Forgetting to remove contact lenses while showering can increase the risk of infection from Acanthamoeba, a type of protozoan. Acanthamoeba can be found in water, including tap water, and can cause serious eye infections, particularly in contact lens wearers. It is important to always remove contact lenses before exposure to water to minimize this risk?
Hello, Doctor.
I wear daily disposable contact lenses almost every day, meaning I use a new pair each day.
Today, I forgot to remove my contact lenses before taking a shower.
Although I kept my eyes closed while washing my hair, some water inevitably got into my eyes.
Half an hour after showering, I realized and quickly removed the lenses, then applied a lot of artificial tears.
I would like to ask: 1.
Is the risk of infection with Acanthamoeba high if I occasionally forget to remove my daily disposable contact lenses while showering? 2.
Can I continue to wear daily disposable contact lenses in the following days? 3.
What is the incubation period for infection—2 to 4 days or longer? When would you recommend seeking medical attention to confirm if there are any symptoms? Should I go in right away? Thank you.
K, 20~29 year old female. Ask Date: 2024/05/17
Dr. Gao Pilin reply Ophthalmology
Hello:
1.
Is the risk of infection with Acanthamoeba high if I occasionally forget to remove my daily disposable contact lenses while showering? - The risk of Acanthamoeba infection is associated with contact lenses being exposed to non-sterile water (such as tap water or lake water).
In a typical household shower, the water quality is relatively clean, but there may still be the presence of microorganisms.
However, since you close your eyes while washing your hair and immediately remove your contact lenses after showering and use artificial tears, this has reduced the risk of infection.
Forgetting to remove your contact lenses while showering occasionally does not significantly increase the likelihood of Acanthamoeba infection, but you should still monitor the condition of your eyes.
2.
Can I continue to wear daily disposable contact lenses in the next few days? - If your eyes do not show any signs of redness, swelling, pain, or blurred vision, you can continue to wear daily disposable contact lenses in the coming days.
However, it is essential to follow good hygiene practices and avoid exposing your contact lenses to water sources.
If you experience any discomfort, stop wearing them immediately and consult an eye specialist.
3.
Is the incubation period for infection 2-4 days or longer? When do you recommend seeking medical attention to confirm any symptoms? Should I go now? - The incubation period for Acanthamoeba keratitis typically ranges from a few days to several weeks, with early symptoms possibly including redness, pain, tearing, and blurred vision.
It is advisable to closely monitor your eye condition over the next few days.
If you experience any of the aforementioned symptoms, please seek an eye examination immediately, as early diagnosis and treatment can effectively prevent the infection from worsening.
In summary, your risk is not high, but you should still keep an eye on your eye condition.
If you notice any abnormalities, seek medical attention promptly.
I hope this information is helpful to you, and I wish you good eye health!
Reply Date: 2024/05/17
More Info
Showering with contact lenses can indeed increase the risk of Acanthamoeba infection, particularly if the lenses come into contact with water. Acanthamoeba is a type of free-living amoeba found in various environments, including freshwater, soil, and even tap water. When contact lenses are worn while showering, there is a risk that the lenses can become contaminated with this organism, especially if the water is not sterile.
1. Risk of Infection: The likelihood of developing an Acanthamoeba infection from a single incident of showering with contact lenses is generally low, but it is not negligible. The risk increases if the water comes into direct contact with the lenses or if the lenses are not properly cleaned and disinfected afterward. Acanthamoeba can adhere to the surface of the lenses, and if they are not removed and cleaned properly, the risk of infection can increase. However, the risk is significantly higher for individuals who frequently expose their lenses to water, such as swimming or showering with them on.
2. Wearing Contact Lenses After Incident: After an incident like this, it is advisable to refrain from wearing contact lenses for a few days, especially if you experience any discomfort, redness, or blurred vision. If you do not notice any symptoms, you may consider wearing your lenses again after a day or two, but ensure that you clean and disinfect them thoroughly before re-inserting. If you have any concerns or experience any symptoms, it is best to consult with an eye care professional before continuing to wear contact lenses.
3. Incubation Period: The incubation period for Acanthamoeba keratitis can vary, but symptoms typically appear within a few days to weeks after exposure. The most common symptoms include eye pain, redness, blurred vision, sensitivity to light, and tearing. If you notice any of these symptoms, it is crucial to seek medical attention promptly. Early diagnosis and treatment are essential to prevent complications, including potential vision loss.
In summary, while the risk of Acanthamoeba infection from a single incident of showering with contact lenses is relatively low, it is important to be cautious. Always prioritize proper hygiene when handling contact lenses, including washing your hands before touching your lenses and avoiding exposure to water while wearing them. If you have any symptoms or concerns, do not hesitate to reach out to an eye care professional for further evaluation and guidance.
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