Retinal tears caused by contact lenses?
Hello Doctor, I have been wearing contact lenses (colored and enlarged) for over three years now.
Every time I remove them before going to bed, I experience a slight foreign body sensation in my left eye and feel that my eye is very dry.
However, I do not have any discomfort while wearing the lenses.
I would like to ask if this could be a sign of retinal tear or abrasion? This situation has persisted for several years, but since it hasn't been severe, I haven't sought medical attention.
However, I have recently realized the seriousness of the issue and plan to see a doctor as soon as possible.
Currently, I am abroad, and due to the severe pandemic, I am unable to see a doctor until the end of May when I return to Taiwan.
In the meantime, if I do not wear contact lenses, is there a possibility for my eyes to heal on their own? Thank you.
Niming, 10~19 year old female. Ask Date: 2020/04/28
Dr. Gao Pilin reply Ophthalmology
Hello: Wearing contact lenses can potentially cause corneal abrasions, which may lead to pain, tearing, and discomfort.
When wearing contact lenses, the covering can mask these sensations.
Corneal abrasions heal quickly; if there is no infection, recovery can occur within a day.
If you experience a foreign body sensation, it is advisable to refrain from 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 2:00 PM to 4:30 PM.
Online responses should only be used as a reference; it is essential to seek medical attention at a healthcare facility if necessary.
I hope to have the opportunity to assist you.
Gao Pilin
Reply Date: 2020/04/28
More Info
It sounds like you have been experiencing some discomfort in your left eye after removing your contact lenses, particularly colored ones, which you have been using for over three years. The symptoms you describe, such as a mild foreign body sensation and dryness after removing the lenses, can be concerning, especially considering the potential risks associated with long-term contact lens wear.
Firstly, it is important to clarify that the symptoms you are experiencing do not necessarily indicate a retinal tear or detachment. Retinal tears typically present with more severe symptoms, such as sudden flashes of light, floaters, or a shadow or curtain over part of your vision. The mild foreign body sensation and dryness you describe are more commonly associated with issues related to the cornea or conjunctiva, such as dryness or irritation, rather than retinal problems.
The discomfort you feel after removing your contact lenses could be due to several factors:
1. Dry Eye Syndrome: Contact lenses can exacerbate dry eye symptoms, especially if you are not using lenses designed for extended wear or if you are in a dry environment. When you remove the lenses, your eyes may feel dry and uncomfortable due to a lack of lubrication.
2. Corneal Abrasion or Epithelial Damage: If your lenses are not fitting properly or if they are worn for too long, they can cause minor abrasions on the surface of the cornea, leading to discomfort. This could explain the foreign body sensation you feel after removing the lenses.
3. Allergic Reaction or Sensitivity: Some individuals may develop sensitivities to the materials in contact lenses or the solutions used for cleaning and storing them, which can cause irritation and discomfort.
Given that you have been experiencing these symptoms for several years without significant worsening, it is a positive sign that you have not developed more severe complications. However, it is wise to take your symptoms seriously, especially since they have persisted for a long time.
Regarding your question about whether your eyes can heal themselves if you stop wearing contact lenses, the answer is generally yes. The cornea has a remarkable ability to heal itself, and if the discomfort is due to dryness or minor abrasions, giving your eyes a break from contact lenses can allow for recovery. Here are some steps you can take while you wait to see a doctor:
1. Use Artificial Tears: Over-the-counter artificial tears can help alleviate dryness and provide lubrication to your eyes. Look for preservative-free options, especially if you plan to use them frequently.
2. Avoid Eye Irritants: Try to minimize exposure to smoke, dust, and other irritants that can exacerbate your symptoms.
3. Stay Hydrated: Drink plenty of water to help maintain overall hydration, which can benefit your eyes.
4. Limit Screen Time: If possible, reduce the amount of time spent looking at screens, as this can contribute to eye strain and dryness.
5. Practice Good Hygiene: Ensure that you are following proper hygiene practices when handling your contact lenses, including washing your hands before touching your eyes or lenses.
6. Monitor Your Symptoms: Keep track of any changes in your symptoms. If you notice any sudden changes in your vision, such as flashes of light or new floaters, seek medical attention immediately.
While waiting to return to Taiwan for a medical consultation, it is crucial to prioritize your eye health. If your symptoms worsen or if you experience any alarming signs, consider seeking local medical advice, even if it is not with an eye specialist. Your vision is important, and addressing any potential issues early on can help prevent more serious complications in the future.
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