When Dry Eye Meets Contact Lenses - Summary - MDSpire
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When Dry Eye Meets Contact Lenses

  • By

  • ELISE KRAMER, OD, FAAO

  • November 1, 2025

  • 18 min

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Objective:

To optimize contact lens success in patients with dry eye disease (DED) for eyecare practitioners.

Approach:
    Key Findings:
    • DED affects millions and can significantly impair quality of life.
    • Contact lenses may exacerbate symptoms of DED due to disruption of the tear film.
    • Successful contact lens wear requires effective management of DED.
    • Lid wiper epitheliopathy is common in symptomatic contact lens wearers.
    • Point-of-care metrics can help identify patients at risk for contact lens intolerance.
    Interpretation:

    Effective management of DED is crucial for successful contact lens wear, requiring a tailored combination of treatment and appropriate lens selection.

    Limitations:
    • Variability in individual responses to treatments.
    • Potential for misdiagnosis between evaporative and aqueous-deficient DED, particularly in mixed cases.
    Conclusion:

    Addressing DED before and during contact lens fitting, through tailored strategies, is essential for improving patient comfort and lens wear success.

    Sources:

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