How long can therapeutic contact lenses for corneal abrasions be worn?
Hello Doctor: I previously inquired (consultation number #183224) about my recurrent corneal abrasions.
If I remove my therapeutic contact lenses, the abrasions occur.
I have been wearing them continuously for over a month now (changing them weekly).
Will wearing them long-term cause eye damage or lead to changes in my prescription? Currently, my vision is severely astigmatic.
If the abrasions heal, can my vision recover? I have had these abrasions for over a month without healing, and I find it hard to imagine how much longer I need to wear contact lenses.
However, I am also afraid that if I remove them, the abrasions will recur immediately.
Will I have to wear contact lenses indefinitely?
WLL, 20~29 year old female. Ask Date: 2022/06/21
Dr. Gao Pilin reply Ophthalmology
Hello WLL: If the cornea has not yet healed, you can continue to wear them.
Change to a new lens every week until recovery.
It will not harm your eyes or cause changes in prescription.
If healing occurs without scarring, vision should be restored.
Reply Date: 2022/06/21
More Info
When it comes to wearing therapeutic contact lenses for corneal abrasions, it is crucial to understand both the benefits and potential risks associated with prolonged use. Therapeutic contact lenses are designed to protect the cornea, promote healing, and provide comfort in cases of corneal abrasions or other ocular surface diseases. However, wearing them for an extended period, such as over a month, raises several concerns.
Firstly, while therapeutic lenses can aid in the healing process, they should not be worn indefinitely without proper monitoring by an eye care professional. The typical recommendation for wearing therapeutic lenses is usually a few days to a couple of weeks, depending on the severity of the condition and the healing progress. Continuous use beyond this period can lead to complications such as infection, corneal hypoxia (lack of oxygen to the cornea), and even further damage to the corneal epithelium.
In your case, wearing the lenses for over a month and experiencing ongoing corneal abrasions indicates that the underlying issue may not be adequately addressed. It is essential to consult with your eye care provider to evaluate the condition of your cornea and determine the best course of action. They may recommend a different treatment approach, such as using a different type of lens, applying topical medications, or considering surgical options if necessary.
Regarding your concern about vision changes, prolonged wear of therapeutic lenses can potentially affect your vision. If the cornea is not healing properly, it may lead to irregularities in the corneal surface, which can cause significant astigmatism and other refractive errors. Once the corneal abrasions heal, your vision may improve, but this is contingent upon the cornea returning to its normal state. If the abrasions persist, it may be necessary to explore other treatments to facilitate healing.
If you are experiencing severe astigmatism and your vision is compromised, it is crucial to communicate this with your eye care provider. They can perform a thorough examination to assess the health of your cornea and determine if any additional interventions are needed.
In summary, while therapeutic contact lenses can be beneficial for corneal abrasions, they should not be worn for extended periods without professional oversight. It is vital to have regular follow-ups with your eye care provider to monitor the healing process and adjust your treatment plan as necessary. If you are concerned about the duration of wear and the impact on your vision, do not hesitate to reach out to your eye care professional for guidance and support. Your ocular health is paramount, and timely intervention can help prevent further complications and promote healing.
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