Sores on the nose from glasses often stem from repeated pressure, friction, or an ill-fitting frame. This irritation occurs when the nose pads or the bridge of the frame press too hard or rub against the sensitive skin on the nasal bridge, leading to redness, indentations, or even open abrasions. The weight and constant movement of the eyewear can exacerbate the problem, making it difficult for the skin to heal properly. Addressing this irritation involves a combination of immediate skin care and strategic adjustments to the glasses themselves.
Immediate Care for the Sore
The first priority is to alleviate the existing injury and promote a clean environment. Start by gently cleaning the affected area using mild soap and water to remove any dirt, oil, or bacteria that may have accumulated under the nose pads. Cleansing is important because moisture and debris trapped between the skin and the frame can create a breeding ground for infection.
Once the sore is clean, applying a topical treatment can help accelerate the healing process. For a simple red mark or chafing, a thin layer of petroleum jelly can reduce friction and keep the skin moisturized, which supports natural healing. If the sore is an open wound or abrasion, a small amount of over-the-counter antibiotic ointment, such as bacitracin, can be applied one to three times daily to prevent bacterial growth.
To safeguard the sore while still wearing glasses, consider using a small barrier protection like a liquid bandage or a tiny, skin-safe adhesive pad. This protective layer prevents the nose pad from making direct contact with the injured skin. When possible, especially during extended periods at home, remove the glasses entirely to allow the skin to breathe and recover without any mechanical stress. For inflammation or redness that persists, a hydrocortisone cream can be used to calm the skin.
Adjusting Glasses to Prevent Recurrence
Long-term comfort relies on correcting the mechanical issue that caused the sore, which centers on frame fit and weight distribution. A frame that is too heavy or slides down the nose will consistently put undue pressure on the nasal bridge. One of the most effective adjustments involves the nose pads, which should be positioned to make even contact with the skin across their entire surface.
If the glasses have adjustable nose pads, a slight widening or narrowing of the pad arms can redistribute the frame’s weight to a less sensitive area of the nose. Bending the arms slightly can also alter the height of the frame on the face, which can stop the pad from resting directly on a previous pressure point. For those with metal frames, these minor tweaks can often be done carefully at home, but plastic frames or more complex adjustments should be handled by a professional optician.
Switching the nose pad material can also significantly reduce friction and irritation. Hard plastic pads can often be replaced with softer silicone or gel pads, which offer a more cushioned and hypoallergenic surface. If self-adjustments do not resolve the issue, consulting an optician is the best approach, as they have specialized tools and knowledge to ensure the frame is aligned perfectly for your facial structure.
Identifying When Medical Attention is Needed
While most glasses-related sores heal with proper home care and frame adjustments, certain signs indicate the need for professional medical evaluation. Signs of a possible bacterial infection include increasing warmth around the sore, the spread of redness beyond the immediate contact area, excessive swelling, or the presence of pus or a thick, colored discharge.
Sores that do not show any signs of improvement after one to two weeks of consistent home treatment and frame adjustment should also prompt a visit to a healthcare provider. This lack of healing may indicate a deeper skin issue, an allergic reaction to the frame material—such as nickel in some metal alloys—or a complication that requires prescription medication. A doctor can accurately diagnose the underlying cause, which might be contact dermatitis, and recommend stronger topical treatments or oral antibiotics if necessary.