Manage Dry Eye Symptoms for Contact Lens Wearers

Dry eye disease is a common concern for contact lens wearers, impacting eye comfort and vision. Learn how to manage dry eyes effectively.

Table of Contents

Introduction

Dry eye disease is a condition in which the eyes do not produce enough good-quality tears to remain comfortable, and it can be a frequent challenge for contact lens wearers. Wearing contact lenses disrupts the natural tear film, leading to irritation, discomfort, and sometimes even vision issues. Understanding how contact lenses affect your tear film and what you can do about it is essential for maintaining both ocular health and clear vision.

Understanding Dry Eye Disease in Contact Lens Wearers

Dry eye disease occurs when the tear film that covers the surface of the eye becomes unstable or insufficient. For contact lens wearers, this instability is often intensified because the lens interferes with the natural distribution and function of tears. The tear film, which is essential for both clear vision and eye comfort, is normally composed of multiple layers that work together to keep your eyes lubricated, protect them from irritants, and maintain healthy ocular tissue.

How Contact Lenses Disrupt the Tear Film

Your tear film is made up of three layers: an outer oily (lipid) layer, a middle watery (aqueous) layer, and an inner mucus layer. The oily layer, produced by the meibomian glands, slows down evaporation of the watery layer beneath it. Contact lenses sit directly on the cornea and, by doing so, interfere with the smooth distribution of these layers. When a contact lens divides the tear film into pre-lens and post-lens segments, it can reduce the protective, lubricating function of the tears.

This division can lead to increased friction between the contact lens and the ocular surface. In the absence of proper lubrication, the lens may rub against your eye with every blink, exacerbating symptoms of dryness and irritation. Additionally, without the full benefit of the lipid layer to prevent evaporation, tears may evaporate more quickly, leaving your eyes feeling dry and gritty.

Common Symptoms and Signs

  • Grittiness or a sandy sensation: Many contact lens wearers describe a persistent feeling as if there is something in their eye.
  • Burning and stinging: Irritation caused by reduced lubrication can lead to uncomfortable burning or stinging sensations.
  • Redness and irritation: A lack of moisture makes the eye more sensitive, resulting in inflammation and redness.
  • Blurred vision: When the tear film is unstable, the quality of your vision may be affected, making it difficult to see clearly, particularly towards the end of the day.
  • Sensitivity to light: Disruption of the ocular surface can also make your eyes more prone to discomfort in bright conditions.

Noticing these signs is an important first step in understanding how your contact lens wear might be affecting your eye health.

Why Contact Lenses Increase the Risk of Dry Eye

Contact lenses, while a convenient and effective alternative to glasses, can predispose wearers to dry eye due to several factors. By interfering with the natural tear film and reducing oxygen flow, lenses can lead to changes that make the eye surface more vulnerable to dryness.

Physical Interaction and Friction

The constant contact between the contact lens and your eye creates a degree of friction every time you blink. This friction occurs because the contact lens sits in the middle of the tear film rather than being a part of the natural ocular surface. Over time, this friction can lead to surface irregularities on the cornea and conjunctiva, which may be responsible for the discomfort often described as dryness or irritation. Regular friction can also contribute to the formation of minor abrasions or staining on the eye’s surface.

Reduced Oxygen and Tear Film Evaporation

One of the unique challenges for contact lens wearers is the decreased oxygen supply to the cornea. The cornea relies directly on oxygen from the air, and when a lens covers it, oxygen transmission is reduced. Even though many modern lenses are designed to be more oxygen-permeable, they still partially block oxygen from reaching the cornea. This lack of oxygen can lead to a less healthy tear film and accelerate the evaporation of tears, further intensifying the dry eye symptoms.

Interference with Protein Regulation and Tear Stability

The natural balance of proteins within your tear film plays a vital role in maintaining its viscosity and stability. Contact lenses may disrupt the normal regulation of these proteins, leading to a compromised tear film. Without proper stability, the tear film is more susceptible to breaking up between blinks, which leaves patches of the ocular surface unprotected and dry. This instability can create a vicious cycle where reduced lubrication exacerbates discomfort and further destabilizes the tear film.

Find a top optometrist near you for personalized advice and treatment options to alleviate dry eye symptoms.

Choosing the Right Contact Lenses to Minimize Dry Eye

Not all contact lenses are created equal when it comes to comfort and maintaining eye moisture. The material, design, and replacement schedule of your contacts can all affect how your eyes respond over the course of the day. Collaborating with our eye doctors to choose the right lenses is a crucial step in managing dry eye symptoms.

  • Silicone Hydrogel Lenses: These lenses are highly oxygen permeable, allowing more oxygen to pass through to the cornea, which helps maintain a healthier tear film.
  • Low Water Content Lenses: Contrary to popular belief, lenses with lower water content can sometimes be more comfortable for those with dry eyes because they draw less moisture from the tear film.
  • Daily Disposable Lenses: Disposable lenses reduce the risk of protein deposits that can build up on the surface over time. This buildup can exacerbate irritation and dry eye symptoms.
  • Scleral Lenses: For patients with severe dryness or corneal irregularities, scleral lenses vault over the entire cornea and create a reservoir of fluid, offering extended comfort and protection.

Opting for lenses that suit your lifestyle and ocular needs helps in reducing many of the dryness issues associated with prolonged wear. For example, switching to daily disposables or lenses with higher oxygen permeability may significantly improve overall comfort throughout the day.

Proper Contact Lens Hygiene and Care

Maintaining a sound contact lens hygiene routine is essential in preventing dry eye symptoms. Even the best-designed lenses can cause problems if they are not cared for properly. Adhering to cleaning and storage routines can help reduce inflammation and irritation caused by residues or bacteria on the lenses.

  • Wash Your Hands: Always wash and thoroughly dry your hands before handling your contact lenses to avoid transferring irritants and microbes to your eyes.
  • Use the Right Solution: Follow your eye doctor's recommendations about which lens cleaning solution to use. For some wearers, switching from multipurpose solutions to a hydrogen peroxide-based system can reduce ocular irritation.
  • Avoid Water Exposure: Do not rinse your lenses with tap water and avoid swimming or showering while wearing them, as water can introduce bacteria and further disrupt the tear film.
  • Replace Storage Cases: Change your lens case every three months or as directed to prevent microbial buildup that may contribute to inflammation and dryness.

Proper lens hygiene not only extends the life of your lenses but also plays a significant role in keeping your eyes comfortable and reducing the risk of dry eye development.

Manage Dry Eye Symptoms for Contact Lens Wearers

Find a top optometrist near you for personalized advice and treatment options to alleviate dry eye symptoms.

Common Questions

Contact lenses can disrupt the tear film, reduce oxygen supply, and create friction, leading to dry eye symptoms.
Using lubricating drops, opting for daily disposables, and maintaining proper lens hygiene can help alleviate dry eye symptoms.
If you experience persistent dryness, redness, or discomfort, it's important to seek professional advice to prevent further complications.
Amplify EyeCare cartoon

Manage Dry Eye Symptoms for Contact Lens Wearers

Understanding dry eye symptoms can help contact lens wearers maintain comfort and ocular health. Discover tips and solutions today.

Logo Specialty Vision Stacked Fullcolor1

Find a Doctor

starchevron-downarrow-up