For individuals who wear contact lenses, maintaining comfort is essential. One common question is whether contact lenses contribute to dry eye disease. While many people enjoy the convenience and clarity that contact lenses provide, some experience dryness or discomfort that may affect their daily life. At Southwood Eyecare, we often see patients with these concerns and work with them to help their lenses are as comfortable as possible. Understanding the factors at play can help wearers address this issue and keep their eyes healthy.
What Causes Dryness With Contact Lenses?
Several factors can contribute to dry eye disease when wearing contacts. One of the primary reasons is the material and design of the lenses themselves. Some lenses are made from materials that retain less moisture, which may lead to increased evaporation of the tear film. Additionally, wearing lenses for extended periods without breaks can exacerbate dryness.
Another contributing factor is the wearer’s tear production and composition. People with naturally lower tear production or an imbalance in their tear composition may find that contacts aggravate existing dryness. Certain health conditions, such as Sjögren’s syndrome or thyroid disorders, can decrease tear production. Medications like antihistamines, antidepressants, and birth control pills may also contribute to dry eye disease. Aging is another factor, as tear production tends to decrease over time.
How to Prevent Dryness While Wearing Contacts
Dryness isn’t inevitable for contact lens wearers. By adopting thoughtful habits and choosing the right products, many people can maintain comfortable and hydrated eyes while wearing contacts. Here are a few strategies recommended by Southwood Eyecare:
- Choose the right lenses: Modern advancements in lens technology offer options designed to combat dryness. Lenses made from silicone hydrogel or daily disposable lenses may help retain moisture better and provide increased comfort. Silicone hydrogel lenses allow more oxygen to reach the cornea, reducing the risk of irritation associated with prolonged wear.
- Use rewetting drops: Artificial tears or rewetting drops specifically formulated for contact lens wearers can help replenish moisture and provide relief from dryness. Regular use of these drops can be particularly helpful in dry environments or during extended wear. It’s important to choose drops compatible with your lenses to avoid complications.
- Practice good lens hygiene: Proper care of contact lenses is essential. Make sure they are cleaned and stored correctly using recommended solutions. Replace lenses as directed by your eye care professional to avoid buildup of debris that could irritate the eyes. Neglecting lens hygiene can not only exacerbate dryness but also increase the risk of infections.
- Take breaks: Giving your eyes a break from contact lenses, especially during long days, can help maintain moisture levels. Switching to glasses for part of the day can alleviate strain and dryness. If you work long hours in front of a computer, consider using the 20-20-20 rule: every 20 minutes, look at something 20 feet away for 20 seconds to give your eyes a rest.
- Stay hydrated: Drinking plenty of water and maintaining overall hydration supports tear production and reduces the likelihood of dry eye disease. A balanced diet rich in omega-3 fatty acids, found in foods like salmon, walnuts, and flaxseeds, can also promote eye health and tear production.
Recognizing When to Seek Help
If dryness persists despite these measures, it’s important to consult with an eye care professional. At Southwood Eyecare, we help patients find tailored solutions for their contact lens needs. This might involve switching to specific lens materials, adjusting wear schedules, or using prescription eye drops. In some cases, addressing environmental factors or making small lifestyle changes can make a significant difference. For example, punctal plugs, which block tear drainage, may be recommended to help retain moisture in the eyes.
Effective Dry Eye Treatment Options
LipiFlow & BlephEx
For patients with persistent dry eyes, treatments such as LipiFlow and BlephEx can provide significant relief.
LipiFlow is a thermal pulsation treatment designed to improve the function of the meibomian glands, which produce the oily layer of the tear film. This layer is essential for preventing tear evaporation. During a LipiFlow session, a specialized device delivers gentle heat and pulsation to the eyelids, unclogging blocked glands and restoring their ability to produce healthy oils. This procedure is non-invasive, quick, and provides long-lasting results for many patients.
BlephEx is another innovative treatment aimed at improving eyelid hygiene. It is particularly effective for individuals with blepharitis, a common condition that can contribute to dry eyes. BlephEx uses a rotating micro-sponge to gently exfoliate the eyelid margins, removing debris, bacteria, and biofilm that may cause inflammation. This treatment not only alleviates dry eye symptoms but also promotes overall eyelid health.
Radiofrequency (RF) & Intense Pulsed Light (IPL)
Radiofrequency (RF) and Intense Pulsed Light (IPL) are therapies that target the underlying causes of dry eye, particularly meibomian gland dysfunction—one of the most common contributors to chronic dryness, irritation, and fluctuating vision.
Radiofrequency (RF) uses controlled thermal energy to stimulate the meibomian glands, improving their ability to produce the oily component of tears. By gently heating and encouraging the glands to work more effectively, RF helps restore a healthier tear film and reduce symptoms such as grittiness and burning. This procedure is non-invasive, quick to perform, and can provide lasting benefits for many patients.
Intense Pulsed Light (IPL) is another effective treatment that addresses both inflammation and bacterial overgrowth around the eyelids. During IPL therapy, pulses of light penetrate the skin to reduce redness and decrease abnormal blood vessels that fuel inflammation. Additionally, IPL can help loosen debris along the lid margins, promoting clearer, more comfortable eyes.
At Southwood Eyecare we combine these treatments to maximize the relief that our patients receive.
Exploring Alternatives
For those who struggle with persistent dryness, alternatives to traditional contact lenses may be worth considering. Rigid gas-permeable lenses, hybrid lenses, or scleral lenses are options that provide unique benefits for individuals with dry eye disease. Scleral lenses, in particular, are larger than traditional lenses and vault over the cornea, creating a reservoir of fluid between the lens and the eye. This design can provide significant relief for those with severe dryness or corneal irregularities.
Maintaining Eye Health & Comfort
The connection between contact lenses and dry eye disease highlights the importance of proactive care. Whether you’re a long-time wearer or new to lenses, paying attention to your eyes’ needs can improve your overall experience. By staying informed, practicing good habits, and working closely with an eye care specialist like those at Southwood Eyecare, you can enjoy the benefits of contact lenses without compromising comfort.
If you’re experiencing dryness or have questions about your contact lenses, scheduling an appointment with Southwood Eyecare is a valuable step. Our team can guide you through solutions tailored to your unique needs, ensuring that your vision remains clear and your eyes stay healthy. Contact lenses are a convenient tool for many, and with the right approach, they don’t have to come at the cost of comfort.
