the Discomfort of Contact Lenses: Causes and Solutions - Ophthalmology

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Contact lenses


Hello, doctor: I sometimes feel a sense of separation as if my contact lenses are about to fall out shortly after putting them on.
What could be the reason for this? Am I not suitable for wearing contact lenses? Thank you.

Xiao Xiao, 20~29 year old female. Ask Date: 2003/06/21

Dr. Liang Ce reply Ophthalmology


Hello: If you feel like your contact lenses are about to fall out after wearing them for a while, there are two possible reasons.
First, the lenses may be old and dirty, resulting in decreased water content and oxygen permeability, which can cause the lenses to dry out and become less adherent.
Second, your eyes may be dry, which often occurs after staying up late, prolonged screen time, or during eye inflammation, leading to reduced tear production.
When the lenses dry out, it can create a sensation of them wanting to fall out.

If the issue is with the lenses, you can start by thoroughly cleaning and removing protein buildup, and reduce the wearing time.
If the situation is severe, consider replacing the lenses.
If the dryness is due to your eyes, try to reduce screen time, take a five-minute break every half hour, ensure adequate sleep, and avoid staying up late.
Additionally, using bi-weekly disposable lenses or rigid gas permeable lenses can help decrease the demand for tears.
If you have any further questions, feel free to reach out for discussion.

Reply Date: 2003/06/21

More Info


Understanding the discomfort associated with contact lenses is crucial for anyone who wears them. The sensation of contact lenses feeling like they are about to fall out can be attributed to several factors, and it is essential to identify the underlying causes to find appropriate solutions.

Firstly, one common reason for this sensation is improper lens fit. Contact lenses come in various shapes and sizes, and if the lenses do not fit your eyes correctly, they can move around more than they should. This movement can create a feeling of instability, leading to the sensation that they might fall out. An eye care professional can perform a fitting to ensure that the lenses are the right size and shape for your eyes.

Another factor could be dryness or insufficient lubrication. Contact lenses require a certain level of moisture to remain comfortable. If your eyes are dry, the lenses may not adhere properly to the surface of your eye, causing them to feel loose or as if they are shifting. This can be exacerbated by environmental factors such as air conditioning, heating, or spending long hours in front of screens. Using rewetting drops specifically designed for contact lenses can help alleviate this discomfort.

Additionally, the type of contact lenses you are using may play a role. Some lenses are designed for extended wear, while others are meant for daily use. If you are wearing lenses that are not suitable for your lifestyle or eye condition, you may experience discomfort. For instance, if you are using daily disposable lenses but wearing them for longer than recommended, this can lead to discomfort and a feeling of instability.

Moreover, the cleanliness of your lenses is vital. If lenses are not cleaned properly or if they are worn beyond their recommended usage period, they can accumulate deposits and bacteria, leading to discomfort. Always follow the cleaning and replacement schedule advised by your eye care professional.

If you are experiencing persistent discomfort, it may also be a sign of an underlying eye condition, such as dry eye syndrome or allergies. These conditions can affect how your eyes interact with contact lenses, leading to discomfort. In such cases, consulting with an eye care professional is essential for proper diagnosis and treatment.

In conclusion, the sensation of contact lenses feeling like they are about to fall out can stem from various factors, including improper fit, dryness, lens type, cleanliness, and underlying eye conditions. If you find that this sensation occurs frequently, it is advisable to consult with an eye care professional who can assess your situation and recommend appropriate solutions. They may suggest trying different types of lenses, using lubricating drops, or addressing any underlying eye health issues. Remember, comfort is key to enjoying the benefits of contact lenses, and finding the right fit and care routine is essential for a positive experience.

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