The sensation of something being stuck in the eye immediately after removing contact lenses is a common and often unsettling experience for many wearers. Medically known as foreign body sensation, this feeling can range from minor irritation to significant discomfort. Understanding its underlying causes can help individuals manage the situation and maintain better eye health.
Common Reasons for the Sensation
Several factors can contribute to the sensation of something in the eye after contact lens removal. A frequent cause is residual debris, such as lint, dust, or makeup particles, which may be trapped under the lens or left on the eye’s surface. These tiny foreign bodies can continue to irritate the delicate ocular surface even after lens removal.
Dry eye is another significant contributor. Contact lenses can exacerbate ocular dryness by disrupting the natural tear film, and when removed, the eye may feel gritty or scratchy due to insufficient lubrication and oxygen. Lenses can limit oxygen supply to the cornea, potentially leading to inflammation or increased sensitivity.
A minor scratch on the eye’s surface, known as a corneal abrasion, can also cause this sensation. This may result from improper lens removal, a foreign particle trapped beneath the lens, or a dry lens adhering to the eye. Sometimes, a small fragment of the contact lens might tear off and remain, causing persistent irritation. Residue from contact lens solutions can also irritate the eye.
Extended contact lens wear can lead to “contact lens overwear syndrome,” causing dryness and microscopic corneal abrasions. Another less common reason is giant papillary conjunctivitis (GPC), where sensitivity to the lens material causes small bumps to form under the upper eyelid, which can rub against the cornea.
Immediate Steps to Take
If you experience this sensation, avoid rubbing your eye, as it can worsen irritation or cause further damage. Instead, gently rinse your eye using a sterile saline solution or preservative-free artificial tears. Do not use tap water for rinsing.
After rinsing, carefully examine your eye and the inside of your eyelids in a well-lit mirror for any visible foreign bodies. Gently pull down your lower eyelid and look up, or pull up your upper eyelid to examine the area. Applying preservative-free re-wetting drops can help lubricate the eye and potentially dislodge remaining particles.
Avoid reinserting contact lenses until the sensation completely subsides and your eye feels comfortable. Giving your eye a break allows it to recover from any irritation or minor damage. If discomfort persists despite these measures, further action may be needed.
When to Consult an Eye Doctor
While minor irritation often resolves with self-care, certain symptoms indicate a need for professional medical attention. Consult an eye doctor if pain or discomfort is persistent, does not resolve within a few hours, or worsens. Significant redness or inflammation also warrants a visit.
Any changes in vision, such as blurriness, increased light sensitivity, or decreased visual acuity, are concerning signs. Unusual discharge from the eye, whether watery, thick, or colored, also requires immediate evaluation. If you feel something is still in your eye despite rinsing and it continues to cause irritation, an eye doctor can perform a thorough examination. Untreated corneal abrasions can lead to serious complications, including corneal ulcers.
Preventing Future Occurrences
Preventing the sensation of a foreign body in the eye begins with diligent contact lens hygiene. Always wash your hands thoroughly with soap and water and dry them with a lint-free towel before handling lenses. For reusable lenses, clean and disinfect them properly using fresh, sterile solution after each removal; never reuse or “top off” old solution. Regularly replace your contact lens case, typically every three months, to prevent bacterial buildup.
Employing a correct and gentle lens removal technique is important to prevent irritation or tearing the lens. Sliding the lens to the white of the eye before pinching it off can be a less abrasive method for some individuals. Adhering strictly to the prescribed lens replacement schedule, whether daily, bi-weekly, or monthly, is crucial. Wearing lenses beyond their recommended lifespan can lead to protein buildup and reduced oxygen flow to the cornea, increasing the risk of discomfort and complications.
Maintaining adequate eye hydration is another key preventive measure. Using re-wetting drops throughout the day, especially in dry environments or during prolonged screen time, can help keep eyes moist. Choosing contact lens types designed for better moisture retention or oxygen permeability, such as daily disposables or silicone hydrogel lenses, can also be beneficial. Avoiding sleeping in contact lenses significantly reduces the risk of infections, corneal ulcers, and oxygen deprivation to the eye. Finally, annual eye exams are important for monitoring overall eye health, ensuring proper lens fit, and updating prescriptions as needed.