Contact lenses and dry eyes: how to find the right solution?

The link between contact lenses and dry eye is well known, but there are several effective ways to manage it.

What’s the best way to manage dry eyes when wearing contact lenses?

For contact lens wearers, here are our COP9 tips and insights to help manage dry eye symptoms while maintaining your vision comfort.

Contact lenses and dry eyes:

Why consult an ophthalmologist?

Whether soft, rigid, daily, or monthly, contact lenses can sometimes cause discomfort, irritation, or a feeling of dryness.

The connection between contact lenses and dry eyes requires particular attention, especially in cases of persistent symptoms.

The first step in resolving dry eye issues is to consult an ophthalmologist.

Dr. Stéphanie Zwillinger, vision specialist in Paris 9, can assess your visual acuity and identify the underlying causes of your dry eyes.

 

This assessment will also rule out conditions such as keratoconus or corneal irregularities, which may lead to irregular astigmatism and worsen dryness.

Dr Stéphanie Zwillinger, ophthalmologist

How to choose the right lenses with a contact lens specialist?

Our contact lens specialist, Solène Dézaniaux, will recommend the most suitable lens type for your specific needs — such as silicone hydrogel lenses, which offer enhanced oxygen permeability and help maintain hydration of the eye surface.

Adaptation time varies depending on whether you are nearsighted, astigmatic, or have another vision condition.

The lens type is crucial to manage dry eyes. Soft lenses, like hydrogel lenses, are often more comfortable for dry eyes.

However, some users may find that rigid lenses provide better visual acuity, though they typically require a longer adjustment period.

There are several specialized lens types, including toric lenses for astigmatism and multifocal lenses for presbyopia. Some lenses may also be prescribed to correct conditions like keratoconus.

 

Choosing the right corrective lenses that suit both your vision needs and your lifestyle is essential.

Solène Dézaniaux, contactologue COP9

Have you heard of scleral lenses?

In cases of corneal deformation or keratoconus, scleral lenses can provide an effective solution and improve tolerance for extended wear.

Thanks to their larger diameter, they promote good corneal oxygenation and stabilize the tear film between the lens and the eye.

In the context of contact lenses and dry eyes, they are an excellent option for patients suffering from severe eye dryness.

Contact lenses and dry eyes:

How to properly care for your lenses?

Proper lens care is crucial to minimizing dry eyes.

Use dedicated cleaning solutions to rinse and disinfect your lenses.

Avoid using tap water, which may contain harmful microorganisms.

Correct use of care solutions helps maintain lens permeability and reduce deposits that could cause irritation.

Always wash your hands before handling lenses and store them in a clean case.

Frequent replacement of your lenses, whether daily or monthly, is also recommended to lower infection risks.

 

Good lens care also enhances daily comfort and wearability.

Contact lenses and dry eyes:
what’s the link with allergies and irritation?

Allergies can trigger or worsen dry eyes, especially during certain seasons.

If you notice irritation around the upper or lower eyelid, it’s important to talk to your ophthalmologist.

They may prescribe antihistamine eye drops or other treatments tailored to your condition.

In cases involving contact lenses and dry eyes, allergies may require adjusting your treatment, changing lens types, or taking a break from lens wear.

Contact lenses and dry eyes:

Can the environment make symptoms worse?

Environmental factors play a significant role in dry eyes for contact lens wearers. Some external conditions can destabilize the tear film and worsen eye discomfort:

  • prolonged exposure to dry air

  • air conditioning

  • heating

  • screen time

 

The results are increased dryness, burning sensation, or a gritty feeling — and reduced lens tolerance.

To minimize these effects, try the following tips:

  • blink regularly

  • take visual breaks every 20 minutes

  • humidify the room if needed

  • use appropriate artificial tears.

Our ophthalmologist and contact lens specialist can also recommend more hydrating or oxygen-permeable lenses based on your lifestyle.

 

Adjusting your environment is a key step in comfortably continuing contact lens use.

Contact lenses and dry eyes:
should you sometimes choose glasses instead?

If dry eyes persist, consider switching to glasses instead of contact lenses.

Wearing glasses may reduce irritation, especially in dusty or dry environments.

Sunglasses can also shield your eyes from wind and UV rays, offering added comfort.

This can be a good temporary option during times of lower lens tolerance.

In conclusion

With the help of a vision care professional, you can determine the best lens type, follow a rigorous care routine, and incorporate artificial tears if needed.

When it comes to contact lenses and dry eyes, every choice — from lens selection to maintenance — plays a vital role in preserving visual comfort.

 

Whether you choose soft lenses, rigid lenses, or glasses, the goal remains the same: to maintain your visual well-being and prevent complications from prolonged lens wear.

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