Should People With Chronic Dry Eye Wear Contacts?

Dry eye syndrome is a common condition that occurs when the eyes do not produce enough tears or the tears evaporate too quickly. This can lead to a range of symptoms such as redness, itching, burning, and blurred vision, making daily activities challenging.

One question that often arises among dry eye sufferers is whether it is safe or advisable to wear contact lenses. Finding the right solution can be a complex process, as there are many factors to consider. 

Causes and Symptoms of Chronic Dry Eye

Chronic dry eye can result from various factors, such as age, hormonal changes, certain medications, and environmental conditions. As we get older, our tear production tends to decrease, increasing the likelihood of developing dry eye syndrome. Hormonal changes, particularly in women during pregnancy or menopause, can also affect tear production and lead to dry eyes.

Some medications, like antihistamines, decongestants, and antidepressants, can reduce tear secretion and cause dry eye symptoms. Additionally, environmental factors like dry or windy weather, air conditioning, and prolonged screen time can exacerbate the condition.

The symptoms of chronic dry eye can vary from person to person, but common signs include:

• A stinging, burning, or scratchy sensation in the eyes

• Redness and irritation

• Blurred vision or fluctuating vision

• Sensitivity to light

• A feeling of having something in the eye

• Difficulty wearing contact lenses

Types of Contact Lenses for Dry Eyes

Despite the risks, many people with chronic dry eye still want to wear contacts. Fortunately, there are several types of contact lenses designed specifically for dry eyes. Some of the best contact lenses for dry eyes include:

Daily Disposable Lenses

These single-use lenses are ideal for those with dry eyes, as they can be thrown away at the end of the day, reducing the risk of infection and irritation from accumulated debris. Daily disposables are also made from thinner materials, which can provide better oxygen permeability and comfort.

Silicone Hydrogel Lenses

These lenses are made from a material that allows more oxygen to pass through to the cornea, promoting eye health and reducing dryness. Silicone hydrogel lenses can be more comfortable and provide better hydration for those with dry eyes.

Gas permeable (GP) Lenses

GP lenses are rigid lenses that offer excellent oxygen permeability and can provide sharper vision than soft lenses. They can be a good option for dry eye sufferers, as they are less likely to accumulate debris and can be more comfortable for some people. However, there is an adjustment period when transitioning from soft lenses to GP lenses.

Scleral Lenses

These are large-diameter, gas-permeable lenses that vault over the cornea and rest on the white part of the eye, known as the sclera. They can help keep the eye surface moist by trapping a layer of tears between the lens and the cornea. Scleral lenses can be particularly beneficial for those with severe dry eye or corneal irregularities.

Tips for Managing Dry Eyes With Contact Lenses

If you have dry eyes and decide to wear contacts, there are several tips to help minimize discomfort and protect your eye health:

Practice Good Lens Hygiene

Always wash your hands before handling your lenses, and clean and store them properly to reduce the risk of infection and irritation.

Use Lubricating Eye Drops

Artificial tears or lubricating eye drops can help relieve dry eye symptoms and improve lens comfort. Be sure to choose a brand that is compatible with your contact lenses and follow the recommended usage instructions.

Limit Lens Wear Time

Give your eyes a break by limiting the amount of time you wear your contacts each day. You may also consider wearing glasses as an alternative or in combination with contact lenses.

Avoid Harsh Environments

Dry, windy, or air-conditioned environments can exacerbate dry eye symptoms. Try to minimize your exposure to these conditions when wearing contacts.

Stay Hydrated

Drinking plenty of water can help maintain overall hydration and support healthy tear production.

Consultation With Eye Care Professionals

If you have chronic dry eye and are considering wearing contacts, it is crucial to consult with an eye care professional. They can help determine the severity of your dry eye condition, recommend the most suitable contact lens type for your needs, and suggest other treatment options to manage your symptoms.

Regular check-ups with your eye care professional are also essential to monitor your eye health, ensure your contacts fit correctly, and address any issues that may arise. Your eye care professional can also provide guidance on proper lens care and hygiene to minimize the risks associated with wearing contacts.

Managing Dry Eye with Contacts

Wearing contact lenses with chronic dry eye can be challenging, but it is not impossible. By understanding the risks and choosing the right type of contact lens, you can improve your comfort and eye health. It is essential to consult with an eye care professional and follow their recommendations to ensure the best possible outcome. By following these tips and working closely with your eye care professional, you can successfully manage your dry eyes with contacts and enjoy clear, comfortable vision.

For more on chronic dry eye and contact lenses, visit Atlanta Eye Group at our offices in Alpharetta, Atlanta, and Kennesaw, Georgia. Please call 772-272-9470 to discuss any questions with our team of experts or to schedule an appointment today.