Eye Issues: Contact Lenses, Astigmatism, and Workplace Discomfort - Ophthalmology

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Eye confusion


Hello Doctor, I have myopia with a left eye prescription of -5.00 and astigmatism of -2.00, and a right eye prescription of -4.75 and astigmatism of -1.00.
When I wear contact lenses, they are prescribed without astigmatism correction, so sometimes my vision is not clear.
Is this normal? Can contact lenses be prescribed for both astigmatism and myopia? Additionally, I work in a kitchen and usually wear glasses at work, but sometimes my eyes suddenly feel like there is a foreign body in them, accompanied by a burning sensation and pain, which is followed by tearing.
I often rinse my eyes with water to feel better.
Since I handle spicy ingredients in both of my jobs, could this environment be causing my eye discomfort? Those are all my questions, thank you, Doctor.

Chiayi, 20~29 year old female. Ask Date: 2016/08/29

Dr. Cai Wenyuan reply Ophthalmology


Wearing contact lenses requires a proper fitting, not just relying on the prescription.
Contact lenses can be prescribed for astigmatism and myopia.
Environmental factors may also play a role.
Thank you.

Reply Date: 2016/08/29

More Info


Hello! Thank you for reaching out with your questions regarding your eye issues, particularly in relation to wearing contact lenses, astigmatism, and discomfort experienced in your workplace as a kitchen staff member.

To begin with, it’s important to understand that both contact lenses and eyeglasses can correct vision problems such as myopia (nearsightedness) and astigmatism. In your case, you mentioned having myopia and astigmatism in both eyes, with specific prescriptions. It is indeed possible to have contact lenses that correct for both conditions. There are specialized toric contact lenses designed specifically for individuals with astigmatism, which can provide clearer vision compared to regular contact lenses that do not account for astigmatism. If you are experiencing blurriness while wearing contact lenses, it could be due to several factors, including the fit of the lenses, the prescription not being accurate, or the lenses themselves being dirty or damaged. It’s advisable to consult with your eye care professional to ensure that you have the correct type of lenses for your specific vision needs.

Regarding your experience of discomfort while wearing glasses at work, it’s not uncommon for individuals working in environments like kitchens to experience eye irritation. The symptoms you described—feeling like there is an object in your eye, a burning sensation, and tearing—can be attributed to several factors. Working in a kitchen often involves exposure to various irritants, including spices, oils, and even steam, which can lead to eye discomfort. Additionally, if you are frequently moving between hot and cold environments or if there is a lot of smoke or steam, this can exacerbate the irritation.

Here are some recommendations to help alleviate your eye discomfort:
1. Protective Eyewear: Consider wearing protective eyewear, such as safety goggles, while working in the kitchen. This can help shield your eyes from irritants and reduce the risk of foreign objects entering your eyes.

2. Frequent Breaks: If possible, take short breaks to rest your eyes. This can help reduce fatigue and irritation, especially if you are working long hours.

3. Hydration: Ensure you stay hydrated, as dehydration can lead to dry eyes. Drinking plenty of water can help maintain moisture levels in your eyes.

4. Artificial Tears: Over-the-counter artificial tears can provide relief from dryness and irritation. They can help wash away irritants and keep your eyes lubricated.

5. Consult an Eye Care Professional: If your symptoms persist, it’s essential to consult with an eye care professional. They can assess your eye health, check for any underlying issues, and recommend appropriate treatments or adjustments to your eyewear.

6. Work Environment: If you are consistently exposed to spicy or irritating ingredients, consider discussing with your employer about potential adjustments in your work environment or tasks to minimize exposure.

In summary, it is entirely possible to wear contact lenses that correct for both myopia and astigmatism, and if you are experiencing discomfort while wearing glasses in a kitchen setting, it may be due to environmental factors. Taking preventive measures and consulting with an eye care professional can help you manage these issues effectively. Your eye health is crucial, especially in a demanding work environment, so don’t hesitate to seek professional advice. Wishing you the best in your work and health!

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