Can People with Strabismus Wear Contact Lenses Safely? - Ophthalmology

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Can individuals with strabismus wear contact lenses?


I was diagnosed with strabismus (exotropia in the left eye) since childhood.
Previously, wearing glasses made it less noticeable, so I thought it wasn't a big deal.
However, when I want to wear contact lenses during sports or certain occasions, I'm unsure if it's permissible.
Some articles online say it's not advisable, while others suggest it may have a corrective effect.
Doctor, can individuals with strabismus wear contact lenses? If so, should I opt for rigid or soft lenses to avoid harming my eyes? Thank you.

Yan Tongxue, 10~19 year old female. Ask Date: 2018/09/09

Dr. Cai Wenyuan reply Ophthalmology


Hello, it is recommended to seek medical attention for an actual assessment by a physician.
Wishing you safety and health.
Sincerely, Dr.
Tsai Wen-Yuan, Director of the Ophthalmology Department, Taoyuan Hospital, Ministry of Health and Welfare.

Reply Date: 2018/09/09

More Info


Strabismus, commonly known as crossed eyes, is a condition where the eyes do not properly align with each other when looking at an object. This misalignment can lead to various visual issues, including double vision, depth perception problems, and amblyopia (lazy eye). When it comes to wearing contact lenses, individuals with strabismus can indeed wear them safely, but there are several important considerations to keep in mind.

Firstly, the type of contact lenses that may be suitable for someone with strabismus can vary based on the specific needs of the individual. Soft contact lenses are generally more comfortable and easier to adapt to for most people, including those with strabismus. They conform to the shape of the eye and can provide a wider field of vision. However, rigid gas permeable (RGP) lenses can also be an option, especially if the individual has specific refractive errors that need correction. RGP lenses can provide sharper vision and are less likely to shift on the eye, which might be beneficial for some individuals with strabismus.

One of the key benefits of contact lenses for individuals with strabismus is that they can help improve visual acuity and reduce the visual disturbances associated with wearing glasses. Glasses can sometimes exacerbate the misalignment of the eyes, especially if the frames are heavy or if the lenses are not properly aligned with the visual axis. Contacts, on the other hand, sit directly on the eye and can provide a more natural visual experience.

However, it is crucial for individuals with strabismus to consult with an eye care professional before making the switch to contact lenses. An optometrist or ophthalmologist can assess the individual's specific condition, including the degree of strabismus, any associated refractive errors, and overall eye health. They can also provide guidance on the best type of contact lenses to use and ensure that the lenses fit properly.

In some cases, individuals with strabismus may benefit from specialized contact lenses designed to help with alignment issues. These lenses can provide a form of visual therapy by promoting better eye coordination. Additionally, some individuals may require vision therapy or other treatments to address the underlying issues associated with strabismus, which can further enhance the effectiveness of contact lens wear.

It's also important to note that while contact lenses can be a great option for many individuals with strabismus, they do require proper care and hygiene to prevent eye infections and other complications. Regular follow-ups with an eye care professional are essential to monitor eye health and ensure that the lenses are still suitable for the individual's needs.

In summary, individuals with strabismus can wear contact lenses safely, but it is essential to consult with an eye care professional to determine the best type of lenses for their specific situation. Soft lenses are typically recommended for comfort, but RGP lenses may also be appropriate depending on the individual's needs. Proper fitting, care, and regular check-ups are crucial to ensure a safe and effective contact lens experience.

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