Eye Fatigue from Rigid Gas Permeable Contact Lenses - Ophthalmology

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Rigid gas permeable contact lens eye fatigue?


I have been wearing rigid gas permeable contact lenses for several years.
Recently, due to personal reasons, I stopped wearing them for over a year.
Now that I have started wearing them again, I notice that my eyes feel a bit tired and I want to sleep when I have the lenses on, but this sensation goes away when I take them off.
Could you please explain what might be causing this? Thank you, doctor.

Cai Cai, 20~29 year old female. Ask Date: 2019/05/15

Dr. Gao Pilin reply Ophthalmology


Hello, Cai Cai: If you haven't worn your contact lenses for over a year, I recommend that you visit an ophthalmologist to check if these lenses are still suitable for you.
Ill-fitting contact lenses can cause eye fatigue or discomfort.
If your eyes are also dry, it can contribute to these symptoms.
In Taiwan, the ophthalmology department at Puzi Hospital is available: Monday, Tuesday, Thursday, and Friday mornings from 8:00 AM to 12:00 PM, and Wednesday afternoons from 1:00 PM to 4:30 PM.
Please note that online responses are for reference only; it is necessary to seek medical attention at a healthcare facility.
I hope to have the opportunity to assist you.
Gao Pi-Lin

Reply Date: 2019/05/15

More Info


When it comes to understanding eye fatigue associated with wearing rigid gas permeable (RGP) contact lenses, several factors could contribute to the discomfort you're experiencing. RGP lenses are known for their durability and excellent optical clarity, but they can also lead to eye fatigue, especially after a prolonged period of non-use. Here are some potential reasons for your symptoms:
1. Adaptation Period: After a long break from wearing RGP lenses, your eyes may require some time to readjust. The cornea and surrounding tissues can become accustomed to the absence of lenses, and reintroducing them can lead to temporary discomfort or fatigue as your eyes adapt to the lenses again.

2. Lens Fit and Comfort: The fit of your RGP lenses is crucial. If the lenses are not fitting properly, they can cause discomfort, leading to eye fatigue. A poorly fitting lens can create uneven pressure on the cornea, leading to irritation and discomfort. It’s advisable to have your lenses checked by an eye care professional to ensure they are still the right fit for your eyes.

3. Oxygen Permeability: RGP lenses are designed to allow oxygen to reach the cornea, but if they are not adequately permeable or if they are worn for extended periods, your eyes may not receive enough oxygen. This can lead to dryness and fatigue. Ensure that your lenses are made from high-quality materials that provide sufficient oxygen transmission.

4. Dry Eye Syndrome: If you have a history of dry eyes or have developed this condition, wearing contact lenses can exacerbate the symptoms. RGP lenses can disrupt the tear film on the surface of the eye, leading to dryness and discomfort. If you suspect dry eyes, consider using lubricating eye drops specifically designed for contact lens wearers.

5. Visual Demand: If you are engaging in activities that require intense focus, such as reading or working on a computer while wearing your RGP lenses, this can lead to eye strain and fatigue. The lenses may not provide the same level of comfort as your natural vision, especially if you are not used to wearing them for extended periods.

6. Environmental Factors: Factors such as air conditioning, heating, or exposure to wind can exacerbate dryness and discomfort while wearing contact lenses. Ensure that your environment is conducive to wearing lenses, and consider using a humidifier if necessary.

7. Underlying Health Conditions: Certain health conditions, such as allergies or systemic diseases, can also contribute to eye fatigue. If you have any underlying conditions, it’s essential to discuss them with your eye care provider.

To alleviate the fatigue you are experiencing, consider the following recommendations:
- Gradual Reintroduction: If you have been away from wearing your RGP lenses for an extended period, try gradually increasing the wearing time. Start with a few hours a day and slowly increase as your eyes adjust.

- Regular Breaks: Follow the 20-20-20 rule: every 20 minutes, take a 20-second break and look at something 20 feet away. This can help reduce eye strain.

- Use Artificial Tears: If dryness is an issue, consider using preservative-free artificial tears to keep your eyes lubricated while wearing your lenses.

- Consult Your Eye Care Professional: If the discomfort persists, it’s crucial to consult with your eye care provider. They can assess your lens fit, check for any underlying issues, and provide tailored recommendations to improve your comfort.

In conclusion, while RGP lenses offer many benefits, they can also lead to eye fatigue if not used correctly or if there are underlying issues. By understanding the potential causes and taking proactive steps, you can enhance your comfort and maintain healthy vision while wearing your lenses.

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