When Dry Eye Meets Contact Lenses

How practitioners can optimize contact lens success in patients who have dry eye

By: ELISE KRAMER, OD, FAAO

Contact Lens Spectrum November 1, 2025 Vol 40, Issue November_December 2025 Page(s): 17-20

Clinical Report: When Dry Eye Meets Contact Lenses

Overview

This report discusses the challenges of managing dry eye disease (DED) in contact lens wearers and emphasizes the importance of optimizing ocular surface health for successful lens wear. It highlights the multifactorial nature of DED and the need for tailored treatment approaches to enhance patient comfort and lens tolerance.

Background

Dry eye disease (DED) affects millions globally, significantly impacting quality of life and presenting challenges for eyecare practitioners. Conventional therapies often fail, particularly in contact lens wearers, where lens use can exacerbate symptoms. Understanding the interplay between DED and contact lens wear is crucial for effective management and patient satisfaction.

Data Highlights

No numerical data available in the source material.

Key Findings

DED can lead to discomfort and lens dropout, with discomfort being the primary reason for discontinuation.
Contact lenses disrupt the tear film, potentially worsening tear film instability and increasing inflammation.
Lid wiper epitheliopathy (LWE) is present in 80% of symptomatic contact lens wearers and correlates with discomfort symptoms.
Meibomian gland dysfunction (MGD) can be exacerbated by contact lens wear, leading to increased tear evaporation.
Point-of-care metrics can aid in early detection of DED, helping to prevent progression and improve lens tolerance.

Clinical Implications

Practitioners should prioritize the management of DED in contact lens wearers to enhance comfort and prolong wear time. Tailoring lens selection and design based on individual ocular surface health is essential for optimizing patient outcomes.

Conclusion

Effective management of dry eye disease is critical for the success of contact lens wear. By addressing both the underlying causes of DED and optimizing lens choices, practitioners can improve patient comfort and satisfaction.

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