Can You Wear Contact Lenses After Corneal Neovascularization? - Ophthalmology

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Corneal neovascularization


Hello doctor, recently my eyes have been red when I wear contact lenses.
I went to see an ophthalmologist who said that the brand of my contact lenses has poor oxygen permeability, which has caused neovascularization of my cornea.
I need to rest for at least a week.
Can I continue to wear contact lenses after the neovascularization of the cornea?

Gary, 10~19 year old female. Ask Date: 2018/10/25

Dr. Gao Pilin reply Ophthalmology


Hello Gary: Generally, if the area of vascular proliferation is within 2 millimeters, you may continue wearing contact lenses.
However, if the area of involvement exceeds 2 millimeters into the cornea, you need to stop wearing contact lenses.
Therefore, you should consult your physician to determine the extent of the vascular proliferation, which will help decide whether you can continue wearing contact lenses.
In Taiwan, the ophthalmology department at Puzi Hospital is available on Monday, Tuesday, Thursday, and Friday from 8:00 AM to 12:00 PM, and on Wednesday from 1:00 PM to 4:30 PM.
Online responses are for reference only; it is necessary to seek medical attention at a healthcare facility.
We hope to have the opportunity to serve you.
Gao Pilin

Reply Date: 2018/10/25

More Info


Corneal neovascularization, or the growth of new blood vessels into the cornea, is a condition that can arise from various factors, including prolonged contact lens wear, particularly with lenses that are not breathable. When the cornea is deprived of adequate oxygen, it can lead to hypoxia, resulting in inflammation and the subsequent formation of new blood vessels as the body attempts to heal itself.
In your case, since your eye doctor has advised you to take a break from wearing contact lenses for at least a week, it is crucial to follow this recommendation. Continuing to wear contact lenses during this period could exacerbate the condition, leading to further complications such as increased redness, discomfort, or even more severe corneal issues.

After the initial rest period, whether you can return to wearing contact lenses will depend on several factors, including the severity of the neovascularization, your eye doctor's assessment, and the type of contact lenses you choose to use. Here are some important considerations:
1. Assessment by an Eye Care Professional: Before resuming contact lens wear, it is essential to have a follow-up appointment with your eye doctor. They will evaluate the condition of your cornea and determine if it is safe for you to wear lenses again.

2. Choosing the Right Lenses: If you are cleared to wear contact lenses again, consider switching to a more breathable lens material. Silicone hydrogel lenses allow more oxygen to reach the cornea compared to traditional hydrogel lenses, which can help reduce the risk of neovascularization in the future.

3. Wearing Schedule: It may be advisable to limit the duration of contact lens wear initially. Gradually increasing the wear time can help your eyes adjust without causing additional stress.

4. Proper Hygiene and Care: Ensure that you are following proper hygiene practices when handling your contact lenses. This includes washing your hands before touching your lenses, using the appropriate cleaning solutions, and replacing lenses as recommended by the manufacturer.

5. Monitoring Symptoms: Pay close attention to any symptoms such as redness, discomfort, or changes in vision. If you experience any of these symptoms upon resuming contact lens wear, contact your eye doctor immediately.

6. Alternative Options: If contact lenses continue to cause issues, you might want to consider wearing glasses as an alternative. This can give your eyes a break and allow for healing without the risk associated with contact lens wear.

In summary, while it may be possible to wear contact lenses after experiencing corneal neovascularization, it is essential to do so under the guidance of your eye care professional. They will provide personalized recommendations based on your specific situation and help ensure that your eyes remain healthy while accommodating your vision needs. Always prioritize your eye health and follow professional advice to prevent further complications.

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