Debunking Myths: Sleeping in Contacts and Other Common Questions

As a first-time contact lens wearer, everything from mastering the art of not poking your eye to choosing which type of lens to buy can be overwhelming.

For seasoned wearers, wearing and caring for contact lenses might be tasks that you’ve put on autopilot, just like brushing your teeth. It’s not until you realize that you’re out of solution or that your vision has suddenly gotten blurry that you even think about them.

Whether you're a newcomer or a long-time wearer, questions about wearing contacts are inevitable. Here are some common queries about contact lenses:

• Can I sleep in my contacts? Can I take a nap with my contacts in?

  You might have heard anecdotes of people sleeping in contacts without issues, but it's crucial to follow your doctor's advice rather than rely on others' experiences. Unless your contacts are specifically approved for overnight wear, sleeping with them can pose significant risks.

  Upon waking, you might experience dryness or feel your contact lens stuck to your eye. Beyond discomfort, sleeping in contacts reduces oxygen flow to your cornea, potentially leading to ulcers that can permanently damage your vision. Long-term risks include conjunctivitis, acute red eye, and corneal neovascularization.

  The National Sleep Foundation reports a sevenfold increase in inflamed corneas from occasional overnight wear, while the American Academy of Ophthalmology warns of a six to eightfold higher infection risk, even with infrequent overnight use.

• Can I wear extended-wear contacts overnight?

  Extended-wear contacts are designed for overnight use, ranging from one to six nights or up to 30 days. While they're safe when worn and maintained correctly, continuous overnight use increases infection risks. All contact lenses, including extended-wear types, are FDA-classified medical devices requiring strict adherence to care instructions.

• How do I put in my contacts?

  Inserting contacts is straightforward but requires careful steps. Wash hands thoroughly, inspect the lens for damage, and place it on your fingertip. Use a mirror to position the lens on your eye, ensuring it's centered and comfortable. Properly storing your lenses afterward is crucial for hygiene.

• How do I take out my contacts?

  Wash hands, look in a mirror, and gently pull down the lens to remove it. Storing contacts in fresh solution for the recommended duration keeps them clean and ready for reuse.

• I can’t get my contacts out. What do I do?

  If a contact feels stuck, avoid excessive force. Use saline or rewetting drops to hydrate the lens, gently massaging the eyelid until the lens moves freely. Persistent difficulty warrants professional assistance.

• Can I put my contacts in water?

  Never store contacts in water as it harbors organisms causing infections like Acanthamoeba keratitis. Improper storage can alter lens shape, scratch the cornea, and increase infection risks.

• Why are my contacts blurry?

  Blurry vision can result from lens overuse, prescription changes, dirt, or infections like Acanthamoeba keratitis. Promptly consult your eye care provider for persistent issues.

• Can I wear old contacts if I find them?

  Expired soft lenses risk contamination from broken seals and solution, potentially causing infections. Rigid gas permeable lenses, however, can be stored longer without these risks.

• Can I switch contact lens brands without a new prescription?

  Prescription adherence is crucial; consult your eye care provider before switching brands unless identical lenses are available under different names.

As you wear contacts, more questions may arise. Consult reputable sources like the American Optometric Association for reliable information. If considering contacts, schedule a contact lens eye exam with your eye doctor to determine suitability and obtain a prescription.