Is My Eye Injured? Discomfort with Contact Lenses - Ophthalmology

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Is this an injury?


Hello, doctor.
Recently, when I put on my contact lenses, I feel a bit of a stinging sensation and have some minor eye discharge, but it gets better after I use artificial tears.
This is how it feels after putting them on, but last night after I took off my contact lenses, my eyes felt a little dry and still had a slight stinging sensation.
I'm not sure if this means my eyes are injured, but the stinging sensation went away quickly.
I would appreciate your response.
Thank you!

Lizi, 20~29 year old female. Ask Date: 2010/11/16

Dr. Feng Jiefan reply Ophthalmology


According to article #25933, it is likely a case of corneal epithelial erosion.
Please have an ophthalmologist examine it and provide treatment based on the condition to improve the symptoms.
Wishing you health and safety.
Ophthalmologist: Feng Chieh-Fan.

Reply Date: 2010/11/16

More Info


Hello! It sounds like you're experiencing some discomfort with your contact lenses, and it's understandable to be concerned about the health of your eyes. Let's break down your symptoms and explore what might be happening.

From your description, it seems that when you first put on your contact lenses, you feel a stinging sensation and notice some discharge, which you referred to as "little eye mucus." After applying artificial tears, the discomfort improves. However, after removing your lenses, you still experience a bit of dryness and a lingering stinging sensation.

Firstly, it's important to note that discomfort when wearing contact lenses can arise from several factors, and it doesn't necessarily indicate an injury. Here are some common reasons for the symptoms you're experiencing:
1. Dryness: Contact lenses can sometimes exacerbate dryness, especially if you wear them for extended periods or in environments with low humidity. The stinging sensation you feel upon putting them on could be due to your eyes not being adequately lubricated.

2. Lens Fit and Material: If your contact lenses do not fit properly or if the material is not suitable for your eyes, it can lead to discomfort. Some lenses may not allow enough oxygen to reach the cornea, leading to irritation.

3. Allergic Reactions: You might be experiencing an allergic reaction to the lens material or to the solutions used for cleaning and storing your lenses. This could cause irritation and discharge.

4. Corneal Abrasion: While less likely given that the discomfort subsides after using artificial tears, it's still possible that the lens could have caused a minor scratch on the cornea, especially if there was any debris on the lens or if the lens was not properly cleaned.

5. Infection: Although your symptoms do not strongly suggest an infection, any persistent discomfort, especially accompanied by discharge, should be evaluated to rule out conditions like conjunctivitis or keratitis.

Given that the stinging sensation resolves quickly after using artificial tears, it may indicate that your eyes are simply dry or irritated rather than injured. However, the fact that you still feel some dryness and discomfort after removing your lenses suggests that it would be wise to consult with an eye care professional.

Here are some recommendations to help manage your symptoms and ensure your eye health:
- Use Artificial Tears Regularly: If you find that your eyes are often dry, consider using preservative-free artificial tears throughout the day, especially before inserting your lenses and after removing them.

- Check Lens Fit: Make sure your contact lenses are the right fit for your eyes. An optometrist can help assess this and recommend a different type of lens if necessary.

- Limit Wear Time: Try to reduce the amount of time you wear your lenses each day, especially if you notice discomfort. This can help your eyes recover and reduce irritation.

- Maintain Hygiene: Ensure that you are following proper hygiene practices when handling your lenses, including washing your hands before touching your eyes or lenses and using the appropriate cleaning solutions.

- Consult an Eye Care Professional: If your symptoms persist or worsen, it's crucial to see an eye care professional. They can perform a thorough examination to rule out any potential injuries or infections and provide tailored advice based on your specific situation.

In conclusion, while your symptoms may not indicate a serious injury, it's essential to monitor them closely and seek professional advice if they continue. Taking proactive steps to care for your eyes and ensuring proper lens hygiene can help maintain your eye health and comfort.

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