Why a lens gets stuck
A scleral lens stays on because of a seal of fluid between the lens and your eye. That seal is what makes it stable while you wear it, and it’s also what you have to break to take the lens off. When removal fails, it usually comes down to one of two things:
- Technique. The plunger is in the center instead of the lower third, it’s the wrong tool, or the eye is dry at the end of the day. These are easy to fix with the steps above.
- The fit. A lens that has become tight, or that fits snugly on your eye, can be hard to remove every evening. That’s something your fitter can change.
When it’s the fit, not you
Tell your fitter if:
- removal is a struggle most evenings, even with tears and the plunger in the right place
- the white of your eye looks red around the edge of the lens by evening, or you feel pressure building through the day
- your eye feels sore or irritated after removal
These can be signs that the lens is fitting too tightly, and a design change usually helps. You shouldn’t have to fight your lens every night.
Never sleep in it
If you can’t get a lens out, don’t decide to leave it in overnight and deal with it in the morning. The FDA warns that sleeping in daily-wear lenses can increase your chance of infection or irritation.[1] Get help the same day.
If something feels wrong
The FDA’s advice is clear: if you have symptoms of eye irritation or infection, remove your lenses right away, don’t put them back in, and contact your eye care professional. Keep the lenses in their case rather than throwing them away, because your eye doctor may want to examine them.[2]
Common mistakes
- Pulling harder or yanking. More force works against the seal and irritates the eye.
- Putting the plunger in the center of the lens.
- Using the inserter instead of the removal plunger.
- Trying to pry the edge up with a fingernail.
- Giving up and sleeping in the lens.
Common questions
Can a scleral lens get stuck permanently?
A lens that won't come off with the steps above still needs to come out today, so call your eye doctor. They can remove it in the office.
Why is my lens harder to remove some days than others?
A dry eye at the end of a long day, an off-center plunger, or a slippery plunger all make removal harder. If it's hard most evenings, the lens may be fitting too tightly.
Can I just leave it in overnight and try in the morning?
No. The FDA warns that sleeping in daily-wear lenses can increase your chance of infection or irritation. If you can't get the lens out, get help the same day.
My eye is red after a struggle to get the lens out. Is that normal?
Keep an eye on it. If the redness is getting worse, comes with pain or blurry vision, or is still there the next day, call your eye doctor.
