• Orthokeratology Lenses and Contact Fitting


    Question:

    I am a 17-year-old female. This morning, I removed my orthokeratology lenses (contact lenses worn only while sleeping, which then temporarily correct vision the day after) one of which had drifted to the inside corner of my eye. Naturally, my eye was bloodshot. However, the corner of my eye has remained bloodshot throughout the day, and feels irritated. Eye drops stung when I put them in (both the rewetting and the tear stimulation type); they do not usually sting for me. Additionally, when I tried crying, I found small spots of blood on the tissue (though no blood came out when I was not crying.) Is this serious, and should I go to my doctor? Or is it something that will clear up on its own?


    Answer:

    Correct fitting of all contact lenses, including orthokeratology lenses, are crucial for good comfort and function. If the lens does not stay centered or moves too much with blinking, your eye doctor may need to recheck the fit. Poorly fit contact lenses can increase the risk of corneal or conjunctival abrasions, eye infections, and subconjunctival hemorrhages. The symptoms you described sound like a subconjunctival hemorrhage, which is not serious. However, you should discuss your specific symptoms with your eye doctor to see if it is necessary to be reevaluated.


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