Nystagmus: Can You Wear Contact Lenses? - Ophthalmology

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Nystagmus is a condition characterized by involuntary eye movements, which can affect vision and balance. When it comes to wearing contact lenses, particularly orthokeratology lenses (also known as corneal reshaping lenses), there are several considerations to keep in mind.

Firstly, the severity of nystagmus plays a crucial role in determining whether contact lenses can be worn comfortably and effectively. In cases of severe nystagmus, the rapid and uncontrollable eye movements can make it difficult for the lenses to remain stable on the cornea. This instability can lead to discomfort, blurred vision, and an inability to achieve the desired visual correction. Therefore, individuals with significant nystagmus may be advised against wearing contact lenses, especially those that require precise fitting, like orthokeratology lenses.

Moreover, the type of nystagmus can also influence lens wear. For instance, congenital nystagmus, which is present at birth, may have different implications compared to acquired nystagmus, which can develop due to various underlying conditions. In some cases, individuals with nystagmus may find that certain types of contact lenses, such as soft lenses, are more tolerable than rigid gas permeable lenses. However, this varies from person to person, and a thorough evaluation by an eye care professional is essential.

Regarding your question about visual disturbances, such as seeing bright objects surrounded by darkness or experiencing flashes of different colored shapes, these symptoms can indeed be related to glare and visual disturbances associated with nystagmus. Glare occurs when bright light scatters in the eye, making it difficult to see clearly. Individuals with nystagmus may be more sensitive to glare due to their eye movements, which can exacerbate visual discomfort in bright environments.

If you are experiencing these symptoms, it is crucial to discuss them with an eye care professional. They can provide a comprehensive assessment of your vision and eye health, and help determine the best course of action regarding contact lens wear. In some cases, specialized lenses or visual aids may be recommended to improve comfort and visual clarity.

In summary, while individuals with nystagmus may face challenges when it comes to wearing contact lenses, it is not a blanket rule that they cannot wear them. The decision should be based on the severity of the condition, the type of nystagmus, and individual comfort levels. Consulting with an eye care professional is the best way to determine the most suitable options for vision correction and to address any concerns regarding visual disturbances.