Does Solution Choice Impact Midday Fogging? - Takeaways - MDSpire

Does Solution Choice Impact Midday Fogging?

Explore effective management strategies for midday fogging in scleral lens wearers, including a breakthrough study on sodium hyaluronate's impact on vision quality.

  • By

  • Melissa Barnett, OD, FAAO, FSLS

  • November 1, 2025

  • 4 min

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  • 1

    Midday fogging affects up to 46% of scleral lens wearers and can impair visual quality.

  • 2

    High-viscosity sodium hyaluronate solution may enhance low-contrast visual performance in keratoconus patients.

  • 3

    Periodic lens removal and reapplication can provide temporary relief from midday fogging symptoms.

  • 4

    Adjustments in lens fit and care, such as using hydrogen peroxide systems, may help reduce debris accumulation.

  • 5

    The study found no significant differences in lens settling or turbidity between sodium hyaluronate and saline solutions.

Original Source(s)

Does Solution Choice Impact Midday Fogging?

  • by Melissa Barnett, OD, FAAO, FSLS

  • November 1, 2025

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