The short answer is yes. Sleeping and showering in contact lenses are two of the most common habits that put contact lens wearers at risk for eye infections and other complications. If you wear contacts, understanding why these habits are harmful and how to protect your eyes can help you avoid preventable problems.
Your corneas depend on a steady supply of oxygen and moisture to stay healthy. When you blink, your tears deliver oxygen and nutrients to the corneal surface. During sleep, your eyelids are closed and oxygen supply is already reduced. Adding a contact lens on top of that further restricts the amount of oxygen reaching the cornea.
This oxygen deprivation makes the cornea more vulnerable to infection and more susceptible to tiny scratches called corneal abrasions. Bacteria that would normally be flushed away by blinking and tear production can accumulate under the lens overnight, increasing the chance of a bacterial infection.
Unless your eye doctor has specifically prescribed extended-wear or overnight lenses and confirmed that your eyes are healthy enough to wear them while sleeping, you should always remove your contacts before bed.
Water from showers, pools, lakes, and even the tap is not sterile. It can harbor bacteria, fungi, and microorganisms such as acanthamoeba, which can cause a serious corneal infection called acanthamoeba keratitis. When contact lenses come into contact with water, microorganisms can become trapped between the lens and the cornea, creating an environment where infections can develop.
Additionally, water exposure can cause contact lenses to tighten against the eye, potentially leading to corneal abrasions. These small scratches give microorganisms an entry point into the cornea, further increasing infection risk.
Keratitis, an inflammation of the cornea, is one of the most common complications associated with water exposure while wearing contacts. Left untreated, keratitis can lead to scarring and permanent vision loss.
If you accidentally sleep in your contacts or expose them to water, watch for the following symptoms in the hours and days that follow:
If you experience any of these symptoms, remove your lenses immediately and contact your eye doctor. Eye pain, vision changes, or discharge that worsens should be evaluated the same day, as these can indicate an infection that needs prompt treatment to prevent complications.
If you wake up with contacts still in your eyes, do not try to remove them immediately if they feel stuck to the surface of your eye. Instead, blink several times and apply preservative-free rewetting drops or artificial tears to rehydrate the lens. Once the lens moves freely on your eye, gently remove it. Give your eyes a rest from contacts for the remainder of the day, and wear your backup glasses instead.
If your eyes remain red, painful, or blurry after removing the lenses, schedule an appointment with your eye doctor as soon as possible.
Following these straightforward practices can significantly reduce your risk of contact lens complications:
Good contact lens habits start with a proper fitting and personalized guidance from your eye doctor. If you have questions about safe contact lens wear, or if you are experiencing any discomfort or symptoms, our team at Insight Vision Optometry, Las Vegas is here to help Paradise area patients and contact lens wearers throughout the valley. Call 702-747-4070 or visit www.insightvisionlv.com to schedule your appointment.