Can People with Thick Corneas Safely Wear Contact Lenses?

Is having thick corneas suitable for wearing contact lenses?

Hello Doctor: I have a condition of corneal thickness, which results in higher intraocular pressure compared to the average person.
Is it suitable for me to wear contact lenses? If so, do you have any recommendations regarding the type, such as daily disposables or those with higher oxygen permeability? Thank you!

min, 20~29 year old female. Ask Date: 2018/06/03

Dr. He Jianxian reply Ophthalmology

Wearing contact lenses should be fine; any type should be acceptable.
However, if you are using extended wear lenses, it is important to pay attention to proper cleaning and maintenance.

Reply Date: 2018/06/03

More Info

When it comes to wearing contact lenses for individuals with thick corneas, there are several factors to consider, particularly regarding eye health and comfort. Thick corneas can sometimes be associated with higher intraocular pressure, which may increase the risk of developing conditions such as glaucoma. However, having a thick cornea alone does not automatically disqualify someone from wearing contact lenses.
First and foremost, it is essential to have a thorough eye examination by an eye care professional. They will assess not only the thickness of your corneas but also your overall eye health, including the curvature of your corneas, the shape of your eyes, and any other underlying conditions that may affect your suitability for contact lens wear.
If you are cleared to wear contact lenses, there are a few recommendations to keep in mind:
1. Type of Contact Lenses:
- Daily Disposable Lenses: These are often recommended for individuals with thicker corneas because they provide a fresh pair of lenses every day, reducing the risk of buildup of deposits and allergens that can lead to irritation or infection. Daily disposables also minimize the risk of complications associated with lens care and maintenance.

- High Oxygen Permeability Lenses: Lenses that allow more oxygen to reach the cornea are beneficial, especially for individuals with thicker corneas. High oxygen permeability helps maintain corneal health and reduces the risk of hypoxia (lack of oxygen), which can lead to complications such as corneal swelling or discomfort.

2. Lens Fit: Proper fitting is crucial. A lens that fits well will provide comfort and reduce the risk of complications. Your eye care professional can help determine the best fit for your eyes, considering the thickness of your corneas and the shape of your eyes.

3. Regular Monitoring: If you have thick corneas and are wearing contact lenses, it is vital to have regular follow-ups with your eye care provider. They can monitor your eye health, including intraocular pressure and corneal condition, to ensure that wearing contact lenses does not negatively impact your eyes.

4. Hygiene Practices: Regardless of the type of lenses you choose, maintaining proper hygiene is essential. This includes washing your hands before handling lenses, cleaning and storing lenses as directed, and replacing them as recommended.

5. Be Aware of Symptoms: If you experience any discomfort, redness, or changes in vision while wearing contact lenses, it is crucial to remove them and consult your eye care professional immediately. Early intervention can prevent more serious complications.

In conclusion, individuals with thick corneas can safely wear contact lenses, provided they are evaluated and monitored by an eye care professional. Choosing the right type of lenses, ensuring a proper fit, and adhering to good hygiene practices are key to maintaining eye health while enjoying the benefits of contact lenses. Always consult with your eye care provider for personalized recommendations based on your specific condition and needs.

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