Objective:

To clarify the options of nonpreserved saline for scleral lens filling and their impact on patient comfort and corneal health, emphasizing the need for tailored solutions.

Key Findings:

• Nonbuffered saline is cost-effective but may cause discomfort for pH-sensitive patients, necessitating careful selection.
• Buffered saline is pH balanced for comfort but is more expensive, making it a consideration for sensitive patients.
• Electrolyte-enhanced saline mimics natural tears and may reduce midday fogging but is the most costly option, suitable for specific cases.

Interpretation:

Selecting the appropriate saline solution is crucial for scleral lens wearers to ensure comfort and prevent corneal complications.

Limitations:

• Recent manufacturing recalls and backorders limit availability of preferred saline options, complicating patient choices.
• Patients may misuse saline solutions, leading to health risks, highlighting the need for thorough patient education.

Conclusion:

A tailored approach to saline selection, combined with patient education, can enhance corneal health and prolong scleral lens wear, reducing the likelihood of lens discontinuation.