Does Wearing Contact Lenses Worsen My High Myopia? - Ophthalmology

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Could you please provide more context or specify your question regarding wearing contact lenses?


Dear Doctor, if I am a patient with high myopia, will wearing contact lenses cause my myopia to worsen? I am used to wearing glasses, but I am considering switching to contact lenses.
Thank you.

wawa, 20~29 year old female. Ask Date: 2003/05/12

Dr. Chen Anping reply Ophthalmology


Hello, Wawa: Wearing contact lenses does not worsen myopia.

Reply Date: 2003/05/12

More Info


Wearing contact lenses does not inherently worsen high myopia (nearsightedness). This is a common concern among individuals with high myopia, especially those who are accustomed to wearing glasses and are considering switching to contact lenses. The relationship between contact lens use and the progression of myopia is complex and influenced by various factors, including genetics, environmental conditions, and individual eye health.

Firstly, it's important to understand that myopia is primarily caused by the elongation of the eyeball or changes in the cornea and lens that affect how light is focused on the retina. This condition is often influenced by genetic predisposition and environmental factors, such as prolonged near work (like reading or using screens) and limited outdoor activity. Therefore, the act of wearing contact lenses itself does not contribute to the elongation of the eyeball or the worsening of myopia.

Research indicates that wearing contact lenses can actually provide some benefits for myopic individuals. For instance, contact lenses can offer a wider field of vision compared to glasses, reduce peripheral distortion, and eliminate the weight and discomfort that some people experience with glasses. Additionally, certain types of contact lenses, such as orthokeratology lenses, are designed to reshape the cornea temporarily and can help slow the progression of myopia in children and adolescents.

However, it is crucial to ensure that contact lenses are fitted properly and used according to the recommended guidelines. Poorly fitted lenses or improper hygiene can lead to complications such as corneal infections, which can affect overall eye health. For individuals with high myopia, maintaining regular eye examinations is essential to monitor any changes in vision and eye health. An eye care professional can provide personalized advice on the best type of contact lenses for your specific needs and lifestyle.

Moreover, if you are considering switching to contact lenses, it is advisable to consult with an eye care specialist who can assess your eye health, discuss your concerns, and help you make an informed decision. They can also provide guidance on proper lens care and usage to minimize any potential risks.

In summary, wearing contact lenses does not worsen high myopia. Instead, they can be a suitable alternative to glasses, provided they are used correctly. Regular eye check-ups and proper lens care are essential for maintaining eye health and ensuring that your vision remains stable. If you have any concerns about your myopia or the use of contact lenses, do not hesitate to reach out to an eye care professional for further guidance.

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