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What is causing my painful and teary eye while using contact lenses?
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Eye & Vision Disorders
Question #30205
99 days ago
395

What is causing my painful and teary eye while using contact lenses?

Client_c677f8

Can you tell me for sure what is wrong with my eye? My eye is painful and it's very teary and it's very uncomfortable. I keep putting like moisturize drops. I have these Renu drops that are for lubricating and im also lens user and even putting on lens is very painful and irritating and I don't have much sensitivity to light. But if I am in too much light, like direct sunlight, then it is up. Putting in drops hurts aswell. At the same time like yesterday, I took my lenses off and then after a few hours after putting in some moisturizing drops, by night time i felt pretty normal and when I woke up it was completely normal there was no pain there was nothing and whenever i wear those lenses after a few hours the pain gets worse again, but it doesn't happen when I am wearing a different pair of lenses. Now my eye is constantly hurting.

How long have you been experiencing this eye pain?:

- 1-2 weeks

How would you describe the intensity of your eye pain?:

- Moderate — affects daily activities

Have you changed your contact lenses recently?:

- No, I've been using the same lenses

Do you have any other symptoms besides eye pain and tearing?:

- Itching or burning sensation

How often do you clean and care for your contact lenses?:

- Occasionally

Have you had any previous eye conditions or issues?:

- No previous issues

How does your eye feel after removing the lenses?:

- Still uncomfortable
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Doctors' responses

Hello dear See as per clinical history it seems eye infection Differential diagnosis includes allergic conjuctivitis It is better to wear full time lenses to avoid Excess strain Exposure Vision problems Infection Also prefer toric lenses for better safety and good health You should get routine tests done within one year for Accomodation Vision Accuracy For improvement take Zincovit multivitamin therapy onca a day for 1 month Limcee 500mg once a day for 1 month Orofer tablet for iron Absolute Dm once daily For Lasik surgery and tests please get in person consultation with opthalmologist for better clarity There may be requirement of Prism glasses Ambylopia Surgery

Regards

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Hello, thank you for sharing your concern. Your symptoms strongly suggest that the problem is most likely related to the contact lenses themselves rather than a deeper eye disease.

The fact that: - pain becomes worse with one particular pair of lenses, - another pair feels better, - the eye improved after removing the lenses, - and lens insertion is painful,

raises concern for: - contact lens irritation, - a scratched cornea (corneal abrasion), - dry eye with lens intolerance, - or early contact lens–related keratitis/inflammation.

Because you also have: - tearing, - burning, - pain with drops, - irritation, - and worsening discomfort,

you should take this seriously, especially since improper/occasional lens cleaning increases infection risk.

A contact lens–related corneal infection can sometimes begin without severe light sensitivity initially.

What you should do immediately: - STOP wearing that contact lens pair completely - Ideally avoid all contact lenses until fully evaluated - Use preservative-free lubricating eye drops/artificial tears - Do not sleep in lenses - Avoid rubbing the eye - Use glasses instead for now

You should arrange an eye examination (ophthalmologist/eye doctor) soon because they may need to: - examine the cornea with slit lamp/fluorescein stain, - check for corneal scratches, - ulcers, - or infection.

Seek urgent/emergency eye care IMMEDIATELY if: - vision becomes blurry, - strong light sensitivity develops, - pus/discharge appears, - pain rapidly worsens, - or you notice a white spot on the eye.

Do NOT continue forcing the painful lenses into the eye.

Final Advice: 1. Stop using the problematic contact lenses immediately 2. Use glasses and lubricating drops temporarily 3. Contact lens irritation or corneal injury is likely 4. Eye examination is recommended soon to rule out corneal infection/ulcer 5. Avoid sleeping in lenses and improve lens hygiene

Advice: Since the symptoms repeatedly worsen with a specific lens pair and improve after removal, the lenses themselves or a lens-related corneal irritation/injury are the most likely causes.

Feel free to reach out again.

Regards, Dr. Nirav Jain MBBS, D.Fam.Medicine

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Hello

Your symptoms strongly suggest irritation or inflammation related to the specific contact lenses you are currently using. Since the pain becomes worse with that pair of lenses and improves after removing them, possible causes include a damaged or dirty lens, protein buildup on the lens, poor lens hygiene, dry eye irritation, allergic reaction to the lens or solution, or a contact lens–related corneal abrasion or early infection.

Pain, tearing, burning, and discomfort when putting in drops or lenses are not normal and should not be ignored. Even without major light sensitivity, a scratched cornea or corneal infection can still occur, especially if lenses are overworn or not cleaned properly.

Stop using the current lenses immediately and avoid wearing contact lenses until your eye feels completely normal and has been checked by an eye doctor. Do not reuse the same pair. Use only preservative-free lubricating eye drops if needed and avoid redness-relief drops. If you have glasses, use them temporarily.

You should get examined by an ophthalmologist soon, especially because the pain is now continuing even without the lens. An eye exam with fluorescein stain may be needed to check for corneal scratches, ulcers, or infection. Seek urgent care immediately if you develop worsening pain, increased redness, pus/discharge, blurred vision, marked light sensitivity, or reduced vision.

Take care

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Hello Thanks for describing your symptoms in detail. Based on what you’ve shared, the most likely cause is contact lens–related irritation or allergy, possibly due to a problem with that specific pair of lenses. Here’s why:

- Pain, tearing, and discomfort that get worse with a particular pair of lenses but not with others strongly suggests the issue is with that pair (could be a scratch, protein buildup, or a reaction to the lens material or solution). - Improvement after removing the lens and using lubricating drops, then return of symptoms when using the same pair, further supports this. - No significant light sensitivity and normal feeling after rest make a serious infection less likely, but not impossible.

### What’s Most Likely Happening? - Lens Damage or Contamination: The lens may be scratched, torn, or contaminated with deposits or bacteria. - Allergic Reaction: Sometimes, the eye can develop an allergy to the lens material or the cleaning solution. - Dryness/Irritation: Overuse or improper cleaning can cause irritation.

### What You Should Do 1. Stop Using the Problematic Lenses: Discard that pair immediately. 2. Switch to Glasses or a Different, Clean Pair: Only use lenses that do not cause symptoms. 3. Continue Lubricating Drops: Use preservative-free artificial tears for comfort. 4. Avoid Wearing Lenses Until Eye Feels Completely Normal: Give your eye a break for at least a few days.

### When to See a Doctor - If pain, redness, or tearing persists even after stopping lens use. - If you develop vision changes, severe pain, discharge, or light sensitivity. - If both eyes become involved or symptoms worsen.

Contact lens–related problems can sometimes lead to serious infections (like corneal ulcers), so if symptoms don’t improve quickly after stopping lens use, see an eye doctor (ophthalmologist) as soon as possible.

Thank you

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👁️ Your contact lens is likely damaging your cornea Classic signs: pain, tearing, burning, drops hurt, sunlight bothers — and one specific lens pair causes it, but others don’t. Now your eye hurts even without lenses → corneal abrasion or early keratitis.

⚠️ What’s likely wrong:

· Damaged or dirty lens (invisible scratch or deposit) · Poor cleaning (“occasionally”) → bacterial or protein buildup · Corneal epithelial defect from that lens

🔴 STOP now – do not wear that lens pair ever again.

What to do today: ✅ Remove lenses immediately – keep them off for 48 hours ✅ See an eye doctor for fluorescein stain test (shows corneal damage) ✅ Use preservative-free artificial tears (not Renu drops – may irritate more) ❌ No sleeping, no swimming, no rubbing eye ✅ If pain worsens or vision blurs → go to ER (risk of corneal ulcer)

✅ Good news: Your other lens pair is safe – so problem is that specific lens + poor hygiene, not your eye permanently.

— Dr Nikhil Chauhan One bad lens can scar your cornea. Stop. Stain. Switch. Stay safe.

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Given your symptoms, it sounds like you may be experiencing a condition known as contact lens-associated irritation, or potentially even a mild form of contact lens-related keratitis. The fact that your eye feels normal when you take out your lenses and problematic when you wear a certain pair points to the lenses themselves being the issue. It could be that the lenses are damaged or not fitting properly, or that there’s some residue or allergens on them causing irritation. Here are a few steps you should consider: stop wearing the problematic pair of lenses immediately. Switch to glasses for a few days to allow your eyes to recover. The fact that moisturizing drops make things temporarily better suggests that your eyes might be drying out due to the poor lens fit or material, which can exacerbate irritation and pain. The lenses you’re using may not be the best for your tear film composition. Consider trying a different brand or type of contact lens, ideally those designed for dry eyes. This can be discussed with your eye care professional, who might also suggest switching solution brands if sensitivity or intolerance is involved. Always ensure lenses are properly cleaned and replaced according to schedule to prevent buildup of deposit or bacteria. If symptoms persist even with a new pair of lenses, or if you notice any changes in vision, increased redness, swelling, or light sensitivity, seek prompt evaluation by an optometrist or ophthalmologist. This will help rule out infections or more serious conditions that could impact your vision. Avoid self-medicating with over-the-counter drops continuously if symptoms don’t resolve; they might mask ongoing issues rather than treat them.

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Your symptoms strongly suggest contact lens–related eye irritation or possible Keratitis, especially since the pain worsens with one specific pair of lenses and you only clean lenses occasionally. Stop wearing those lenses immediately, avoid reusing that pair or case, use only preservative-free lubricating drops, and do not sleep in lenses until you are examined. Because contact lens infections can become serious and threaten vision, you should see an ophthalmologist/eye specialist urgently within 24 hours, especially if redness, worsening pain, discharge, blurred vision, or light sensitivity increases.

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