Can Switching to Rigid Contact Lenses Relieve Dry Eye Discomfort?

Dry eyes

Doctor, I often experience soreness and dryness in my eyes when wearing contact lenses.
I have had an examination, and the doctor mentioned that my eyes are more prone to discomfort but found no abnormalities.
Would switching to rigid gas permeable contact lenses help alleviate my symptoms? Thank you!

Mei Mei, 20~29 year old female. Ask Date: 2006/10/28

Dr. Feng Jiefan reply Ophthalmology

Hello,
There are many reasons for discomfort when wearing contact lenses, with the most significant factor being an allergic reaction to the proteins that accumulate on the lenses.
Switching to rigid gas permeable lenses and ensuring proper cleaning can help reduce exposure to allergens and potentially alleviate discomfort.
However, it is important to note that there may be an adjustment period when first wearing rigid lenses that needs to be overcome.

Thank you for your message.

Sincerely,
Dr.
Chieh-Fan Feng, Ophthalmologist

Reply Date: 2006/10/28

More Info

Switching to rigid gas permeable (RGP) contact lenses may indeed provide relief for some individuals experiencing dry eye discomfort associated with soft contact lenses. Here’s a detailed explanation of how this switch might help, along with some additional considerations regarding dry eye management.

Understanding Dry Eye and Contact Lenses
Dry eye syndrome occurs when the eyes do not produce enough tears or when the tears evaporate too quickly. Symptoms can include dryness, irritation, redness, and a gritty sensation. Soft contact lenses can exacerbate these symptoms for several reasons:
1. Water Content: Soft lenses are made of hydrophilic materials that absorb water. If the lenses become dehydrated, they can draw moisture away from the eye, leading to discomfort.

2. Oxygen Transmission: Soft lenses may not allow as much oxygen to reach the cornea compared to rigid lenses, which can contribute to discomfort and dryness.

3. Lens Deposits: Soft lenses can accumulate proteins, lipids, and other deposits more readily, which can irritate the eye and worsen dry eye symptoms.

Benefits of Rigid Gas Permeable Lenses
1. Oxygen Permeability: RGP lenses are made from materials that allow significantly more oxygen to reach the cornea than most soft lenses. This can help maintain corneal health and reduce dryness.

2. Less Dehydration: RGP lenses do not absorb tears like soft lenses do, which means they are less likely to contribute to dryness.

3. Stability: RGP lenses tend to stay in place better than soft lenses, which can lead to more consistent vision and less irritation from lens movement.

Potential Drawbacks
While RGP lenses can be beneficial, there are some considerations to keep in mind:
1. Adaptation Period: Switching to RGP lenses may require an adjustment period. Some users may initially find them less comfortable than soft lenses until they become accustomed to the feel.

2. Initial Discomfort: Some people may experience discomfort during the initial wear period, but this often improves as the eyes adapt.

3. Care and Maintenance: RGP lenses require a different cleaning and care regimen compared to soft lenses, which may involve more effort.

Additional Recommendations for Dry Eye Management
1. Artificial Tears: Using preservative-free artificial tears can help alleviate dryness and discomfort. These can be used before and after inserting contact lenses.

2. Environmental Modifications: Consider using a humidifier in dry environments and taking breaks during prolonged screen time to reduce eye strain.

3. Consultation with an Eye Care Professional: It’s essential to discuss your symptoms and options with an eye care professional who can provide personalized recommendations based on your specific condition.

Conclusion
Switching to rigid gas permeable contact lenses may help relieve dry eye discomfort for some individuals, particularly if soft lenses have been problematic. However, it’s crucial to have a thorough discussion with your eye care provider to determine the best course of action tailored to your needs. They can help assess your eye health, recommend appropriate lens types, and provide guidance on managing dry eye symptoms effectively.

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