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Can Contact Lenses Make Dry Eye Worse?

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Adult sitting on a sofa rubbing both eyes with their fingers, head bowed, in a bright living room.

Key Takeaways

  • Contact lenses sit on your tear film and can disrupt its stability, contributing to dryness and discomfort for some people.
  • Burning, temporary blurred vision, and grittiness are common signs your lenses may be affecting your eye moisture.
  • Silicone hydrogel and scleral lenses tend to be more comfortable for dry eye.
  • Daily disposables and preservative-free rewetting drops can help manage symptoms.
  • Persistent discomfort is worth discussing with an eye doctor in Cochrane.

You put your contacts in, and by mid-afternoon your eyes feel like sandpaper. Maybe you try blinking, but still end up needing to take your contact lenses out earlier than planned. This could be a sign that your contacts are making your dry eye symptoms worse. At Cochrane Eyecare Centre, our team sees this concern often, but we want you to know that there are real options that can help.

Yes, contact lenses can make dry eye worse, but that does not mean contacts are off the table for you. With the right lens type, dry eye treatment, wear schedule, and a few simple habits, many people with dry eye can wear contacts comfortably.

How Contacts Affect Your Tear Film

Your tear film is a thin layer of moisture that coats the surface of your eye. It keeps things comfortable, clear, and healthy. When you place a contact lens on your eye, it sits right on that layer, which can disrupt your tear film.

For some who are already prone to dry eye, that disruption can make dry eye feel worse, especially in dry indoor air or during long stretches of screen time. On top of that, a lens that doesn’t fit properly or is made from a material that doesn’t breathe well can press against your eye in a way that reduces natural moisture distribution. The result is that familiar scratchy, tired feeling you get toward the end of the day.

Signs Your Contacts Are Drying Out Your Eyes

Common Symptoms to Watch For

If contact lenses are contributing to your dry eye, you may notice a few symptoms. While they can look a little different for everyone, it may be worth talking to your eye doctor about your contact lenses if you experience:

  • A burning, stinging, or gritty sensation while wearing lenses
  • Blurred vision that gets worse as the day goes on
  • Redness or increased sensitivity to light

Factors That Can Add to Discomfort

Certain situations tend to bring these symptoms on faster. Office environments with forced-air heating or air conditioning can be very dry, which can pull moisture away from your eyes more quickly than normal.

Screen use also plays a role because people tend to blink less often when staring at a monitor, which means your tear film gets less of the natural refresh it needs. If you spend long hours in front of a screen, it is worth reading about digital eye strain and how it connects to contact lens discomfort.

Contact Lens Types That Work Well for Dry Eye

Materials That Help

Some types of contact lenses are designed to help keep your tear film steady, which can make a difference in your comfort throughout the day.

Silicone hydrogel lenses allow more oxygen to pass through to your eye compared to soft lens materials. More oxygen flow helps the eye surface stay more comfortable throughout the day.

For more significant dry eye, scleral lenses are worth asking about. These larger rigid lenses vault over the cornea (the clear outer layer of the eye) and hold a reservoir of fluid between the lens and the eye, keeping the surface consistently moist from morning to evening.

Adult holding a contact lens on their fingertip in an eye exam room with an exam chair visible in the background.

Wear Schedule Options

Daily disposable lenses are a popular choice for people who deal with dryness. Because you open a fresh pair each morning, there is no protein or lipid buildup on the lens surface. That buildup can be part of what makes lenses feel uncomfortable as the day goes on, so starting with a clean lens each time can help maintain more consistent comfort. When you are ready to reorder, ordering contact lens refills through the clinic is straightforward and covers several trusted brands.

Simple Habits That Help You Stay Comfortable

Everyday Adjustments

A couple of small changes to your daily routine can make a noticeable difference. Try contact-lens safe rewetting drops, which can give your tear film a quick boost during a long workday. We recommend looking for preservative-free options, which tend to be gentler on the eye surface compared to regular drops.

For screen time, try the 20-20-20 rule. Every 20 minutes, look at something 20 feet away for 20 seconds. This gives your eyes a chance to relax from all the close-up focus.

Lens Care and Hygiene

How you care for your lenses affects comfort just as much as the lens itself. Clean and replace your lenses on the schedule recommended by your eye doctor and the manufacturer. Wearing lenses longer than intended can allow deposits to build up, which irritates already sensitive eyes. Replacing your lens case every 1 to 3 months can help reduce the buildup of bacteria and debris that may contribute to eye irritation or infection.

When to Talk to an Eye Doctor

Good habits help, but sometimes they are not enough on their own. If your eyes still feel uncomfortable after following proper lens care routines and trying rewetting drops, that is a sign something more is going on.

An eye doctor can look at how your current lenses fit, whether the material suits your needs, and whether dry eye treatment might help. One in-office option is IPL therapy, which targets the oil-producing glands in your eyelids to support a more stable tear film. A contact lens exam specifically focused on fit and dry eye can open up options you may not have considered.

Schedule Your Visit

At Cochrane Eyecare Centre, our team takes the time to understand how your eyes feel day to day, not just how well you see on a chart. If contacts have been uncomfortable, a conversation about your options is a good place to start. Book your contact lens exam today.

Dr. Shmyla Chaudhery

Written by Dr. Shmyla Chaudhery

Born and raised in Winnipeg, Manitoba, Dr. Shmyla Chaudhery has always been passionate about helping people see their best. She earned her Bachelor of Science from the University of Manitoba before completing her Doctor of Optometry degree at the Illinois College of Optometry, where she graduated with Magna Cum Laude honours. Her clinical experience includes training in Hot Springs, South Dakota, Topeka, Kansas, and Galesburg, Illinois.

After graduation, Dr. Chaudhery began her career in Alberta, where she practiced in Wainwright, Lloydminster, and Edmonton. She went on to open her first optometry clinic in Wainwright, which she later sold before founding her current practice in Calgary. With over a decade of experience, she continues to provide personalized care rooted in compassion, integrity, and dedication.

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