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  • Lifestyle

Can I Wear Contacts with Dry Eyes?

  • Last updated February 13, 2023

6 min read

Heather Cottrell
Written byHeather Cottrell
Jovi Boparai, MD
Reviewed by Jovi Boparai, MD
Heather Cottrell
Heather Cottrell

Bio

Since becoming a Certified Health Coach in 2005, researching and creating content to help people live longer, healthier lives is my passion. As a content creator and online marketing coach for health coaches, I spend most of my time working on screens. Keeping my eyes healthy is important not just to my work, but to my life!

Get to know me a little better!

Hobby: creating content
Food: is coffee a food? ;)
Superhero: Wonder Woman
Guilty pleasure: bingewatching my favorite shows
Secret power: learning online tech quickly

Training:

Undergraduate: Fordham University
Health and wellness training: Institute for Integrative Nutrition

Jovi Boparai, MD
Jovi Boparai, MDCo-founder & CEO of CorneaCarePhiladelphia, PA

Bio

Dry eye disease is tough! I get it. I have struggled with dry eyes for several years from contact lens use, and from spending countless hours looking at computer screens. In college, my dry eyes got so bad that I couldn’t wear contact lenses, because of a constant “foreign body sensation” when I had them in. I had to stop reading every 30 minutes because my eyes would start to burn and my vision would get blurry. I tried a plethora of treatments and nothing seemed to work. Dry eye disease was not only impacting my eyes, but also my emotional wellbeing. It was preventing me from enjoying life, and getting in the way of my professional training. I felt overwhelmed, frustrated and hopeless.

It was only when I realized that my dry eyes were linked to my lifestyle, environment and overall health did things start to make sense. I noticed that on days when I spent less time on the computer, my eyes felt better. My symptoms would flare when it was windy, or when there was low humidity. I knew that if I wanted to get ahead of my dry eyes, I needed to not only treat my eyes, but to also address my lifestyle. I started a consistent regimen of artificial tears and eyelid hygiene. I switched from monthly contact lenses to daily contact lenses. I started taking scheduled breaks from looking at a computer. I ate a healthier diet focused on anti-inflammatory/antioxidants foods, and I bought a humidifier for my room. In the beginning doing all this seemed impossible, but over time it became part of my usual routine. Not only did my eyes feel better, but I was overall healthier and happier! Turns out what is good for my eyes, was also good for my mind and body. I carried this lesson with me as I started my career to become an ophthalmologist and ophthalmic surgeon.

Because of my personal journey and professional training, I believe dry eye treatment starts by listening to and empowering the patient. I listen for the struggles and cue in on their strengths, while picking up on their lifestyle. Only then do we together start building a treatment plan that incorporates good eye hygiene with small, but impactful lifestyle changes. Our sight is our most important sense, and it is intimately linked to our very being. I want dry eye patients to not only get their dry eyes under control, but to also enjoy good mental and physical health, and live a fulfilling life. What is good for the eyes should also strengthen the mind and fortify the body!

Get to know me a little better!

Hobby: vintage watches
Food: peanut butter
Superhero: Superman
Guilty pleasure: desserts
Secret power: has never had a headache

Training:

Undergraduate: University of Pittsburgh Honors College
Medical school: Weill Cornell Medicine
Ophthalmology residency: Wills Eye Hospital.

Can I Wear Contacts with Dry Eyes?

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Table of Contents

Wearing Contacts with Dry Eyes

While you can wear contacts with dry eyes, a visit to your eye doctor (optometrist or ophthalmologist) is necessary to determine whether contacts are a good choice for you.

According to the CDC, over 45 million Americans wear contact lenses.1 For many patients who require vision correction, contact lenses are preferred because they offer more convenience than glasses.

However, contact lenses can be very uncomfortable for those who have or develop dry eye disease. One study found that contact lens wearers had a three times higher risk of developing symptoms of dry eye disease than those who do not wear contacts.2

In this article, you’ll learn how to make the right choices if you wear contacts with dry eyes.

Key Points

  • Wearing contact lenses can increase your risk of developing symptoms of dry eye disease.
  • Symptoms of dry eye may include pain, redness, gritty feeling, foreign body sensation, and blurry vision.
  • Daily contact lenses may be the right choice for contact lens wearers with dry eye symptoms.
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What is Dry Eye Disease?

To understand the potential link between your contact lens use and dry eye symptoms, let’s get clear on what dry eye disease is.

Dry eye disease, also known as dry eye syndrome, is a common condition, affecting millions of adults worldwide. Women and aging adults are most commonly affected, though people of any age may have dry eye disease.3

Also known as keratoconjunctivitis sicca and ocular surface disease, dry eye disease is caused by an unstable tear film and inflammation.3 

Causes of Dry Eye Disease

Dry eye happens when your tear glands fail to make enough tears or your tears evaporate too quickly.4

Some of the reasons for this to occur include:

  • Hormone replacement therapy
  • Sjogren’s syndrome, lupus, and other autoimmune conditions
  • Dry, low humidity environments
  • Allergies
  • LASIK eye surgery
  • Certain medications, including antihistamines, blood pressure medications, nasal decongestants, antidepressants, and oral contraceptives
  • Aging
  • Extended use of computers and other digital screens

Long periods of wearing contact lenses can also lead to dry eyes. Contact lenses may lead to dry eye disease when oxygen flow to the cornea is blocked. Lenses also absorb fluid from your tears, leaving your eyes dry and feeling uncomfortable. Lastly, contact lenses may impact the eyes’ goblet cells, which are responsible for releasing mucin needed for tear film stability.

A number of studies have found that 50% of contact lens wearers develop contact lens-related dry eye. That’s over 17 million people in the U.S. alone.5

In many cases, you can still wear contacts with dry eyes by treating the cause of your dry eye symptoms or switching to a different lens type better suited to your dry eyes.

Symptoms of Dry Eye Disease

Symptoms of dry eye disease will vary by person. You may notice more painful and uncomfortable symptoms when you wear contacts with dry eyes, especially over long periods.

Your dry eye symptoms could include:6

  • Dryness
  • Blurred vision
  • Burning or itchy eyes
  • Light sensitivity
  • Eye fatigue
  • Contact lens discomfort
  • Red eyes
  • Watery eyes
  • Gritty feeling
  • Foreign object sensation
  • Difficulty blinking
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Contact Lenses for Dry Eyes

Contact lens use may be the cause of your dry eye syndrome. If not the cause, wearing contact lenses may exacerbate your dry eye symptoms.

With the help of your eye doctor and a few changes, you may be able to wear contacts with dry eyes and experience less discomfort.

Here are a few considerations to keep in mind as you choose the right contact lenses for you.

Contact Lens Material

If you would like to wear contacts with dry eyes, it’s a good idea to understand the different types of contact lens materials to choose from.

Soft contact lenses are produced from flexible plastic which allows more oxygen to reach your eyes. Rigid gas-permeable contact lenses also allow oxygen to reach the eye and are made of a harder, less flexible material.

Soft contacts can be made of hydrogel, containing water. There are daily disposable soft lenses that are worn for a day at a time, and then discarded.

There are also extended-wear soft lenses that are designed to be used over a period of 30 days.

However, choosing extended-wear contacts with dry eyes can lead to worsening symptoms due to a build-up of protein deposits on the contacts. Daily disposable contact lenses prevent this problem and may be a better fit for you if you wear contacts with dry eyes.

Another popular choice for people who wear contacts with dry eyes is silicone hydrogel contact lenses. In comparison to regular hydrogel lenses, silicone hydrogel lenses better retain lubrication and allow more oxygen to the eye, causing less dry eye symptoms and more comfort.

The Size of the Contact Lens

The average contact lens measures approximately 9 millimeters in diameter, covering just the iris. The iris is the part of your eye with color.

On the other hand, scleral contact lenses can measure 13 to 24 millimeters, extending to cover part of the whites of your eye. The white part of your eye is called the sclera.

For some dry eye patients, scleral lenses are preferred, as they allow more hydration of the eye’s surface, resulting in less dry eye symptoms.7

Water Content of Contacts

When you shop for soft contact lenses, you’ll notice they are categorized by the amount of water content they have.

Though it may seem counter-intuitive, you want to avoid contact lenses with high water content if you suffer from dry eye disease. Lenses with high water content actually dry out faster than the low water content variety, causing more dryness in your eyes.

Contact Lens Solution

Not all contact lens solutions are the same. If you’re using a solution that contains preservatives, it may be causing dryness and irritation when you wear contacts with dry eyes.

Ask your eye doctor for a recommendation to be sure you are choosing the best contact lens solution for your eyes and the type of contact lens you wear.

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Tips to Wear Contacts with Dry Eyes

Follow these suggestions for safe contact lens use with dry eyes. Poor contact lens care and handling can lead to serious eye infections, and even blindness.1

If you frequently experience dry eye symptoms, remove your contacts and reach out to your eye doctor before trying to wear contacts with dry eyes again.

  • Always wash your hands before touching your lenses to keep them clean
  • Store your contacts in a closed container
  • Use rewetting drops before you wear contacts with dry eyes
  • Follow the recommendations of your eye doctor (optometrist or ophthalmologist)
  • Avoid wearing your contacts longer than prescribed
  • Use preservative-free artificial tears throughout the day to lubricate your eyes
  • Try a different contact lens solution designed for your lens type

Tips to Improve Symptoms of Dry Eye Disease

The following steps can help you practice good eye care. These simple lifestyle changes may reduce your symptoms of dry eye disease.4

Eyelid Hygiene for Wearing Contacts with Dry Eyes

Your eyelids are an essential part of healthy eye function. Every blink replenishes the tear film covering your cornea. A good eyelid hygiene routine is foundational to dry eye disease treatment.

CorneaCare’s Eyelid Hygiene products include a Self-Heating Warm Compress and refreshing Eyelid Wipes to soothe and relax your eyes.

Artificial Tears for Dry Eye Symptoms

Using lubricating eye drops such as CorneaCare’s Recover preservative-free Artificial Tears can help replenish your tear film and supplement your natural tears.

Good Nutrition for Eye Health

Make changes to follow a healthy diet full of fruits, vegetables, whole grains, nuts and legumes, and fish. Drink plenty of water which will help to keep your eyes, skin, and hair well hydrated.

Supplement with CorneaCare Eye Vitamins and Omega-3 Fatty Acids to fill in any gaps in your diet, for good mind, body, and eye health.

Lifestyle Changes to Improve Dry Eye Disease

In addition to a healthy diet, and products to support dry eye disease treatment, there are other lifestyle changes you can make.

Wear glasses instead of contacts and take regular screen breaks during prolonged work on computers, watching TV, or reading online.

Avoid environmental risk factors such as high winds, low humidity, extreme temperatures, high UV index, allergens, air pollution, and cigarette smoke.

Redirect any fans, forced heat, and air conditioning in your home, workplace, or car away from your eyes. Don’t sleep with ceiling fans or heaters blowing at your face.

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When to See Your Eye Doctor

If you’re experiencing dry eye symptoms often, it’s time to make an appointment to see your eye doctor (optometrist or ophthalmologist) for an eye exam. Your eye doctor can diagnose the cause of your dry eye symptoms and recommend treatment.

Your eye doctor can properly determine whether you are suffering from dry eye disease, and the type, or if your dry eyes are caused by contact lens use or an underlying medical condition.

Putting it All Together

If you wear contacts with dry eyes, be sure they are by prescription only and well-fitted by your eye doctor (optometrist or ophthalmologist). Avoid wearing lenses for prolonged periods and switch to glasses as needed.

Choose the right lenses and contact solution, and follow your eye doctor’s advice, for the best results if you wear contacts with dry eyes.

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What’s Next

We really think everyone should take our Dry Eye 101 course!

If you’ve already taken it, amazing! Check out more articles in the Continuing Education section below.

Bibliography

  1. Healthy Contact Lens Wear and Care, Centers for Disease Control and Prevention, http://www.cdc.gov/contactlenses/fast-facts.html. Accessed 3 December 2022.
  2. Treatment, Material, Care, and Patient-Factors in Contact Lens-Related Dry Eye, NIH National Library of Medicine, http://www.ncbi.nlm.nih.gov/pmc/articles/PMC2628947. Accessed 4 December 2022.
  3. The TFOS Dry Eye Workshop II: Key Updates, American Academy of Ophthalmology, https://www.aao.org/eyenet/article/the-tfos-dry-eye-workshop-ii. Accessed 3 December 2022.
  4. Dry Eye, National Eye Institute, https://www.nei.nih.gov/learn-about-eye-health/eye-conditions-and-diseases/dry-eye. Accessed 3 December 2022.
  5. Contact Lens-Associated Dry Eye Disease: Recent Advances Worldwide and in Japan, Investigative Ophthalmology & Visual Science November 2018, Vol.59, DES102-DES108. doi:https://doi.org/10.1167/iovs.17-23685. Accessed 3 December 2022.
  6. Mayo Clinic. “Dry Eyes.” Mayo Clinic, 2020, https://www.mayoclinic.org/diseases-conditions/dry-eyes/symptoms-causes/syc-20371863. Accessed 3 December 2022.
  7. Use of Scleral Lenses for Dry Eye Disease, Modern Optometry, https://modernod.com/articles/2020-apr/use-of-scleral-lenses-for-dry-eye-disease. Accessed 4 December 2022.

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