Why New Contact Lenses Cause Dizziness: Prescription Changes - Ophthalmology

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Changing the prescription of contact lenses can cause dizziness?


Hello, I recently changed my contact lenses, and the optometrist informed me that my prescription has decreased.
After wearing the new lenses, I have been experiencing dizziness.
The prescription was adjusted down twice, but I still feel dizzy.
However, when I wear my old lenses, I do not have this issue (everything feels normal).
When I wear the new lenses (which have the same prescription as the old ones), I experience dizziness.
What could be the reason for this? Thank you.

Unaided vision: Left eye - 650 / Right eye - 575
New prescription: 600 / 525 (causes dizziness)
New prescription: 600 / 500 (causes dizziness)

tiā, 40~49 year old female. Ask Date: 2021/11/15

Dr. Liang Ce reply Ophthalmology


It is recommended that you visit an ophthalmology clinic to see if any relevant examinations are needed.
Thank you, and wish you good health!

Reply Date: 2021/11/15

More Info


When it comes to experiencing dizziness after changing to new contact lenses, there are several factors to consider, especially when the prescription has changed. The symptoms you are describing—persistent dizziness when wearing the new lenses, despite adjustments to the prescription—can be attributed to a few potential causes.

1. Prescription Changes: Even though your new lenses have a lower prescription than your previous ones, any change in the lens power can affect how your eyes focus and perceive depth. This is particularly true if the new lenses are not perfectly aligned with your visual needs. A reduction in prescription might seem beneficial, but if the lenses do not provide adequate correction for your specific visual requirements, it can lead to discomfort and dizziness.

2. Lens Fit and Design: The fit of the contact lenses is crucial. If the new lenses do not fit your eyes properly, they can cause discomfort, leading to visual disturbances. Poorly fitting lenses can shift on the eye, causing inconsistent vision and strain, which can contribute to dizziness. Additionally, if the new lenses are made from a different material or have a different design (e.g., thickness, curvature), this can also impact how your eyes interact with the lenses.

3. Adaptation Period: When switching to new lenses, especially with a different prescription or brand, there is often an adaptation period. During this time, your eyes and brain are adjusting to the new visual input. If the adaptation period is prolonged or if the lenses are significantly different from what you are used to, it can lead to symptoms like dizziness.

4. Visual Fatigue: If the new lenses are causing your eyes to work harder to focus, this can lead to visual fatigue, which may manifest as dizziness. This is particularly relevant if you are spending extended periods looking at screens or engaging in activities that require intense focus.

5. Underlying Eye Conditions: Sometimes, dizziness can be a symptom of underlying eye conditions that may not be directly related to the contact lenses. For instance, issues such as astigmatism, presbyopia, or other refractive errors can cause visual disturbances that may be exacerbated by changes in lenses.

6. Environmental Factors: Consider other factors that might be contributing to your dizziness. For example, dehydration, fatigue, or even anxiety can lead to dizziness, and these factors may coincide with your new lens usage.

Given your situation, it is crucial to consult with your eye care professional. They can conduct a thorough examination to ensure that the new lenses are appropriate for your eyes and that there are no underlying issues contributing to your symptoms. It may also be beneficial to revisit the fitting and prescription adjustments to ensure they align with your visual needs.

In summary, dizziness after changing contact lenses can stem from various factors, including prescription changes, lens fit, adaptation periods, visual fatigue, and underlying eye conditions. It is essential to communicate your symptoms clearly to your eye care provider, who can help determine the best course of action to alleviate your discomfort and ensure optimal vision.

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