For many people, contact lenses are a convenient alternative to glasses. But what happens when traditional lenses just don’t cut it? If you’ve been told you’re “not a candidate” for contacts—or if your vision still isn’t clear with regular lenses—you may benefit from a specialty contact lens fitting.
At True Eye, we specialize in custom contact lens solutions designed for patients with complex vision needs. Here’s what you need to know about who needs specialty lenses and how personalized fittings can help you see more clearly—and comfortably—every day.
What Are Specialty Contact Lenses?
Specialty contact lenses are advanced lenses designed for people with unique eye conditions or prescriptions that make standard contacts ineffective or uncomfortable. These lenses come in a variety of materials and designs and are custom-fitted to your eye’s shape, size, and optical needs.
A specialty contact lens fitting involves in-depth measurements, imaging, and trials to ensure the best possible vision and fit for your eyes.
Who Needs Specialty Contact Lenses?
You may benefit from a specialty contact lens fitting if you have:
1. Keratoconus or Corneal Irregularities
Keratoconus causes the cornea to thin and bulge into a cone shape, distorting vision. Standard lenses won’t conform properly to the irregular shape, but scleral lenses and custom rigid gas permeable (RGP) lenses can provide sharp, stable vision by vaulting over the cornea.
Other corneal conditions that may require specialty lenses include:
- Pellucid marginal degeneration
- Post-LASIK or RK complications
- Corneal scars or transplants
2. Severe Dry Eye or Ocular Surface Disease
Patients with chronic dryness or ocular surface disease often struggle with contact lens comfort. Scleral lenses not only correct vision—they also create a fluid-filled chamber that protects and hydrates the eye, offering both clarity and relief.
3. High or Irregular Astigmatism
When astigmatism is severe or irregular, standard toric lenses may not provide stable vision. Specialty designs like custom toric, hybrid, or RGP lenses can improve clarity and comfort.
4. Presbyopia (Age-Related Focus Issues)
As we age, it becomes harder to focus on near objects. Multifocal or custom-designed bifocal lenses allow for smooth transitions between near and far distances—without the need for reading glasses.
5. Post-Surgical Vision Correction
If you’ve had LASIK, PRK, or other refractive procedures, your eye shape may no longer match what standard lenses are made for. A specialty fitting ensures your lenses account for these changes and provide crisp, reliable vision.
6. Myopia Control in Children and Teens
Specialty lenses like orthokeratology (Ortho-K) and multifocal soft lenses are used to slow the progression of nearsightedness (myopia) in kids and adolescents.
What Happens During a Specialty Contact Lens Fitting?
A specialty contact lens fitting at True Eye is more advanced than a standard contact lens exam. Here’s what you can expect:
- Detailed corneal mapping using topography or tomography
- Custom measurements of your corneal curvature and diameter
- Assessment of ocular surface health
- Trial lens fitting to evaluate comfort and vision
- Follow-up visits to fine-tune the fit and ensure long-term success
The process is hands-on, precise, and designed around your unique needs. And because specialty lenses are custom-made, a proper fitting is critical to getting the best outcome.
Types of Specialty Contact Lenses We Offer
At True Eye, we fit a wide range of specialty lenses, including:
- Scleral lenses – Ideal for corneal irregularities, dry eye, and high prescriptions
- Rigid gas permeable (RGP) lenses – High oxygen flow and excellent clarity
- Hybrid lenses – RGP center with a soft skirt for comfort and stability
- Custom soft lenses – For high or irregular prescriptions
- Multifocal and bifocal lenses – For presbyopia and age-related changes
- Orthokeratology (Ortho-K) – Overnight lenses that reshape the cornea and control myopia progression
We’ll work closely with you to find the best lens design based on your vision goals, lifestyle, and ocular health.
Why a Custom Fit Matters
Contact lenses are not one-size-fits-all—especially when your eyes have special requirements. Poorly fitted lenses can lead to discomfort, blurry vision, and even damage to your eyes.
A proper contact lens fitting ensures:
- Accurate vision correction
- Maximum comfort
- Reduced risk of complications
- Long-term eye health
With specialty lenses, that personalized approach becomes even more essential.
Get a Specialty Contact Lens Fitting at True Eye
Whether you’ve been frustrated with standard contacts or you’ve been told you can’t wear them at all, don’t give up. At True Eye, we’re experienced in specialty lens fittings for all kinds of complex cases. From keratoconus to post-surgical vision and everything in between, we’ll help you find the right lens to transform how you see the world.
Schedule your specialty contact lens fitting today and take the first step toward clearer, more comfortable vision.



