Before insertion

1. Prepare your tools for insertion scleral lens such as a plunger (suction cup), mirror, saline, lens case, solution.
2. Always washing your hands with soap.
3. Drying your hands with a lint-free towel or paper towel before touching the lenses.
4. Insert your right lens first.

Insertion with a plunger

1. Placing a mirror flat on the table in front of you will helpful.
2. Wet the tip of a plunger with saline.
3. Squeeze the plunger before place the lens.
4. Place your scleral lens directly on top of the a plunger and full fill the lens with normal saline.
5. Look down directly to the mirror and tuck your chin into your chest.
6. Your nose should be perpendicular to the floor.
7. Grasp your upper lid with your free hand at the lid margin pulling it up to the brow. Use the thumb of this hand (or use the middle finger of the other hand) to pull the lower lid downward opening the eye wide. Keep both eyes wide open while looking directly in the mirror.
8. Move the plunger toward to your eyes without spilling the saline.
9. Put the scleral lens into the eyes. You will first feel the fluid, but then you need to gently push the lens on the eye.
10. Release the lens from the suction device by squeezing completely.
11. The scleral lens is now released from the plunger and is on the eye. Stay squeezed as you bring the plunger away from the eye.
12. Close your eyes.

From : https://synergeyes.com/specialty-contact-lenses/handling-care/

Video for insertion with a plunger (Minute at 1.10)

Insertion without a plunger

From : https://eyepeopleoptometry.com/scleral-lens-training/

1. Placing a mirror flat on the table in front of you will helpful.
2. Use two or three fingers (tripod method) to keep the lens stable and flat as you place it in your eye.
3. Full fill the lens with normal saline.
4. Grasp your upper lid with your free hand at the lid margin pulling it up to the brow. Use the thumb of this hand (or use the middle finger of the other hand) to pull the lower lid downward opening the eye wide. Keep both eyes wide open while looking directly in the mirror.
5. Look downwards towards the mirror.
6. Place the lens in your eye with it.  As soon as you feel the saline against your eyeball, press gently and let go. The scleral lens will attach to your eye. Repeat this process with the second lens.

Video for insertion without a plunger

Note : If your scleral lenses feel uncomfortable, it may be due to an air bubble trapped beneath the lens surface. You may need to remove the lens and insert again.

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Reference

• https://www.longislandvisioncare.com/the-ultimate-guide-to-inserting-removing-scleral-lenses/
• https://blanchardlab.com/wp-content/uploads/2015/09/Handling-your-Blanchard-Scleral-Lenses.pdf