Why Do Rigid Contact Lenses Make My Eyelids Feel Heavy?

Q: Why Do Rigid Contact Lenses Make My Eyelids Feel Heavy?

Hello K： This is one of the side effects of rigid gas permeable contact lenses, which can lead to ptosis (drooping of the eyelid). <br>The long-term blinking causes friction between the lens and the upper eyelid, resulting in damage, inflammation, scarring of the upper eyelid, an

Rigid gas permeable contact lenses can cause upper eyelid heaviness?

Hello, I have been wearing rigid gas permeable contact lenses for almost two years and have become very accustomed to them without feeling any foreign body sensation.
However, every time I put them on, I always feel that my upper eyelids become heavy compared to when I am not wearing them (my double eyelids seem to turn into three or four layers), and I often get asked if I didn't get enough sleep, which is quite bothersome.
I was initially worried that it might be due to eyelid ptosis, but once I take off the lenses, my eyelids return to normal.
I would like to know what might be causing this and if there are any ways to improve the situation.
Thank you!

K, 20~29 year old female. Ask Date: 2021/03/18

Dr. Gao Pilin reply Ophthalmology

Hello K: This is one of the side effects of rigid gas permeable contact lenses, which can lead to ptosis (drooping of the eyelid).
The long-term blinking causes friction between the lens and the upper eyelid, resulting in damage, inflammation, scarring of the upper eyelid, and even rupture of the levator palpebrae muscle tendon, leading to eyelid droop.
Generally, when ptosis symptoms first occur, discontinuing the use of contact lenses for a period of time often allows for recovery.
At the E-Hospital in Puzi, Taiwan, the ophthalmology department is open 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 can only serve as a reference; it is necessary to seek medical attention at a healthcare facility if needed.
I hope to have the opportunity to serve you.
Gao Pilin

Reply Date: 2021/03/18

More Info

Wearing rigid gas permeable (RGP) contact lenses can sometimes lead to a sensation of heaviness in the eyelids, particularly when compared to the feeling of being without lenses. This sensation can be attributed to several factors related to the mechanics of how contact lenses interact with the eyelids and the eyes themselves.

Firstly, when you wear RGP lenses, they create a barrier between your eyelids and the surface of your eyes. This can lead to a feeling of pressure or heaviness, especially if the lenses are slightly larger than the cornea or if they do not fit perfectly. The eyelids may have to exert more effort to blink and close over the lenses, which can lead to a sensation of fatigue or heaviness in the eyelids. This is particularly noticeable if you have been wearing the lenses for an extended period or if you are engaging in activities that require prolonged visual focus, such as reading or using a computer.

Another contributing factor could be related to the way RGP lenses interact with the tear film. RGP lenses are designed to allow oxygen to pass through to the cornea, but they can also disrupt the natural tear film. If your eyes are not adequately lubricated, this can lead to discomfort and a feeling of heaviness in the eyelids as your eyes may become dry or irritated. This is often exacerbated by environmental factors such as air conditioning, heating, or prolonged screen time, which can further dry out the eyes.

Additionally, the sensation of heaviness in the eyelids could be a result of eyelid edema (swelling) or muscle fatigue. If the eyelids are working harder to accommodate the lenses, they may become fatigued, leading to a feeling of heaviness. This can also be compounded by factors such as lack of sleep, allergies, or other irritants that may cause the eyelids to swell slightly.

To address this issue, there are several strategies you can consider:
1. Proper Lens Fit: Ensure that your RGP lenses are properly fitted by your eye care professional. A well-fitted lens should not cause excessive pressure on the eyelids.

2. Lubricating Eye Drops: Use preservative-free lubricating eye drops to keep your eyes moist and comfortable. This can help alleviate dryness and reduce the sensation of heaviness.

3. Regular Breaks: If you wear your lenses for extended periods, take regular breaks to allow your eyes to rest. This can help reduce fatigue in the eyelids.

4. Eyelid Hygiene: Maintain good eyelid hygiene to prevent any potential irritation or inflammation that could contribute to the sensation of heaviness.

5. Consult Your Eye Care Professional: If the sensation persists or worsens, consult your eye care professional. They may recommend a different type of lens, such as soft lenses, or investigate other underlying issues that may be contributing to your symptoms.

In conclusion, the feeling of heaviness in your eyelids when wearing rigid contact lenses can be attributed to a combination of mechanical factors, tear film disruption, and potential eyelid fatigue. By addressing these factors through proper lens care, hydration, and regular consultations with your eye care provider, you can work towards alleviating this discomfort and improving your overall experience with contact lenses.

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