Contact Lens Issues: Headaches and Dry Eyes Explained - Ophthalmology

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Issues with contact lenses?


Doctor, I previously wore colored contact lenses and started experiencing headaches after a while.
What could be the reason for this? Should contact lenses be prescribed with the actual prescription or should the prescription be reduced? A previous doctor mentioned that high water content could cause dry eyes.
I actually have a bit of dry eye, so would wearing high oxygen permeability lenses make my eyes drier? What type of contact lenses should I wear? Thank you for your response.

An An, 20~29 year old female. Ask Date: 2016/02/26

Dr. Gao Pilin reply Ophthalmology


Hello,
Contact lenses do indeed require a lower prescription than what is determined during an eye exam, with the reduction being more significant for higher prescriptions.
For prescriptions below 400 degrees, it may not be necessary to adjust.
However, it is difficult to determine whether headaches are related to contact lens use.
Lenses with higher water content have a stronger ability to absorb moisture, which can lead to them drawing tears and evaporating quickly, resulting in dry eyes.
Rigid gas permeable lenses are preferable as they allow for better oxygen permeability to the cornea, although they may feel more foreign and require an adjustment period.

The ophthalmology department at Puzi Hospital in Taiwan operates Monday to Friday from 8:00 AM to 12:00 PM and Wednesday afternoons from 1:00 PM to 4:30 PM.
Online responses should only be used as a reference; it is essential to seek care at a medical facility if necessary.
I hope to have the opportunity to assist you.
Best regards,
Gao Pilin

Reply Date: 2016/02/26

More Info


When it comes to contact lens use, particularly colored lenses, there are several factors that can contribute to discomfort, headaches, and dry eyes. Understanding these issues is crucial for maintaining eye health and comfort.


Headaches and Contact Lens Use
Headaches associated with contact lens wear can arise from various factors:
1. Incorrect Prescription: If the prescription for your contact lenses is not accurate, it can lead to visual strain. This strain can manifest as headaches, particularly if you are wearing lenses that are too strong or too weak for your eyes.

2. Lens Fit: Poorly fitting contact lenses can cause discomfort and pressure on the eyes, leading to headaches. It's essential that your lenses fit well and are appropriate for your eye shape.

3. Wearing Duration: Extended wear of contact lenses can lead to fatigue and discomfort. If you are wearing your lenses for longer than recommended, this could contribute to headaches.

4. Eye Strain: If you are using your eyes for prolonged periods, especially on screens, this can lead to digital eye strain, which may cause headaches. This is often exacerbated by wearing contact lenses that may not provide adequate moisture or comfort.


Dry Eyes and Contact Lenses
Dry eyes can be a significant issue for contact lens wearers, especially if you already have a pre-existing condition like dry eye syndrome. Here are some considerations:
1. Lens Material: The material of the contact lenses plays a crucial role in how much moisture they retain. Lenses with higher water content can sometimes lead to increased evaporation, especially in dry environments. However, they can also provide comfort for some wearers. If you have dry eyes, you might want to consider lenses designed specifically for dry eyes, which often have lower water content and are made from materials that retain moisture better.

2. Oxygen Permeability: Lenses that allow more oxygen to reach the cornea can help maintain eye health and comfort. If you are experiencing dryness, look for high oxygen permeability lenses, often labeled as "breathable" or "high-Dk" lenses.

3. Hydration: Using rewetting drops specifically designed for contact lenses can help alleviate dryness. It's essential to ensure that any drops you use are compatible with your lenses.

4. Environmental Factors: Dry air, wind, and prolonged screen time can exacerbate dry eyes. Consider using a humidifier in dry environments and taking regular breaks from screens to reduce strain.


Recommendations for Contact Lens Wearers
1. Consult an Eye Care Professional: If you are experiencing headaches and dry eyes, it’s crucial to consult with an eye care professional. They can assess your prescription, the fit of your lenses, and your overall eye health.

2. Lens Selection: Discuss with your eye care provider about the best type of contact lenses for your specific needs. This may include daily disposables, lenses designed for dry eyes, or lenses with specific moisture-retaining properties.

3. Follow Wearing Guidelines: Adhere to the recommended wearing schedule for your lenses. Avoid wearing them for longer than advised, and ensure you take them out before sleeping unless they are specifically designed for extended wear.

4. Regular Eye Exams: Regular check-ups are essential to monitor your eye health and ensure that your prescription remains accurate. Changes in your vision can occur, and your lenses may need to be adjusted accordingly.

In conclusion, headaches and dry eyes while wearing contact lenses can be attributed to various factors, including prescription accuracy, lens fit, and environmental influences. By consulting with an eye care professional and selecting the appropriate lenses, you can significantly improve your comfort and eye health.

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