From the Guidelines
To minimize complications from contact lens use, individuals should follow proper hygiene and care routines consistently, as outlined in the most recent guidelines from 2024 1.
Key Recommendations
- Always wash hands thoroughly with soap and water before handling lenses to prevent introducing bacteria.
- Clean lenses daily with the appropriate solution recommended for your specific lens type—multipurpose solutions like Opti-Free PureMoist or hydrogen peroxide systems like Clear Care are common options, with hydrogen peroxide systems potentially offering superior pathogen reduction 1.
- Never use tap water or saliva on lenses, and avoid sleeping in contacts unless specifically designed for extended wear, due to the increased risk of corneal infections associated with overnight wear 1.
- Replace lens cases every three months and avoid "topping off" solution to prevent contamination.
- Adhere to the replacement schedule prescribed by your eye doctor, whether daily, bi-weekly, or monthly.
- Remove lenses immediately if you experience redness, pain, excessive tearing, light sensitivity, blurred vision, or discharge, as these may indicate an infection requiring prompt medical attention.
Additional Considerations
- Daily disposable contact lenses may significantly reduce the risk of microbial keratitis compared to planned replacement soft contact lenses and rigid gas permeable contact lenses 1.
- Travelers should be especially cautious with contact lens care, avoiding water exposure and considering prescription swimming goggles to minimize the risk of infection 1.
- Proper lens care maintains the health of your eyes while ensuring clear, comfortable vision with contacts, and individuals should consult their eye doctor yearly or as recommended for contact lens examination 1.
From the FDA Drug Label
Avoid Contact Lens Wear: Patients should not wear contact lenses if they have signs or symptoms of bacterial conjunctivitis. Avoid Contact Lens Wear: Advise patients not to wear contact lenses if they have signs and symptoms of bacterial conjunctivitis [see WARNINGS AND PRECAUTIONS ( 5. 3) ]. To minimize complications from contact lens use, individuals should:
- Avoid wearing contact lenses if they have signs or symptoms of bacterial conjunctivitis. This advice is based on the information provided in the drug labels for moxifloxacin ophthalmic solution 2, 2, and 2.
From the Research
Minimizing Complications from Contact Lens Use
To minimize complications from contact lens use, individuals can take several steps:
- Practice good hygiene by washing hands before handling contact lenses 3
- Clean and disinfect contact lenses regularly to prevent bacterial growth 4
- Avoid sharing contact lenses or lens care products to prevent the spread of infection 5
- Replace contact lenses as recommended by the manufacturer or eye care professional to prevent bacterial buildup 6
- Attend regular eye exams to monitor eye health and address any potential issues promptly 7
Common Complications and Prevention
Common complications from contact lens use include:
- Bacterial keratitis, which can be caused by poor hygiene or contaminated lens care products 3
- Endophthalmitis, a serious infection that can occur after cataract surgery or contact lens use 5, 7
- Toxic anterior segment syndrome, which can occur due to incorrect dosing of certain medications 6 To prevent these complications, individuals can follow proper lens care and handling procedures, attend regular eye exams, and seek medical attention promptly if symptoms occur.
Antibiotic Use and Resistance
The use of antibiotics, such as moxifloxacin and gatifloxacin, can help prevent infections associated with contact lens use 4, 7 However, the overuse or misuse of these antibiotics can contribute to antibiotic resistance, making them less effective against certain bacteria 3, 7 It is essential to use antibiotics only as directed by an eye care professional and to follow proper lens care and handling procedures to minimize the risk of infection.