Vascular Proliferation in Myopic Patients with Contact Lenses - Ophthalmology

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Vascular proliferation


Hello Doctor: I have high myopia and have been wearing contact lenses since the second year of high school.
Recently, I noticed a prominent blood vessel growing towards the center of my left eye.
After researching, I found that this could be due to long-term contact lens wear leading to vascular proliferation, and I understand that once vascular proliferation occurs, it is irreversible.
Therefore, I would like to ask the doctor: 1.
Is it necessary to have an eye examination and treatment for vascular proliferation? 2.
If I temporarily stop wearing contact lenses, will the proliferating blood vessel become less prominent? 3.
Can I buy artificial tears at the pharmacy to help alleviate dry eyes caused by contact lens wear? Thank you for your assistance in answering these questions, Doctor!

Chen, 20~29 year old female. Ask Date: 2023/09/16

Dr. Gao Pilin reply Ophthalmology


Hello:
1.
Does vascular proliferation require treatment? Vascular proliferation itself usually does not require specific treatment, but it may be a sign of other ocular issues.
Vascular proliferation may be associated with corneal hypoxia, dry eye syndrome, or other eye diseases.
I recommend that you have an evaluation by an ophthalmologist.
2.
Does stopping contact lens wear help alleviate vascular proliferation? Ceasing contact lens wear may help reduce ocular discomfort, but the vascular proliferation itself may not improve immediately.
This depends on the underlying cause of the vascular proliferation.
However, stopping contact lens wear can help reduce factors that may contribute to vascular proliferation, such as corneal hypoxia.
3.
Can artificial tears help alleviate dry eye syndrome? If you have dry eye syndrome, using artificial tears can be beneficial.
You can purchase over-the-counter artificial tears at the pharmacy, but it is best to consult with an ophthalmologist to choose the appropriate product.
Different artificial tears may be suitable for different types of dry eye syndrome, and the doctor can provide appropriate recommendations.

Reply Date: 2023/09/16

More Info


Understanding vascular proliferation, particularly in myopic patients who wear contact lenses, is crucial for maintaining eye health. Vascular proliferation, or the growth of new blood vessels, can occur in response to various stimuli, including chronic irritation or hypoxia (lack of oxygen) in the eye. In the context of contact lens wear, this can be exacerbated by factors such as lens material, fit, and hygiene practices.

1. Need for Eye Examination and Treatment: Yes, it is essential to have an eye examination by an ophthalmologist if you notice any signs of vascular proliferation, especially if you see a prominent blood vessel growing towards the center of your eye. An eye care professional can assess the severity of the condition and determine if any treatment is necessary. Treatment options may include discontinuing contact lens use, switching to a different type of lens, or in some cases, surgical intervention to manage the vascular growth. Regular eye exams are vital for monitoring changes in your eye health, especially for individuals with high myopia, as they are at increased risk for various ocular complications.

2. Effect of Discontinuing Contact Lens Use: Temporarily stopping the use of contact lenses may help reduce the irritation and hypoxia that contribute to vascular proliferation. While it is uncertain whether the blood vessels will become less prominent, reducing the stimulus that caused their growth may prevent further proliferation. In some cases, the eye may show signs of improvement, such as reduced redness and irritation, which could lead to a decrease in the visibility of the blood vessels. However, this process can take time, and individual responses may vary.

3. Management of Dry Eye Symptoms: Contact lens wearers often experience dry eye symptoms due to reduced tear film stability and increased evaporation. Artificial tears can be an effective over-the-counter solution to alleviate dryness and discomfort. When selecting artificial tears, look for preservative-free options, as these are gentler on the eyes, especially for regular use. Additionally, consider using lubricating eye drops specifically designed for contact lens wearers, as they can provide moisture without compromising lens integrity. It is also advisable to follow proper lens care and hygiene practices, including regular cleaning and replacement of lenses, to minimize the risk of complications.

In summary, if you are experiencing vascular proliferation in your eye, it is crucial to seek an evaluation from an eye care professional. They can provide tailored advice and treatment options based on your specific situation. Additionally, taking breaks from contact lens wear and using artificial tears can help manage symptoms and potentially improve your eye health. Remember that maintaining good eye hygiene and regular check-ups are key to preventing complications associated with contact lens use, especially for individuals with high myopia.

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