Vascular Proliferation in the Eye: Can You Wear Contacts? - Ophthalmology

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Vascular proliferation in the eye, particularly in the context of contact lens wear, is a concern that many individuals encounter. It is essential to understand the implications of these changes and how they relate to your eye health and contact lens usage.

Firstly, vascular proliferation, or the growth of new blood vessels in the eye, often occurs due to chronic irritation or hypoxia (lack of oxygen) in the cornea. This can be particularly relevant for contact lens wearers, as prolonged use of lenses can restrict oxygen flow to the cornea, leading to the development of new blood vessels as a compensatory mechanism. In your case, the presence of visible blood vessels in the white part of your eye (sclera) near the cornea may indicate that your eye is responding to some form of irritation or stress.

Regarding your specific questions:
1. Can you continue wearing contact lenses? If your eye doctor has assessed that the vascular proliferation is not affecting your vision or causing significant discomfort, you may still be able to wear contact lenses. However, it is crucial to follow your doctor's advice closely. If you choose to continue wearing lenses, consider reducing the wearing time and ensuring that you use lenses that allow for higher oxygen permeability. Daily disposable lenses or rigid gas permeable lenses may be better options in this scenario.

2. Will the blood vessels disappear? The new blood vessels that have formed due to irritation or hypoxia may not completely disappear, especially if they have been present for an extended period. However, if you stop wearing contact lenses or reduce their usage, the eye may improve over time, and the vessels may become less prominent. It is essential to monitor any changes and consult your eye doctor regularly.

3. Is there a connection between previous conjunctivitis and vascular proliferation? Yes, there can be a connection. Conjunctivitis, or inflammation of the conjunctiva, can lead to increased vascularization as part of the healing process. If you had a history of conjunctivitis, it could have contributed to the current state of vascular proliferation. The eye may still be in a state of recovery, and the blood vessels may be a residual effect of that inflammation.

4. How to prevent further vascular proliferation while wearing contact lenses? To minimize the risk of further vascular proliferation, consider the following strategies:
- Limit wearing time: Aim to wear your contact lenses for shorter periods, ideally no more than 6-8 hours a day.

- Use proper lens care: Ensure that you are cleaning and storing your lenses correctly to avoid irritation and infection.

- Choose breathable lenses: Opt for contact lenses that provide better oxygen permeability to reduce hypoxia.

- Stay hydrated: Ensure that you are drinking enough water and consider using lubricating eye drops to keep your eyes moist.

- Regular check-ups: Schedule regular visits with your eye care professional to monitor your eye health and make necessary adjustments to your lens-wearing habits.

In conclusion, while vascular proliferation can be concerning, it is manageable with appropriate care and monitoring. Always prioritize your eye health by following your eye doctor's recommendations and being proactive about any changes you notice in your vision or eye appearance. If you experience any discomfort, redness, or changes in vision, seek medical attention promptly.