Managing Dry Eyes During Pregnancy: Contact Lens Considerations - Ophthalmology

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Dry Eye Syndrome


Hello doctor, I have a question.
I had dry eye syndrome before pregnancy, and now that I am pregnant, my eyes are even drier.
Sometimes when I wear contact lenses, they become sticky and hard to remove.
I have to use saline solution to help take them out, but using saline is also not very effective.
Doctor, is it still suitable for me to wear soft contact lenses, or should I wait until after my pregnancy to wear them? Or should I consider not wearing them at all?

bi, 20~29 year old female. Ask Date: 2015/01/14

Dr. Gao Pilin reply Ophthalmology


Hello, during pregnancy, hormonal changes can sometimes lead to dryness in the eyes.
It is advisable to avoid wearing contact lenses temporarily.
After delivery, the condition is likely to improve, and you can try wearing them again.
You won't have to avoid them for life, so please don't worry.

Puzih Hospital Ophthalmology: Monday to Friday from 8:00 AM to 12:00 PM and Wednesday from 1:00 PM to 4:30 PM.
We hope to have the opportunity to serve you.

Gao Pilin

Reply Date: 2015/01/14

More Info


Managing dry eyes during pregnancy, especially for those who already have a history of dry eye syndrome, can be quite challenging. The hormonal changes that occur during pregnancy can exacerbate existing eye conditions, leading to increased dryness, discomfort, and difficulty wearing contact lenses.
When it comes to wearing soft contact lenses during pregnancy, it is essential to consider a few factors. First, pregnancy can lead to changes in tear production and composition. Many women experience dry eyes due to hormonal fluctuations, which can make wearing contact lenses uncomfortable. If you find that your lenses are sticking to your eyes or becoming difficult to remove, this could be a sign that your eyes are not producing enough moisture to keep the lenses lubricated.
In your case, since you have a pre-existing condition of dry eyes, it may be wise to take a break from wearing contact lenses during your pregnancy. Switching to glasses can provide relief from discomfort and reduce the risk of potential damage to your cornea from trying to forcibly remove stuck lenses. Additionally, wearing glasses allows your eyes to breathe and can help maintain moisture levels better than contact lenses.

If you choose to continue wearing contact lenses, consider the following tips to manage dry eyes effectively:
1. Use Rewetting Drops: Opt for preservative-free artificial tears or rewetting drops specifically designed for contact lens wearers. These can help keep your eyes moist and make it easier to remove your lenses.

2. Limit Wear Time: Reduce the amount of time you wear your contact lenses each day. If you usually wear them for several hours, try to decrease that time and give your eyes a break.

3. Stay Hydrated: Drink plenty of water to help maintain overall hydration, which can positively impact tear production.

4. Humidify Your Environment: Use a humidifier in your home, especially during dry seasons, to add moisture to the air and help alleviate dry eye symptoms.

5. Consult Your Eye Care Professional: Regular check-ups with your eye doctor are crucial during pregnancy. They can provide personalized recommendations based on your specific condition and may suggest alternative options, such as daily disposable lenses, which can be more comfortable for dry eyes.

6. Consider Your Lens Type: If you are determined to wear contact lenses, discuss with your eye care provider about switching to lenses designed for dry eyes or those that retain moisture better.

7. Avoid Allergens: If you have allergies, try to minimize exposure to allergens that can exacerbate dry eye symptoms, such as dust, pollen, and pet dander.

8. Practice Good Hygiene: Ensure that you are following proper hygiene practices when handling your contact lenses to prevent infections, which can further complicate dry eye issues.

In conclusion, while it is possible to wear contact lenses during pregnancy, it may be more comfortable and safer to switch to glasses, especially if you are experiencing significant dryness and discomfort. Always consult with your healthcare provider or an eye care specialist to determine the best course of action for your specific situation. Your comfort and the health of your eyes should be the top priority during this time.

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