Red Eye Symptoms: Causes and Solutions for Contact Lens Users - Ophthalmology

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The appearance of red streaks in the eyes?


I would like to ask about my situation.
I wear contact lenses, but when I take a nap at school from 12:30 to 1:10 PM, I wake up to find that my eyes have a lot of blood vessels and the area around my eyes is red.
Sometimes at home, my eyes suddenly become red as well.
When I remove my lenses, the redness (around the eyes and the blood vessels) persists.
I previously heard from an optical shop that my lenses might not fit properly since my eyes and eyeballs are quite large, and I have changed sizes before.
Although the redness is not severe, it still occurs.
I visited an ophthalmologist before, and they prescribed eye drops for congestion, which helped.
What could be causing this? Please let me know.
Thank you.

Diable, 10~19 year old female. Ask Date: 2009/05/05

Dr. Gao Pilin reply Ophthalmology


Hello, based on your condition, it seems that the redness in your eyes may be caused by contact lenses.
Red eyes can be a result of conjunctivitis, allergies, hypoxia, or even infection.
It is advisable to stop wearing contact lenses.
Once your condition improves, please visit an ophthalmologist to fit the correct type of contact lenses.
If necessary, you may consider wearing rigid gas permeable contact lenses.
Do not wear contact lenses while sleeping.

Reply Date: 2009/05/05

More Info


Red eye symptoms can be a common concern for contact lens users, and understanding the underlying causes and potential solutions is crucial for maintaining eye health. Based on your description, it seems that you are experiencing redness in your eyes, particularly after wearing contact lenses and during specific situations like napping. Let's explore the possible causes of your symptoms and some strategies to alleviate them.


Causes of Red Eye Symptoms
1. Contact Lens Irritation: One of the most common reasons for red eyes among contact lens wearers is irritation caused by the lenses themselves. This can occur due to several factors:
- Poor Fit: If your contact lenses do not fit properly, they can cause discomfort and irritation, leading to redness. You mentioned that you have changed sizes, but it may be worth consulting with your eye care professional again to ensure that the lenses are the right fit for your eye shape.

- Material and Type: Different types of contact lenses (e.g., silicone hydrogel vs. traditional hydrogel) have varying levels of oxygen permeability. If your lenses are not allowing enough oxygen to reach your cornea, this can lead to redness and discomfort.

- Wearing Duration: Prolonged wear of contact lenses can lead to dryness and irritation. It’s essential to follow the recommended wearing schedule and give your eyes regular breaks from lenses.

2. Environmental Factors: External factors such as dust, smoke, or allergens can also contribute to eye redness. If you are in a dry or dusty environment, this can exacerbate the symptoms, especially when wearing contact lenses.

3. Dry Eye Syndrome: Many contact lens users experience dry eyes, which can lead to redness. This condition occurs when the eyes do not produce enough tears or when the tears evaporate too quickly. Symptoms include a gritty sensation, burning, and redness.

4. Allergic Reactions: Allergies to pollen, pet dander, or even the materials in contact lenses can cause redness and irritation. If you notice that your symptoms worsen during certain seasons or in specific environments, allergies may be a contributing factor.

5. Infections or Inflammation: Conditions such as conjunctivitis (pink eye) or keratitis (inflammation of the cornea) can cause significant redness and discomfort. If you experience persistent redness, pain, or discharge, it is essential to seek medical attention.


Solutions and Recommendations
1. Consult an Eye Care Professional: Since you have already visited an eye doctor, consider scheduling a follow-up appointment to discuss your ongoing symptoms. They may recommend a different type of lens or a specific eye drop to help alleviate redness.

2. Use Artificial Tears: If dryness is a contributing factor, using preservative-free artificial tears can help keep your eyes lubricated and reduce redness. These can be used throughout the day, especially before and after wearing contact lenses.

3. Practice Good Hygiene: Ensure that you are following proper hygiene practices when handling your contact lenses. Wash your hands thoroughly before inserting or removing lenses, and avoid touching your eyes with unclean hands.

4. Limit Wearing Time: If you notice that your eyes become red after wearing lenses for extended periods, consider reducing the amount of time you wear them each day. Allow your eyes to rest and breathe without lenses.

5. Consider Lens Material: If you continue to experience redness, discuss with your eye care provider the possibility of switching to lenses made from materials that allow more oxygen to reach your eyes, such as silicone hydrogel lenses.

6. Environmental Adjustments: If you are in a dusty or dry environment, consider wearing protective eyewear or using a humidifier to maintain moisture in the air.

7. Monitor Symptoms: Keep track of when your symptoms occur and any potential triggers. This information can be valuable for your eye care provider in diagnosing and treating your condition.

In summary, red eye symptoms in contact lens users can arise from various factors, including lens fit, dryness, environmental irritants, and potential infections. By consulting with an eye care professional and implementing some of the suggested solutions, you can work towards alleviating your symptoms and maintaining healthy eyes.

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