Can You Wear Contact Lenses with Black Spots on the Sclera? - Ophthalmology

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Black spots on the sclera?


I have had black spots on the white part of my eyes since childhood.
Can I wear contact lenses?

O O, 10~19 year old female. Ask Date: 2016/03/23

Dr. Wang Zhishun reply Ophthalmology


It should be possible.

Reply Date: 2016/03/23

More Info


When it comes to wearing contact lenses with black spots on the sclera (the white part of the eye), it's essential to consider a few factors. The presence of black spots on the sclera can be due to various reasons, including benign conditions like nevus (a type of mole), or more serious issues such as pterygium or even ocular melanoma. Therefore, the first step is to understand the nature of these black spots.

If the black spots are benign and have been evaluated by an eye care professional, wearing contact lenses may be safe. However, if the spots are new, changing, or associated with other symptoms such as pain, vision changes, or redness, it is crucial to consult an eye care specialist before proceeding with contact lens wear. They can provide a thorough examination and determine whether the spots pose any risk to your eye health.

Here are some important considerations regarding contact lens wear with black spots on the sclera:
1. Eye Health Assessment: Before wearing contact lenses, it is vital to have a comprehensive eye exam. An eye care professional can assess the black spots and determine if they are safe for contact lens wear. They will also check for any underlying conditions that may affect your ability to wear lenses.

2. Type of Contact Lenses: If you receive clearance to wear contact lenses, the type of lenses you choose may matter. Some lenses are designed for sensitive eyes or those with specific conditions. Your eye care provider can recommend the best option for your situation.

3. Hygiene and Care: Proper hygiene is crucial when wearing contact lenses, especially if you have any existing eye conditions. Ensure that you follow the recommended cleaning and storage procedures for your lenses to minimize the risk of infection or irritation.

4. Monitoring Symptoms: If you start wearing contact lenses and notice any changes in your symptoms, such as increased redness, discomfort, or changes in vision, remove the lenses immediately and consult your eye care professional.

5. Follow-Up Appointments: Regular follow-up appointments with your eye care provider are essential, especially if you have any pre-existing conditions or changes in your eye health. This will help ensure that your eyes remain healthy while wearing contact lenses.

In summary, while it may be possible to wear contact lenses with black spots on the sclera, it is crucial to have a thorough evaluation by an eye care professional. They can provide personalized advice based on the nature of the spots and your overall eye health. Always prioritize your eye health and safety when considering contact lens wear.

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