Is My Eye Pain from Contact Lenses a Serious Concern? - Ophthalmology

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Is it very serious?


Hello, doctor.
I have recently started wearing contact lenses for about three months, but in the past few days, I have been experiencing pain in my eyes and difficulty opening them, requiring significant effort to do so.
Could this be fatigue, or is there an underlying condition? Thank you.

Qing Tian, 20~29 year old female. Ask Date: 2010/03/02

Dr. Feng Jiefan reply Ophthalmology


Please seek an ophthalmologist for an examination as soon as possible and discontinue wearing contact lenses.
There may be damage or infection to the cornea, which requires evaluation to confirm the diagnosis and initiate treatment.

Reply Date: 2010/03/02

More Info


When it comes to experiencing eye pain while wearing contact lenses, it's essential to consider several factors that could contribute to your discomfort. Based on your description, it seems that you have been wearing contact lenses for about three months, and recently you have started to experience pain and difficulty opening your eyes. This situation can arise from various causes, and while it may not always indicate a serious concern, it is crucial to address it promptly to prevent further complications.

Firstly, one of the most common reasons for eye pain associated with contact lens wear is dryness. Contact lenses can sometimes exacerbate dry eye symptoms, especially if you are in a dry environment, spend long hours in front of screens, or do not properly hydrate. Dry eyes can lead to discomfort, a gritty sensation, and even pain when trying to blink or open your eyes. If you suspect dryness, consider using lubricating eye drops specifically designed for contact lens wearers. These drops can help alleviate discomfort and improve your overall experience with your lenses.

Another potential issue could be related to the fit and type of contact lenses you are using. If your lenses do not fit properly, they can cause irritation and pain. It's essential to have your lenses fitted by an eye care professional who can ensure that they are the right size and shape for your eyes. Additionally, if you have recently changed the brand or type of lenses, your eyes may need time to adjust, or you may be experiencing an adverse reaction to the new material.

Infections or inflammation are also serious concerns that can arise from contact lens wear. Conditions such as keratitis (inflammation of the cornea) or conjunctivitis (inflammation of the conjunctiva) can cause significant pain and discomfort. Symptoms of these conditions often include redness, swelling, discharge, and increased sensitivity to light. If you notice any of these symptoms alongside your eye pain, it is crucial to seek medical attention immediately, as untreated infections can lead to more severe complications, including vision loss.

Another factor to consider is the hygiene of your contact lens routine. Poor hygiene practices, such as not cleaning your lenses properly, wearing them for too long, or using expired solutions, can lead to infections and discomfort. Always follow the recommended guidelines for lens care, including regular cleaning and replacement schedules.

Lastly, fatigue can indeed contribute to eye discomfort, especially if you are spending long hours using digital devices without adequate breaks. The phenomenon known as digital eye strain can lead to symptoms such as dryness, irritation, and pain. To combat this, practice the 20-20-20 rule: every 20 minutes, take a 20-second break to look at something 20 feet away. This can help reduce strain and improve comfort.

In conclusion, while your eye pain may not necessarily indicate a severe issue, it is essential to monitor your symptoms closely. If the pain persists, worsens, or is accompanied by other concerning symptoms, it is advisable to consult with an eye care professional for a thorough examination. They can provide a proper diagnosis and recommend appropriate treatment options tailored to your specific situation. Remember, taking care of your eye health is paramount, especially when using contact lenses.

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