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Can I Wear Contacts with Dry Eyes?

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A person smiles in the mirror as they put a contact lens into their eye

If you have dry eye, you’re likely familiar with the discomfort of gritty, scratchy, or burning sensations. You might also wonder if wearing contact lenses is just not an option. Many people with dry eye symptoms can find a way to wear contacts comfortably, but it often requires a proper contact lens fitting and professional guidance.

The good news is that for many people, wearing contact lenses with dry eye is possible with the right type of lens and a proper care routine. 

What Causes Dry Eye?

Your eyes rely on a consistent layer of tears to stay moist, clear, and comfortable. When something disrupts this tear film, dryness can occur. Since contact lenses are placed on this tear film, any imbalance can cause lens wear to feel uncomfortable, resulting in burning or scratching sensations.

Problems with Tear Production

Sometimes, your eyes may not produce enough of the watery part of your tears, which is essential for keeping your eyes properly lubricated. This lack of production can lead to a constant feeling of dryness. Contact lenses can sometimes make this feeling more noticeable.

Tears That Evaporate Too Quickly

Your tears have an oily outer layer that prevents them from drying up too fast. If the tiny glands that line your eyelids get blocked, you may not have enough oil in your tears. This causes them to evaporate quickly, leaving your eyes exposed and feeling dry.

Signs Your Contacts Contribute to Dryness

It’s common for contact lenses to feel less comfortable as the day goes on, but for those with dry eye, the symptoms can be more frequent and more uncomfortable. Ignoring these feelings can lead to more significant issues, so understanding proper lens safety is crucial. Here are some common symptoms to be aware of:

  • A gritty or sandy feeling, like something is in your eye
  • Redness and irritation
  • Blurry vision that seems to clear after you blink
  • Increased awareness of the lenses in your eyes
  • A desire to take your lenses out earlier than usual

Best Contacts for Dry Eye

Several types of contact lenses are designed with materials that help retain moisture, making them a good option for people with dry eye symptoms. Your optometrist can help you find a suitable match for your unique needs.

Lenses with High Water Content

Some modern soft contact lenses are made with materials that hold a significant amount of water. This can provide an initial cushion of moisture for comfortable wear. The right material is key, and our team can help you explore a wide selection of specialized lenses to prevent them from drying out throughout the day.

Silicone Hydrogel Lenses

These lenses allow more oxygen to pass through to your eye than traditional soft lenses. This increased breathability can help with long-term use. It can also make them more comfortable for all-day wear.

Daily Disposable Lenses

A fresh pair of lenses every day helps to eliminate the buildup of deposits that can irritate your eyes and contribute to dryness. This makes them a simple option for those seeking something with less maintenance.

A close up of a contact lens being put into an eye

Tips for Contact Lens Wear

Beyond choosing a different type of lens, simple, everyday habits can significantly impact how your eyes feel. You can incorporate these tips into your daily routine to keep your eyes hydrated while wearing contacts.

Use Contact-Safe Eye Drops

Not all eye drops are right to use with contact lenses. Use rewetting drops formulated specifically for contacts to help refresh your eyes throughout the day. A preservative-free option may be a good choice if you use them frequently.

Follow the 20-20-20 Rule

When you’re on a device, you tend to blink less, which can cause your eyes to dry out. Practicing the 20-20-20 rule can help with short and long-term eye health. Every 20 minutes, take a 20-second break to look at something at least 20 feet away. This simple habit is easy to implement, and it gives your eyes a much-needed rest.

What to Do If Your Lens Feels Stuck

If your eye is too dry, a contact lens can occasionally feel stuck. Part of proper lens wear and care is knowing how to handle this. Do not try to pull it off when it feels dried out. First, wash your hands, then apply contact-safe rewetting drops to rehydrate the lens and your eye. Blink a few times, and the lens should move freely, allowing you to remove it normally. 

When to See Your Optometrist in Vaughan

While these tips can help, the most effective way to manage dry eye with contact lenses is to seek a professional evaluation. A comprehensive eye exam can help to identify the root cause of your dryness and lead to a personalized solution that works for you.

An optometrist can do more than just check your prescription. We can assess your tear film, examine your eye health, and recommend specific contact lens brands suited to your needs. A proper fitting set of contact lenses could be the first step in battling dry eye.

For persistent dry eye, there are several in-office treatments available that can help. For example, some procedures can unblock the oil glands that line your eyelids. This can improve your natural tear quality and make wearing contact lenses more comfortable.

You don’t have to guess what might help you with clearer, more comfortable vision. If you’re struggling with contact lenses, a conversation with one of our optometrists in Vaughan can help you find a solution that works for you. At Lowy & Sewell Eye Care, we’re here to talk with you about the options. Book your appointment with us today.

Written by Dr. Deborah Lowy

Dr. Deborah Lowy graduated from the University of Waterloo with a Doctor of Optometry in 1981. She received an award for academic excellence from the dean of the school. Her training included an internship at Huronia Regional Centre, serving mentally and physically disabled residents, and the Department of Ophthalmology at Hadassah Hospital in Jerusalem.

She opened up her own practice at Dufferin and Steeles in 1984 and has served the Concord, ON, community ever since. Giving back to the profession and the public is foremost.

Her interest led her to serve on the Complaints Committee at the College of Optometrists of Ontario from 2000–2007 and chair that committee from 2004–2007. She held a council position at the College of Optometrists for two 3-year terms. She was especially honoured to have received the Queen’s Jubilee medal for her work in third-world countries.

She has special interests in glaucoma, pediatrics, and complex contact lens fitting, including multifocals and keratoconus.

Dr. Lowy’s personal interests include travelling, decorating, reading, exercising, and cooking. She is married and has 2 adult sons; Jordan, a lawyer, and Jeremy, an optometrist with Lowy & Sewell Eye Care.

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