The patient in the photo below presented with the complaint of red eyes while wearing his scleral contact lens. A scleral contact lens is a rigid gas permeable lens that vaults the cornea and is supposed to land softly on the conjunctiva.  If it lands too steep it will compress blood vessels causing congestion and inflammation.  This patient was refit successfully into a scleral lens that had a much softer landing and the redness subsided. 

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