Removing scleral lenses without a plunger is entirely possible with clean hands, proper technique, and patience.
This guide will walk you through safe and effective steps, ensuring you can confidently remove your lenses without causing irritation or damage.
Understanding the Basics of Scleral Lenses
What are scleral lenses?
Scleral lenses are larger gas-permeable contact lenses designed to sit on the sclera (the white of the eye) instead of the cornea. They create a tear-filled reservoir between the lens and the cornea, making them especially beneficial for people with dry eye conditions, keratoconus, or irregularly shaped corneas.
Why would you need to remove them without a plunger?
The plunger is a common tool designed for easy removal of scleral lenses, but there are situations where you may need to do without one, such as forgetting it at home, losing it, or simply preferring not to rely on it. Luckily, safe and hygienic manual methods exist for removing scleral lenses effectively.
Preparing Before Removing Scleral Lenses
Wash and dry your hands thoroughly
Cleanliness is key when touching your eyes. Wash your hands with soap and water, rinse thoroughly, and dry them using a lint-free towel. Avoid scented or oily soaps that could transfer residue to your hands and lenses.
Work in a well-lit space
Good lighting is essential to ensure visibility and safety. Consider a mirror setup at eye level to guide you during the process.
Stay calm and patient
If you’re attempting to remove scleral lenses manually for the first time, take your time and stay relaxed. Rushing or being tense could make the process more challenging.
Remember, because scleral lenses are larger and thicker than traditional contacts, taking your time and being gentle is essential to avoid irritation or damage.
Manual Techniques to Remove Scleral Lenses
1. The Pinch Method
The pinch method is a widely used and simple way to remove scleral lenses manually.
- Use the index finger and thumb of your dominant hand.
- Slowly and gently slide the lens downward away from the cornea towards the sclera (the white part of your eye). Avoid pushing the lens too far into the corner of your eye to prevent irritation.
- Once the lens edge loosens from the cornea, carefully pinch the lens between your thumb and index finger to remove it.
- Allow the lens to loosen and carefully remove it, catching it with your other hand or over a clean surface.
Pro Tip: Avoid exerting too much pressure on the lens, as this can warp it over time.
2. The Rolling Method
This technique works well for those with difficulty pinching the lens directly.
- Use the pad of your index finger (rather than the fingertip) and place it gently on the bottom edge of the lens.
- Apply slight downward and outward pressure to gently move the lens towards the lower sclera, taking care not to cause discomfort by moving too quickly or forcefully.
- Continue with gentle pressure until you feel the lens edge begin to lift away from the eye.
- Then, use your other hand to carefully remove the lens smoothly.
3. Using Suction Without a Plunger
While this method doesn’t require a plunger, it uses natural suction created using your own finger.
- Wet your fingertip slightly (do not soak it) to help prevent slippage.
- Place the wet fingertip gently on the centre of the lens and create a gentle suction by pressing lightly—avoid applying any strong pressure to the eye or cornea to prevent discomfort or injury.
- Slowly and carefully pull the lens outward once suction is established.
4. Use Your Eyelids to Assist
This method relies on your natural blink reflex and the edges of your eyelids for removal.
- Using your fingers, gently hold your upper and lower eyelids apart without applying excessive pressure.
- While looking straight ahead, carefully press the lower edge of the lens against your lower eyelid to help break the suction.
- Use your upper eyelid to softly nudge the top edge of the lens downward until it loosens and pops out.
Note: This method requires good hand coordination and may need practice.
Tips for Successful Removal Without a Plunger
Use a Saline Solution
If the lens feels dry or stuck to your eye, apply a few drops of preservative-free saline solution. This will lubricate the lens and make it easier to remove. Avoid using tap water, as it can cause contamination or lens damage.
Avoid Overusing Force
If the lens doesn’t come out easily, never force it. Rest for a few moments and try again. Overexerting pressure can harm your eye or damage the lens.
If you find it consistently difficult or painful to remove your scleral lenses manually, stop trying and consult your eye care professional. They can provide tools, techniques, or adjustments to ensure safe removal and prevent injury.
Trim Your Nails
Long or sharp nails can scratch your eye or tear the lens. Keep your nails neatly trimmed and smooth before attempting manual removal.
Practice the Techniques in Advance
To build confidence, practice these methods before you actually need to remove the lenses without a plunger. Familiarity with the techniques reduces anxiety and increases success.
Troubleshooting Common Issues
What if the lens feels stuck?
Scleral lenses can feel stuck due to dryness or suction. Apply a few drops of lubricating saline to loosen the lens. Blink a few times before retrying the removal.
What if I drop the lens?
Always work over a clean, flat surface to prevent losing or contaminating the lens. It’s helpful to lay down a microfibre towel to catch lenses that may slip.
What if my eye feels irritated after removal?
It’s normal for your eyes to feel slightly dry or sensitive. However, if irritation persists or you notice redness, pain, or swelling, consult your optometrist immediately.
Keeping Your Scleral Lenses Safe and Clean
Proper care of your lenses prolongs their lifespan and ensures the health of your eyes.
- After removal, clean your lenses with the appropriate solution recommended by your optometrist.
- Avoid using tap water or saliva to clean the lenses, as these can introduce harmful bacteria.
- Store lenses in a clean, disinfected case with fresh solution every time.
Pro Tip: Always follow your eye doctor’s care guidelines for maintaining healthy and hygienic lens use.
When to See Your Eye Specialist?
If you experience recurring issues with manual removal or notice signs of inflammation or discomfort, don’t hesitate to schedule a visit with your optometrist. Proper guidance and adjustments can make your scleral lens experience more seamless.
Your Journey to Hassle-Free Lens Removal
Removing scleral lenses without a plunger might seem daunting at first, but with the right techniques and a calm approach, it can easily become second nature. Remember, a little preparation and practice go a long way!
For newcomers to scleral lenses, patience and self-care are paramount. Over time, these techniques will help ensure your lenses are easy to manage, leaving you focused on enjoying the benefits they bring to your vision and comfort.
