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Contact Lens Usage Guidelines for Long-term Use & Safety Concerns (15–20 years)

March 21, 2025

Introduction

Contact lenses are now a routine part of vision correction for millions of people worldwide. To correct refractive errors (myopia, hyperopia, astigmatism, or presbyopia) or enhance the cosmetic appearance of the eyes, contact lenses offer comfort, convenience, and unobstructed vision. However, extended contact lens wear (15–20 years or more) is linked with some safety concerns and hazards that must be acknowledged by the users.

While new contact lenses are designed with maximum safety and comfort, incorrect handling, poor personal hygiene, and long-term dependency on lenses may lead to severe eye complications, like corneal infection, dry eye, reduced oxygen level, and even blindness.

Learning About Contact Lenses and Types

Knowing about the different types of contact lenses and how they impact the eyes is essential before we learn the guidelines for extended use.

Soft Contact Lenses

  • Soft, pliable plastic material.
  • Allows transmission of oxygen via the lens to the cornea.
  • Compliant with day and continuous wear.
  • Used most often in conjunction with myopia, hyperopia, astigmatism, and presbyopia.

Rigid Gas Permeable (RGP) Lenses

  • Hard lenses with oxygen-permeability.
  • Provide sharp, clear vision for patients who have astigmatism or an irregular cornea.
  • Greater adaptation time needed but corrects vision in the long term more.

Extended Wear Contact Lenses

  • Constantly worn for nighttime or long hours (30 days).
  • Freely inhaled or drawn through, creating high chances of corneal infection and hypoxia.
  • Applying only with expert supervision.

Cosmetic or Colored Contact Lenses

  • Are used cosmetically to modify the color of the eyes.
  • Sourced either on a prescription basis or as Plano versions.
  • Based on care requirements similar to those for everyday contact lenses.

Why Long-Term Contact Lens Usage Needs Special Care

Usage of contact lenses for over 15–20 years demands excellent eye care and maintenance. The continuous use of lenses for over 15-20 years can cause:-

Corneal Hypoxia (Shortage of Oxygen Supply)

Contact lenses obscure the cornea, denying oxygen supply. Excessive use of lenses for over 15-20 years results in:-

  • Swelling of the cornea (edema).
  • Excessive risk of eye infections.
  • Reduced corneal sensitivity.

Contact Lens-Induced Dry Eye (CLIDE)

Long-term lens wearers develop Chronic Dry Eye Syndrome as a result of:-

  • Reduced tear production.
  • Increased evaporation of tears.
  • Desensitization of the cornea.

Corneal Neovascularization (Invasion of the Cornea by Blood Vessels)

If the cornea is starved of oxygen for a prolonged duration, new vessels may invade the cornea to bring oxygen. This can lead to:-

  • Disturbance in vision.
  • Permanent damage to the cornea.
  • Intolerance to contact lenses.

Increased Risk of Infections

Individuals who wear contact lenses over a long period of time are 4-5 times more likely to get bacterial, viral, or fungal eye infections if they:-

  • Sleep in lenses.
  • Use lenses beyond their expiration date.
  • Fail to observe good hygiene.

Long-Term Contact Lens Use Guidelines (15–20 Years)

For long-term contact lens use that is safe and healthy, follow these professional-approved guidelines:-

Practice Strict Hygiene

Excellent hygiene is the secret to long-term contact lens safety. Always do the following:-

  • Wash hands with soap and water prior to handling your lenses.
  • Always dry your hands with a lint-free towel prior to handling lenses.
  • Use only a recommended multipurpose solution to clean lenses.
  • Never handle lenses with tap water, saliva, or household solutions.

Avoid Sleeping with Contact Lenses On

Extended wear contact lens users should never sleep with contact lenses on except for extended wear as directed. Sleeping with lenses can:-

  • Reduce the oxygen supply to the cornea.
  • Complicate corneal infections 6-8 times.
  • Irritate, redden, and discomfort eyes.

In the event that you sleep in lenses unintentionally, remove them the following morning and get your eye doctor examined if:-

  • Your eyes become sore or red.
  • They acquire blurry vision.
  • Symptoms of watery or light-sensitive eyes.

Replace Lenses According to Prescribed Frequency

There are specific frequency replacement plans provided with contact lenses:-

  • Disposable daily lenses – Dispose after one day’s use.
  • Bi-weekly lenses – Replace after every 2 weeks.
  • Monthly lenses – Replace every 30 days.

Never overextend lens use beyond the specified duration, as this raises the chances of:

  • Lens contamination.
  • Eye infection.
  • Corneal ulcers.

Plan Regular Eye Check-Ups

If you have worn contact lenses for 15-20 years, you need to:-

  • Put in an eye check-up every 6 months.
  • Undergo a corneal health check-up once a year.
  • Check for any early symptoms of lens intolerance.

Regular follow-ups will help to detect early:-

  • Corneal hypoxia.
  • Dry eye caused by lenses.
  • Oxygen starvation damage.

Give Your Eyes a Respite from Lenses

Having your contact lenses on your eyes all the time for 15-20 years can exhaust your eyes.

  • Remove your lenses at least 2 hours prior to bedtime.
  • Relax your eyes once or twice a week using prescription glasses.
  • Steer clear of lens wearing with prolonged computer use to reduce dryness.

Avoid Water Contact with Lenses

Never expose your contact lenses to:-

  • Tap water.
  • Swimming pool water.
  • Shower water.

Water contains destructive microorganisms (Acanthamoeba) that create painful corneal infections, leading to permanent vision loss at times.

Avoid Dry Eyes with Artificial Tears

People wearing contact lenses for extended periods are most likely to develop dry eye syndrome. To maintain your eyes’ moisture:-

  • Preservative-free artificial tears should be applied 2-3 times a day.
  • Frequent blinking during screen work.
  • Drink adequate amounts of water.

Possible 15-20 Year Risks of Contact Lens Usage

Despite proper practices, prolonged usage of contact lenses for 15-20 years may lead to:-

Corneal Scarring or Opacity

Long-term usage of lenses may cause micro-corneal abrasions, which lead to:

  • Permanent corneal scarring.
  • Deterioration in vision.

Reduced Oxygen Flow (Hypoxia)

With 20 years of wearing lenses, oxygen supply to the cornea decreases, which results in:

  • Corneal swelling.
  • Bleeding vision.

Contact Lens Intolerance (CLI)

After 15-20 years, intolerance to lenses is developed by some wearers, which implies:

  • Continuous discomfort with lenses.
  • Pain, dryness, and redness.
  • Frequent infection.

In these cases, laser vision correction (LASIK/SMILE) can be recommended.

Conclusion

15-20 years of contact lens use require maximum precautions and regular monitoring to prevent long-term complications. After following proper hygiene, lens replacement at the right time, and regular eye check-ups, you can have your eye health and clear, comfortable vision for a lifetime.

If you experience any redness, irritation, blurred vision, or infection, consult your eye specialist as soon as possible. Contact lenses can be safely used in the long term but responsibly.

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