Where the plunger goes
Press the plunger gently onto the lower third of the lens until you feel it grip, then pull outward. Placing it off-center, not on the middle, is the key.
The single most important detail is placement. A scleral lens stays on because of a seal of fluid between the lens and your eye. Pulling from the lower third tips the edge up first and lets that seal go. Pulling from the center works against it, which is why a centered plunger feels like it’s stuck fast.
Two tools that look alike
Most wearers have two plungers. The inserter has a wide cup that cradles the whole lens and holds the saline. The remover has a small cup that grips the lens near its edge. Keep them apart, ideally in different places or colors, so you never reach for the wrong one with a lens in your eye.
After the lens is out
Cleaning straight away stops the day’s deposits from hardening onto the lens.
- Rub, don’t just soak. Rubbing removes film and deposits that solution alone doesn’t. The FDA advises rubbing and rinsing lenses as directed by your eye care professional.[1]
- Fresh solution every night. Empty the case and refill it. Never top off old solution.[1]
- Keep water away. Not on the lens, not in the case.[1]
- Using hydrogen peroxide? Soak for the full time on the label, in the case that came with that bottle. The peroxide has to finish neutralizing before the lens touches your eye.[2]
- Replace your case every three months, or as your eye care professional directs.[1]
- Clean the plunger too. In a series of infections in scleral lens wearers, the authors listed cleaning the plunger among the care steps to emphasize.[4]
If you wear makeup, the order is lenses in, then makeup; lenses out, then makeup off.[3]
If the lens won’t come out
Don’t pull harder. Add another drop of artificial tears, wait a minute, and try again with the plunger on the lower third. Most of the time that’s all it takes. If it still won’t release, see what to do when a scleral lens is stuck.
Common mistakes
- Placing the plunger in the center of the lens. It pulls straight against the seal instead of breaking it.
- Mixing up the plunger and the inserter. The remover has the small cup; the inserter has the wide one.
- Pulling harder when it won't release. Rest a minute, add tears, and try again.
- Removing over an open sink or a hard floor.
- Topping off yesterday's solution in the case instead of emptying it and using fresh.
- Rinsing the lens or case with tap water.
Common questions
Why the lower third and not the middle?
The lens is held on by a seal of fluid. A plunger in the middle pulls straight against that seal. Off-center, the edge lifts first and lets air in, which releases it.
Does taking the lens out hurt?
It shouldn't. You may feel a brief pull as the seal breaks. If removal is painful or the lens feels stuck most evenings, tell your fitter: it can mean the lens is fitting too tightly.
Should I remove my lenses before taking off makeup?
Yes. The FDA advises putting makeup on after your lenses are in, and taking lenses out before you remove makeup.
Can I remove a scleral lens without a plunger?
Use the method your fitter taught you. If the plunger isn't working for you, ask your fitter about other options rather than improvising.
How long do my lenses need to soak in a hydrogen peroxide system?
For the full time on the product's label, in the new case that comes with each bottle. The peroxide must finish neutralizing before the lens goes back in your eye.
