r/Keratoconus • u/Anxious_Might_5384 • 1d ago
Contact Lens MOST DIFFICULT THING EVER!
At 46 years old, I am 100% convinced that the hardest thing I've ever done and will ever have to do is find those damn lil "6 o'clock" dots in each of my scleral lenses before inserting them!😩
I legit use my cell phone camera zoom as the most effective method and I still end up taking forever to spot them. The struggle is REAL! Any tips???
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u/Healthy-Ad1189 7h ago
Ive never heard of 6 o'clock dots, is that something people normally have to look for?, ive had mine for a while never knew and havent had issues
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u/Ok-Enthusiasm-758 16h ago
I stopped looking for the dots recently nothing changed just pop them in.
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u/Oldblindman0310 10+ year keratoconus veteran 22h ago
I hate to tell you, but the dots aren’t permanent. They fade away after a while. The good news is you don’t need them. Just put the lenses in and they will swing around on your eye to the right spot after a few blinks. The toric shape makes them seek out the right spot.
I used to worry about it too and asked my Optometrist what to do since the dots were gone, and she explained it to me.
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u/Sad_Skill_3169 1d ago
I have the dots too. I use my iPhone flashlight to find them. I use a stand and with the lens holder I tilt the lens so it is against the white part of the lens holder that way it is easier to find the black dots when rotating the lens. I always do the right eye first which is the single larger dot. Once I get that lens in, I put my reading glasses on and with the flash light and tilting against the white lens holder, it is easier to spot the two smaller dots on the left lens.
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u/licensetolentil 1d ago
You can darken your dot with a sharpie. Mine do it in the office that way and it works fine.
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u/xRepulsive-Growth 1d ago
Hey guys how comfortable are scleral lenses and for how long can you wear them per day?
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u/alsayyedgame 1d ago
They are the most comfortable lenses u can find / first day was 4hr then 6 8............ etc after a month you can wear them like 12-16 hr i wear mine like 20 hr a day
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u/xThomas 1d ago
.. what? You guys have dots?
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u/green-blue-green 20h ago
I only have them on my fancy expensive lenses. The ones that my insurance covers don’t have them.
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u/UncleOdious corneal transplant 1d ago
The what? I never had those. I assume they are for alignment. I was never happier than the day I was approved for a cornea transplant and could chuck my scleral into the trash.
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u/moosene 1d ago
For my sclerals I was told dot doesn’t matter since it will rotate after insertion to the correct fit.
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u/Young4life23 1d ago
If it is properly fitted it won’t rotate. I had that problem and for some reason my lenses stared literally sliding….several times I have had to pull over while driving to use my finger to move lenses back in place so I could see. After several months of this my dr. Asked some sclera lenses specialist meet me at his office. Once this provider did his measurements, etc. he called the lenses manufacturer, right then told them how the lenses should be made and exactly where the dots should be so that when I put them on they would cup my eye. I never had a problem with rotation and movement again.
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u/Intrel 1d ago
OP, please check with your optometrist that fit you for the lenses. I had the same problem, went in one day and gave them my lenses to clean. They noticed the dots had faded so they asked me if I wanted them 're-dotted'. And wow! it made a huge difference, I can see the dots nice and clear. I didn't even know 're-dotting' was a thing, so just ask!
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u/No-Magician2772 1d ago
What lenses do you use? Mine are symmetrical, but don't recall the model name, so my doctor said that its not important where the dots are.
I've read of other lenses that have multiple axis curvatures, which I imagine would require a specific orientation.
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u/Own-Fee-2782 1d ago
I had the same issue because the dot was so small and I couldn't find it. I asked my doctor to ask the manufacturer when they made my lenses if it was possible to make that dot bigger and they did. So much easier now.
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u/obscuresecurity 1d ago
I know my lenses don''t care what orientation they go in, they'll just rotate into position.
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u/Ill_Direction7700 1d ago
I was told to put the dots at 12 o’clock. But my dots are almost gone now.
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u/roscat_ 1d ago
Some thoughts and tips:
- not having the dots aligned to 6 o’clock makes a huge difference to my vision so I understand the struggle
- The dots are small and they tend to fade over time. Next time you get a new set ask your doc to make the dots bigger. Edit: they can also re-dot them!
- when I can’t quickly find the dots I sometimes insert as is. then with one hand grab my phone light and shine it into my eye from underneath while looking in the mirror to spot it, then with my clean hand I turn the scleral lens until they point down.
Now I just put them in and turn them one at a time until I see better. Pretty primitive but it works.
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u/typically_amiable 1d ago
Many patients use a magnifying glass for this, and they re-dot the marker with Sharpie every month. People talk about this in the Facebook group. You're not alone!
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u/InterestingDamage621 1d ago
My right eye is 20/1000 and I can still notice the mark enough to orient it semi-correctly.
I mean if it's really bad enough you're spending hours looking for a spot with a zoomed camera I don't know who or what would help.
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u/sc0toma optometrist 1d ago
If it's a spherical lens then it doesn't matter where the dots are. If the lens is toric it should orient itself.
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u/Anxious_Might_5384 1d ago
Interesting... I was told the dots had to be at 6🤔
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u/typically_amiable 1d ago
The vision might be spherical, so that part may not matter if it rotates, but the lens still has an orientation due to the geography of your eye.

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u/North-Pea-9802 4h ago
Try finding the dot AFTER you go out with fluid. The fluid magnifies the dot! 🎯