Can Contact Lenses Affect Iris Nevus Diagnosis? Expert Insights

Please help me, doctor?

Hello Doctor, I have been experiencing tendencies towards depression since giving birth, and I am very anxious about my health.
Previously, I had fears about HIV and hepatitis B, but tests showed no issues.
Recently, I came across information about neurofibromatosis on the internet, which has caused me to worry about that as well.
I read online that one can check for iris pigmentary defects, so I went to see an ophthalmologist.
After the examination, the doctor assured me that I do not have any iris pigmentary defects and that my eyes are very healthy, so I shouldn't worry.
However, I suddenly remembered that I had been wearing contact lenses an hour before the examination and had to remove them before the check-up, waiting about an hour before entering the examination room.
Could wearing contact lenses affect the examination for iris pigmentary defects? Thank you.

Kai, 30~39 year old female. Ask Date: 2018/11/12

Dr. Cai Wenyuan reply Ophthalmology

Hello, I wish you peace and good health.
Sincerely, Dr.
Tsai Wen-Yuan, Director of the Department of Ophthalmology, Taoyuan General Hospital, Ministry of Health and Welfare.

Reply Date: 2018/11/12

More Info

Contact lenses are a common vision correction method, and many people wear them without any issues. However, when it comes to specific eye examinations, such as the diagnosis of iris nevus (also known as iris melanocytic lesions), there are some considerations to keep in mind.

Firstly, it is important to clarify what an iris nevus is. An iris nevus is a benign pigmented lesion on the iris, which is the colored part of the eye. These lesions are typically harmless and are often discovered incidentally during routine eye examinations. In some cases, they may require monitoring to ensure they do not change in size or appearance, which could indicate a potential for malignancy.

Regarding your specific question about whether wearing contact lenses can affect the diagnosis of an iris nevus, the answer is generally no. The presence of contact lenses does not interfere with the ability of an eye care professional to visualize the iris and assess for any abnormalities, including nevi. In your case, since you removed your contact lenses an hour before the examination, this would have allowed your eyes to return to a more natural state, making it easier for the doctor to conduct a thorough examination.

It is also worth noting that eye care professionals are trained to conduct examinations with or without contact lenses in place. They utilize various tools, such as a slit lamp, to get a detailed view of the anterior segment of the eye, including the iris. The examination process is designed to be comprehensive, and any potential obstructions caused by contact lenses are typically negligible.

In addition, if you have concerns about your mental health, such as anxiety or depression following childbirth, it is crucial to address these issues with a healthcare provider. Mental health can significantly impact your overall well-being and may contribute to heightened anxiety about health conditions. Seeking support from a mental health professional can provide you with coping strategies and reassurance.

Furthermore, it is essential to approach information found online with caution. The internet can be a source of valuable information, but it can also lead to unnecessary worry and misinterpretation of medical conditions. Always consult with a qualified healthcare provider regarding your concerns, as they can provide personalized advice based on your medical history and current health status.

In summary, wearing contact lenses prior to an examination for iris nevus does not affect the diagnosis. Your eye doctor has confirmed that your eyes are healthy, and it is important to trust their expertise. If you continue to have concerns about your health or mental well-being, do not hesitate to reach out to your healthcare provider for further guidance and support.

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Hello, it should not be. Wishing you peace and good health. Sincerely, Dr. Tsai Wen-Yuan, Director of the Department of Ophthalmology, Taoyuan General Hospital, Ministry of Health and Welfare.

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