps.

These are general steps. If your fitter taught you differently, follow your fitter: your lens and eyes are theirs to know. Print the mirror cards to keep by your sink.

The rules that protect your eyes

Incorrect care of contact lenses and solutions can increase your risk of eye infections and corneal ulcers.[1] These are the habits the FDA and lens manufacturers spell out:

  • Wash your hands before you touch your lenses, every time.[1]
  • Rub and rinse your lenses as your eye care professional directs.[1] In a report of infections in scleral lens wearers, not rubbing the lens during cleaning was among the risks the authors identified.[6]
  • Fresh solution, every time. Don’t top off the solution in your case; discard what’s left after each use and never reuse it.[1]
  • No water, no saliva. Don’t expose your lenses to tap, bottled, or distilled water. Tap and distilled water have been linked to Acanthamoeba keratitis, a hard-to-treat corneal infection. Saliva isn’t sterile either.[1]
  • Saline is for rinsing, not cleaning. Sterile saline rinses and fills; it doesn’t clean or disinfect.[1]
  • Look after the case. Rinse it with fresh solution, shake it out, and let it air-dry upside down. Replace it every three months, or as directed.[1]
  • Keep solutions in their own bottles, and don’t use them past the expiration date.[1]

If you use hydrogen peroxide (like Clear Care)

Hydrogen peroxide solutions are generally preservative-free, which can suit people who are sensitive to preservatives.[3] But they take care:

  • The peroxide must be fully neutralized before the lens goes in your eye, or it can sting, burn, or damage the eye.[3]
  • Use the new case that comes with each bottle. An old case won’t neutralize the peroxide properly.[3]
  • Soak for the full time. For Clear Care, Alcon’s instructions say at least 6 hours, or overnight.[4] If you need your lenses sooner than that, ask your fitter about a backup solution for those days.
  • Never rinse lenses with the peroxide before putting them in.[4]

Bottles of hydrogen peroxide solution usually have a red cap or tip to set them apart.[3] Keep them away from your saline so they can’t be mixed up.

Weekly and monthly jobs

  • Replace your lens case every three months, or as your fitter directs.[2]
  • Replace plungers on the schedule your fitter gives you, and clean them the way they show you.
  • Do any deep cleaning your fitter has prescribed, on their schedule.
  • Check expiration dates on every bottle and box of vials.
  • Keep a backup of every product. Running out is when people reach for something they shouldn’t.

Makeup and other products

Put makeup on after your lenses are in, and take your lenses out before you remove makeup. Apply hairspray, cologne, and other sprays before you insert your lenses.[5]

Common mistakes

  • Topping off yesterday's solution instead of emptying the case and refilling.
  • Rinsing lenses or cases with tap water, or wetting lenses with saliva.
  • Rinsing lenses with hydrogen peroxide solution before putting them in.
  • Using an old case with a new bottle of hydrogen peroxide solution.
  • Pouring solution into a smaller travel bottle.
  • Using solutions past their expiration date.
  • Skipping the rub because the lens looks clean.

Common questions

Do I need both a daily cleaner and a disinfecting solution?

Usually, yes. The cleaner, with rubbing, removes the day's film and deposits; the disinfecting solution kills germs overnight. Your fitter will tell you which products to use and how often.

Can I store my lenses overnight in saline?

Saline is for rinsing and filling, not for cleaning or disinfecting. Store your lenses in the disinfecting solution your fitter recommended.

How long do lenses need to soak in Clear Care?

Alcon's instructions say at least 6 hours, or overnight, so the peroxide has time to neutralize. Always follow the label on the product you use.

How often should I replace my lens case?

The FDA advises every three months, or as your eye care professional directs. Replace it sooner if it's cracked or looks dirty.

When should I put on makeup?

After your lenses are in. And take your lenses out before you remove your makeup.

Keep going

Sources

  1. U.S. Food and Drug Administration. Contact Lens Solutions and Products. fda.gov
  2. U.S. Food and Drug Administration. Contact Lens Risks. Content current as of September 4, 2018. fda.gov
  3. U.S. Food and Drug Administration. Hydrogen Peroxide Solution (contact lenses). Updated July 26, 2023. fda.gov
  4. Alcon. CLEAR CARE Solution FAQs. clearcaresolution.myalcon.com
  5. U.S. Food and Drug Administration. Everyday Eye Care (contact lenses). Content current as of December 4, 2023. fda.gov
  6. Sticca MP, Carrijo-Carvalho LC, Silva IMB, et al. Acanthamoeba keratitis in patients wearing scleral contact lenses. Cont Lens Anterior Eye. 2018;41(3):307-310. doi:10.1016/j.clae.2017.12.004 pubmed.ncbi.nlm.nih.gov

Last updated October 2, 2026. Found an error or a newer study? Let us know and we'll correct the page.