Corneal Damage Due to Contact Lens Wear: Causes and Prevention

Corneal Damage Due to Contact Lens Wear Causes and Prevention - Global Eye Hospital

Contact lenses are a popular and convenient alternative to glasses for correcting vision. However, improper use and care of contact lenses can lead to corneal damage, which can be painful and potentially harmful to one’s vision. Understanding the causes of corneal damage from contact lenses is crucial for preventing these issues and maintaining eye health.

Causes of Corneal Damage from Contact Lenses

One of the primary causes of corneal damage is improper hygiene. Contact lenses are medical devices that require careful handling and cleaning to avoid introducing harmful bacteria, viruses, or fungi into the eye. Not washing hands thoroughly before handling lenses, using contaminated lenses, or failing to clean and disinfect lenses properly can lead to infections such as keratitis. Keratitis, an inflammation of the cornea, can be caused by bacteria, viruses, fungi, or parasites and can result in severe pain, blurred vision, and even permanent scarring if not treated promptly.

Corneal Damage Due to Contact Lens Wear Causes and Prevention - Global Eye Hospital

Overwear of contact lenses is another significant cause of corneal damage. The cornea requires a constant supply of oxygen, which can be restricted by wearing contact lenses for extended periods. This lack of oxygen, known as hypoxia, can cause the cornea to swell and become more susceptible to infections and other complications. It is essential to follow the recommended wearing schedule provided by eye care professionals to avoid these issues.

Incorrect fit and type of contact lenses can also contribute to corneal damage. Lenses that do not fit properly can cause mechanical irritation, leading to abrasions or ulcers on the cornea. Additionally, some individuals may experience allergic reactions to the material of the lenses or the cleaning solutions, causing inflammation and discomfort. Regular consultations with an eye care professional can help ensure that the lenses fit correctly and that the user is not experiencing any adverse reactions.

Exposure to water is another risk factor for contact lens users. Water, including tap water, swimming pools, and hot tubs, can contain harmful microorganisms that can adhere to the lenses and subsequently infect the eye. One particularly dangerous microorganism is Acanthamoeba, which can cause a severe and painful eye infection known as Acanthamoeba keratitis. To minimize the risk, contact lens users should avoid wearing lenses while swimming or showering and should never rinse their lenses with tap water.

Sleeping with contact lenses, particularly those not designed for overnight wear can also increase the risk of corneal damage. During sleep, the eyes produce fewer tears, reducing the oxygen supply to the cornea and creating a favourable environment for bacteria and other pathogens to proliferate. This practice can lead to infections, corneal ulcers, and other serious complications.

Using expired lenses or solutions is another common mistake that can lead to corneal damage. The materials and preservatives in contact lenses and solutions degrade over time, reducing their effectiveness and increasing the risk.

Corneal Damage Due to Contact Lens Wear Causes and Prevention - Global Eye Hospital

Prevention Tips:

  • Follow proper hygiene practices.
  • Adhere to recommended wearing schedules.
  • Ensure lenses fit correctly.
  • Avoid exposing lenses to water.
  • Never sleep in lenses unless specifically prescribed.

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