Best Contacts for Dry Eyes

Hearing “contact lenses” and “dry eyes” in the same sentence is nothing new. It’s estimated that 50% of contact lens wearers develop dry-eye symptoms.

Luckily, swearing off contacts altogether isn’t your only hope for relief from dry eyes. A different type of contact lens may be all it takes to soothe your symptoms.

So what are the best contacts for dry eyes? Start by visiting your eye doctor. They can identify underlying issues that might be causing your symptoms. They can also recommend next steps, perhaps including a new type of contact lens.

In the meantime, this guide will explore some of the best contact lenses for dry eyes. Plus, we’ll let you in on other things (besides new contacts) you can try to soothe and hydrate your eyes.

How Contact Lenses Affect Dry Eyes

For some people, it may seem that contacts cause dry eyes. For others (such as people suffering from dry eye syndrome), contacts may worsen the feeling of already-dry eyes. Contacts can definitely influence feelings of irritation and dryness. For example:

• Contacts may affect tear evaporation. Some contact lenses may make tears evaporate more quickly. This can cut down on the lubrication your eyes and lenses need.
• Contacts may block oxygen from getting to your eyes. Contact lenses may reduce the amount of oxygen reaching the eyes. This can cause mild corneal edema, resulting in irritation (like that dry-eye feeling), especially if you’ve been wearing your contacts for a long stretch of time.
• Contacts may leave deposits that make eyes feel dry. Debris and proteins can build up on contact lenses. This may make tears less effective in hydrating the lens. The parched lens and debris can then cause lid irritation and dryness.
• Contacts need moisture. To keep themselves hydrated, contact lenses may absorb moisture from your eyes. If making enough tears is a challenge for your eyes, they—and your lenses—may feel dry.
• Lens friction may increase. Because contact lenses can interfere with the moisture level in the eyes, friction may increase between both the lenses and your eyes and the lenses and your eyelids. This can further irritate the eyes and dry them out.

Types of Contact Lenses for Dry Eyes

For dry eyes, contacts should: 

1. Help your eyes stay hydrated
2. Make sure enough oxygen can pass through the lens to the eye

We’ve got the lowdown on how different types of contacts can do both of these.

Daily Disposable Lenses

If you suffer from dry-eye symptoms, your doctor might suggest daily disposable lenses, such as Scout by Warby Parker or ACUVUE® OASYS 1-Day. As the name implies, daily disposable lenses are worn once and then thrown away.

Because they aren’t worn repeatedly, single-use contacts will not be as prone to protein build-up. This may help decrease irritation and dryness. And wearing a new pair of contacts each day cuts down on the time you have to spend on contact lens care.

Contacts With a Lower Water Content

If you have dry eyes, your doctor might suggest contact lenses with a lower water content than your current contacts.

Why might a lower water content lens be better for dry eyes? Contact lenses with a higher water content need more moisture to keep from drying out. To stay hydrated, the lenses may “steal” moisture from your eyes, leading to dry-eye symptoms. Contacts with a lower water content need less moisture, making them less likely to dehydrate your eyes.

Soft Contacts Made With Silicone Hydrogels

Some soft contact lenses feature a hydrogel material that makes the lens soft. Silicone hydrogel lenses improve upon hydrogel lenses by allowing more oxygen to flow through the lens to the eye. This lets your eyes “breathe” better, helping them feel less irritated.

Scleral Lenses for Dry Eyes

Scleral lenses are a type of rigid gas-permeable (RGP) lens, or “hard” contact lens. This type of lens lets two to four times more oxygen get to your eyes than standard soft contact lenses do.

Scleral lenses are larger than standard contact lenses. Instead of sitting on your cornea (the film covering your eyeball) the way standard contact lenses do, scleral lenses sit on the whites of your eyes, arching over the cornea. This creates a dome filled with fluid that hydrates the eyes. Scleral lenses need to be custom-made, so fitting them is a more involved process.  However, they provide excellent vision—especially to irregular corneas—and in some cases are prescribed to treat severe dry eye.

Other Dry-Eye Remedies for Contact Lens Wearers

Aside from pushing for a different type of contact lens to relieve your dry eyes, your doctor might recommend a new lens care product.

Try a Different Contact Lens Solution

It might not be your contacts that are causing the dry eyes—it might be your contact solution. Some contact lens solutions contain preservatives that could irritate eyes and cause feelings of dryness. Alternatively, you might be using a solution that isn’t the best type for your contact lenses. Trying a solution with a different formula might do the trick.  If you wear monthly lenses, Clear Care (which is a hydrogen peroxide-based solution) can provide a deeper clean.

Use Rewetting Eye Drops

Certain rewetting eye drops for dry eyes (both over the counter and prescription) are safe for use with contacts. But before you try rewetting eye drops, check with your doctor to find out which drops are best for you and the type of contacts you wear.

To learn more about general treatments for dry eyes (for contact wearers and glasses wearers alike), check out our comprehensive dry eye treatment guide.

Can You Prevent Dry Eyes From Contacts?

Taking certain precautions with your contact lenses can help decrease risk factors for dry eyes. It can be hard to stick to a good contact lens routine every day. But for those who can’t use disposable lenses, these actions could help with dry eyes and also prevent other, more serious, conditions.

Clean Your Contacts Properly

Proper contact lens care is an important strategy for avoiding dry eyes. Make sure you’re following your eye doctor’s directions for how to clean your contact lenses, how to handle them, and how to store them properly.

Change Lenses as Directed

Wearing your contacts for too long can cause dry eyes. Also, long-term contact lens overwear can put excess strain on your cornea and may result in certain issues later on in life. To prevent this, be sure to stick to the wear schedule your eye doctor recommends. Unless they’re extended-wear lenses, contacts shouldn’t be worn when sleeping. It’s also recommended to switch to a new contact storage case at least every three months.

Give Your Eyes a Rest

In addition to taking proper care of your contact lenses, you should consider taking a break from wearing contacts every so often. Your doctor may suggest that you wear your contacts for fewer hours in the day in order to give your eyes a rest. In serious cases of dry eyes, they may recommend wearing glasses for a more extended period, like a few days or more.

Worried About Dry Eyes and Contacts? Contact Your Doctor

If you’re experiencing dry eyes with contact lenses (or even without them!), it’s time to get an eye exam. Only your eye doctor has the expertise to properly assess your dry eyes and determine the best plan to soothe and prevent dry eyes in the future.