Is it true that once a corneal abrasion has healed, one can never wear contact lenses again for life?
Hello Dr.
Ke,
I have a patient with amblyopia in both eyes who has been wearing contact lenses for about 20 years.
However, two months ago, while riding a bike, a sand particle got into his eye, resulting in a severe corneal abrasion.
After two months, the doctor said he could wear contact lenses again but warned that it might recur.
Unfortunately, as predicted, he experienced pain again within half a day of wearing them.
He now has to undergo eye treatment again and is afraid to wear contacts, but not wearing them makes work very inconvenient.
A friend of his, who has a similar situation (but is myopic), mentioned that he might never be able to wear contacts again.
Is that true?
He has been provided with a pair of glasses, but he feels anxious wearing them while riding because they are convex lenses.
He finds that the edges of the lenses create blind spots, making it difficult to see unless he turns his head 90 degrees to check for vehicles coming from behind.
As a result, he has been riding to and from work without glasses.
During the day, it’s manageable, but at night, he rides at speeds of around 20-30 km/h, and some poorly lit areas make him feel quite anxious.
This situation is really troubling him.
Could you please provide some guidance on this matter? Thank you!
Darren, 30~39 year old female. Ask Date: 2005/10/26
Dr. Ke Meilan reply Ophthalmology
Hello: 1.
It is possible that wearing contact lenses for an extended period has affected the health of your epithelial cells.
It is advisable to take a break from wearing them for a while before resuming.
2.
Whether you can wear them for life depends on the condition of your cornea.
3.
You will still need to wear glasses, but it may be necessary to discuss with a professional optician how to avoid your issues.
Sincerely, Dr.
Komeilan, Ophthalmology.
Reply Date: 2005/10/26
More Info
After experiencing a corneal injury, the ability to wear contact lenses again can be a complex issue that depends on several factors, including the severity of the injury, the healing process, and individual eye health. In your case, it seems that you have had a significant corneal abrasion due to a foreign object (sand) entering your eye, which can lead to complications if not managed properly.
When a corneal injury occurs, the cornea, which is the clear front surface of the eye, can become damaged. This damage can lead to pain, sensitivity to light, and blurred vision. In some cases, wearing contact lenses too soon after an injury can exacerbate these symptoms and potentially lead to further complications, such as infections or chronic discomfort. Your doctor’s advice to avoid contact lenses after your injury is prudent, especially since you experienced pain shortly after attempting to wear them again.
The healing process of the cornea can vary from person to person. While some individuals may be able to return to wearing contact lenses after a few weeks, others may find that they need to wait longer, or in some cases, they may be advised against wearing them altogether. This is particularly true for individuals who have a history of corneal issues or those who have experienced recurrent problems after wearing lenses.
It’s important to follow your eye care professional's recommendations closely. If your doctor has indicated that you can try wearing contact lenses again but warned of potential pain or complications, it may be wise to approach this cautiously. You might consider discussing the following options with your eye care provider:
1. Trial with Different Lens Types: There are various types of contact lenses available, including soft lenses, rigid gas permeable lenses, and specialty lenses designed for sensitive eyes. Your doctor may recommend a specific type that is less likely to irritate your cornea.
2. Extended Wear Lenses: Some lenses are designed for extended wear and may be more suitable for individuals with a history of corneal issues. However, these should only be used under the guidance of an eye care professional.
3. Regular Follow-ups: Schedule regular check-ups with your eye doctor to monitor your cornea's health and ensure that any contact lens wear does not lead to complications.
4. Alternative Vision Correction: If contact lenses continue to cause discomfort, you may need to explore other vision correction options, such as glasses or even surgical options like LASIK, depending on your eye health and prescription.
5. Protective Eyewear: If you are concerned about wearing glasses while riding a bike, consider investing in wrap-around glasses or sports goggles that provide better peripheral vision and protection.
In conclusion, while it is possible for some individuals to return to wearing contact lenses after a corneal injury, it is crucial to do so under the guidance of an eye care professional. Your comfort and eye health should always come first, and if contact lenses are not a viable option for you, there are alternative methods to manage your vision needs. Always communicate openly with your eye doctor about your concerns and experiences to find the best solution for your situation.
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