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Specialty Contact Lenses

Contacts that actually fit.

If standard contact lenses haven't worked for you — keratoconus, post-surgical corneas, high astigmatism, severe dry eye — the problem isn't your eyes. It's the fit.

What's actually happening

Most contacts aren't built for your eye.

Off-the-shelf contacts are designed for "average" corneas. About 15% of patients don't fall in that average — irregular cornea shape, severe astigmatism, post-LASIK changes, or chronic dryness.

Specialty lenses are custom-fit to your specific cornea. Most patients arrive after years of being told "you can't wear contacts." They're wrong.

Who this is for

You've probably been told some of this.

01

Keratoconus

Progressive corneal thinning makes standard contacts impossible to fit.

02

Post-LASIK or transplant

Surgically modified corneas need custom geometry — not generic lenses.

03

High astigmatism

Prescriptions over -2.50 cylinder where standard torics fail.

04

Severe dry eye

Scleral lenses act as a fluid reservoir, protecting your cornea all day.

05

Contact lens intolerance

You've quit contacts because of discomfort — but want to wear them again.

06

Hard-to-fit prescription

"You can't wear contacts" isn't always true. Often it's "the wrong contacts."

How we fit differently

Fit first. Reorder last.

Every specialty fitting starts with corneal topography — mapping the curvature of your cornea to 0.01 millimeter. From there, we choose between scleral, hybrid, or custom soft lenses based on your specific shape.

Then we trial-fit. Adjust. Trial-fit again. Most patients leave their first appointment with diagnostic lenses in their eyes — actually seeing clearly for the first time in years.

★ ★ ★ ★ ★
"I gave up on contacts after three doctors said keratoconus made it impossible. Sclerals changed my life. I should have come here first."

— Verified Google review

Lens options

Custom-fit lenses, matched to your cornea.

01

Scleral lenses

Large-diameter rigid lenses that vault over the cornea. Gold standard for keratoconus and severe dry eye.

02

Hybrid lenses

Rigid center for clarity, soft skirt for comfort. Great middle ground for high astigmatism.

03

Custom soft lenses

Made-to-order soft contacts for prescriptions standard contacts can't handle.

04

Ortho-K

Reshapes the cornea overnight. Daytime: no contacts, clear vision.

05

Bifocal / multifocal

For specialty patients who also need reading correction.

06

Toric specialty lenses

Astigmatism-correcting specialty lenses for irregular corneas.

Frequently asked

Questions, answered.

How long does a specialty fitting take?
The initial fit appointment is 60–90 minutes. Most patients leave with diagnostic lenses. Final lenses arrive in 2–3 weeks; we follow up multiple times to dial the fit.
Are specialty lenses covered by insurance?
Often yes for medically necessary conditions (keratoconus, post-surgical, severe dry eye). We verify before any work starts.
Are sclerals hard to put in?
There's a learning curve. We teach you in-office until you can insert and remove them confidently — usually 2–3 visits.
Can I wear sclerals all day?
Yes. Most patients wear them 12+ hours daily, comfortably. They're removed at night.
What if my insurance won't cover it?
We discuss the cost upfront. Many specialty lenses are eligible for HSA/FSA. We never start work until you're informed.
Schedule with Dr. Somerville

If contacts haven't worked, let's talk.

Most patients we see have been told they "can't wear contacts." Most of them are now wearing them comfortably.