A scleral lens is a large diameter gas-permeable lens ranging from 14mm to 20mm that completely vault the cornea and rest on the sclera (white part of the eye), distributing their weight over a larger area. A scleral lens will usually extend only a couple of millimeters beyond the colored part of the eye.
If your cornea has an irregular shape due to eye disease (keratoconus), surgery (e.g. corneal transplant) or injury, your vision will not be clear, even with glasses. Hard contact lenses provide a smooth and regular surface so your eyes can see clearly, but they are not always well-tolerated.
Scleral contact lenses are much larger than other hard lenses (RGPs). The hard surface creates a stable, regular ocular surface, which means crisp vision. They are used to provide comfortable, functional vision in corneal disease and patients with dry eyes.