Experiencing discomfort or pain when inserting contact lenses is a common issue for many wearers. Any irritation upon insertion warrants attention. Understanding the potential causes of this discomfort is important for maintaining eye health and ensuring comfortable lens wear. Addressing these issues promptly can prevent minor irritations from escalating into more serious conditions.
Issues with Your Contact Lenses
Discomfort often stems from the contact lenses themselves or improper handling. Lenses can feel painful if dirty or contaminated with debris, lint, makeup, or protein buildup. Natural proteins in tears can accumulate on the lens surface, leading to hazy vision and a gritty sensation. Even tiny particles like eyeliner flakes can cause irritation.
Damage to the lens, such as tears, chips, or scratches, will also lead to immediate pain upon insertion. Inspecting the lens for imperfections before use can prevent this discomfort. Inserting the lens inside-out is another common issue, which can make it feel uncomfortable or cause it to pop out of the eye.
Adhering to the recommended replacement schedule for lenses and solution is important, as expired products can degrade and cause irritation. Using fresh, compatible contact lens solution is important, as some individuals may develop sensitivities to preservatives. Improper cleaning or storage, such as using tap water or “topping off” old solution, can introduce bacteria and other irritants to the lens, leading to discomfort and potential infection.
Eye Conditions Causing Discomfort
The eye’s condition can contribute to discomfort when inserting contact lenses. Dry eyes are a frequent reason for irritation, occurring when the eyes do not produce enough tears or when tears evaporate too quickly. This insufficient lubrication creates friction between the lens and the eye, resulting in a gritty or burning sensation. Contact lens wear can sometimes worsen dry eye symptoms by disrupting the natural tear film.
Allergies are another common factor, as environmental allergens like pollen, dust, or pet dander can adhere to the lens surface, causing itching, redness, and a burning sensation. Some individuals may also experience an allergic reaction to the contact lens material or components in their lens solution. Symptoms often include sensitivity to light and excessive tearing.
Environmental irritants such as smoke, air pollution, or dry, windy conditions can exacerbate lens discomfort. These elements can cause lenses to lose moisture, leading to dryness and irritation. For new contact lens wearers, initial discomfort is sometimes part of the adjustment period as the eye adapts. This mild irritation, including increased blinking or tearing, typically subsides within the first few uses.
When Pain Signals a Problem
Pain upon contact lens insertion can indicate a serious underlying issue requiring professional medical attention. Eye infections, such as keratitis, an infection of the cornea, can be serious. Symptoms often include unusual redness, pain, tearing or discharge, increased sensitivity to light, and a feeling that something is in the eye. Untreated infections can lead to severe vision loss or even blindness.
A corneal abrasion, a scratch on the clear outer surface of the eye, can cause intense pain. This can result from a foreign object trapped under the lens, improper lens removal, or even overwearing lenses. Corneal ulcers, open sores on the cornea, are often caused by bacterial, viral, or fungal infections, particularly with improper contact lens hygiene. Symptoms are similar to abrasions but can also include a white or gray spot on the cornea and blurred vision.
An improper lens fit can also lead to pain and potential long-term damage. Lenses that are too tight can restrict oxygen flow to the cornea, while loose ones may move excessively, causing irritation or abrasion. A persistent foreign body sensation, even after removing and cleaning the lens, may indicate a particle still present in the eye or a developing corneal issue.
Steps to Take When Contacts Hurt
If discomfort or pain arises upon inserting contact lenses, immediate action is necessary. Carefully remove the lens and inspect it for any visible damage, such as tears or debris. If the lens appears damaged, discard it and use a fresh one. If no damage is apparent, thoroughly clean and rinse the lens with fresh solution before reinserting it.
If the pain or discomfort persists after reinsertion, remove the lens again and temporarily discontinue wearing it. Switching to glasses can give your eyes a necessary break. Consult an eye doctor if pain, redness, blurred vision, discharge, or light sensitivity continues or worsens. Regular eye exams and strict adherence to lens care instructions, including proper hygiene and replacement schedules, help ensure comfortable and healthy contact lens wear.