Effective Strategies to Combat Dry Eyes When Wearing Contact Lenses

Contact lenses can often contribute to dry eye symptoms more than glasses. Managing this condition involves a combination of natural approaches, medical treatments, and selecting the right lenses.

In the United States, over 45 million individuals rely on contact lenses for vision correction.

According to the National Eye Institute (NEI), contact lens wearers have a higher likelihood of experiencing dry eye symptoms, which is a leading cause for discontinuing their use.

Read on to understand how contact lenses influence dry eye development and discover practical ways to alleviate discomfort.

What Causes Dry Eyes from Contact Lens Use?

Dry eye affects nearly 16 million Americans, as reported by the NEI.

The surface of the eye is protected and moisturized by a tear film composed of three layers that:

• keep the eye hydrated
• shield the eye from environmental irritants
• support overall eye health

Studies indicate that wearing contact lenses can disrupt these tear layers, potentially leading to dry eye disease.

The outer lipid layer, made of oils, prevents tears from evaporating rapidly, while the middle aqueous layer provides essential lubrication.

A 2018 study revealed that contact lenses separate the lipid and aqueous layers, which may:

• reduce tear film stability
• thin the tear film
• increase friction on the eye’s surface

Additionally, contact lens use may interfere with proteins that regulate eye lubrication, further contributing to dryness.

What Are the Treatments for Dry Eye?

Dry eye management depends on its cause and symptom severity.

Natural relief methods include:

• avoiding irritants like wind and smoke
• using warm compresses
• limiting screen exposure
• employing a humidifier indoors
• maintaining proper hydration
• wearing wraparound sunglasses outdoors

Medical treatments may involve:

• over-the-counter or prescription artificial tears
• tear duct plugs to retain moisture
• surgical options to reduce tear drainage

If symptoms persist, consulting an eye care professional about changing lens types or improving hygiene is advisable.

Which Contact Lenses Are Ideal for Dry Eyes?

Choosing the right contact lenses is crucial for managing dry eye.

Lens Types

The Centers for Disease Control and Prevention (CDC) identifies two primary lens categories:

• Soft lenses: Made from flexible plastic and hydrogel materials that allow oxygen flow and contain water to help lubricate the eye.
• Hard lenses: Also called rigid gas permeable (RGP) lenses, these are more durable and resist protein buildup, often providing clearer vision.

Soft lenses are generally preferred for dry eye sufferers. However, scleral lenses, a type of hard lens resting on the sclera instead of the cornea, can trap tears beneath the lens, enhancing moisture retention.

Disposable vs. Reusable Lenses

A 2023 review recommends daily disposable lenses for dry eyes, as they reduce protein deposits that can cause irritation and infection.

Conversely, some individuals may benefit from reusable lenses with lower water content, which may retain moisture longer.

Daily disposables often use silicone hydrogel, which has higher water content but can dry out faster.

Consulting with an eye care professional is essential to find the best lens type tailored to your needs.

Maintaining Proper Contact Lens Hygiene

Sometimes, dry eye symptoms stem from poor lens hygiene rather than the lenses themselves.

Some cleaning solutions contain preservatives that may irritate your eyes and cause dryness.

The CDC recommends the following hygiene practices to prevent dry eyes:

• Never sleep with your contact lenses in
• Wash and dry your hands thoroughly before handling lenses
• Avoid exposing lenses to water to prevent bacterial contamination
• Clean your lens case regularly with solution, not water
• Replace your lens case at least every three months

For reusable lenses, additional steps include:

• Cleaning and rubbing lenses with the recommended solution
• Using only fresh solution each time

If you suspect your cleaning routine is causing dry eyes, consult your eye doctor for guidance on proper hygiene and alternative solutions.

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Common Questions About Dry Eyes and Contact Lenses

How can I treat dry eyes caused by contact lenses?

Natural remedies like warm compresses and humidifiers, combined with OTC eye drops, can ease symptoms. If these are insufficient, a healthcare provider may suggest switching your contact lenses.

Should I continue wearing contacts if I experience dry eyes?

Dry eyes may worsen with contact lens wear. It’s advisable to switch to glasses temporarily and consult an eye specialist for personalized treatment.

Which contact lens solution is best for dry eyes?

Since some solutions can irritate eyes, professional guidance is essential to select a preservative-free or suitable formula.

Summary

Contact lenses offer clear vision without the drawbacks of glasses during activities but are more prone to cause dry eyes.

Employing natural and medical treatments can help manage dryness effectively. If symptoms persist, professional consultation is key to finding a tailored solution.

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