Contact Lenses

By Gina White; reviewed by Dr. Arthur B. Epstein

Trying to decide whether to get contacts instead of glasses? Maybe you're sure you want contact lenses, but you can't decide what kind would be best for you. Let's take a look at the topics involved in your decision.

Contacts or Glasses?

"Men seldom make passes at girls who wear glasses." Ouch! That quotation comes from writer Dorothy Parker, who said it back in the 1920s. Even so, probably the main reason people choose contacts over glasses is that they don't like how glasses look, or they think no one else likes how glasses look.

Contacts have advantages other than appearance, though. They're great for people who play sports; who wants to miss a goal because her sweaty nose made her glasses slip down? Also, if you have a strong prescription, glasses can be pretty heavy on your face. Another pet peeve of glasses wearers is fogging: you're out doing something in the cold, come inside and suddenly you can't see.

You wouldn't want to be wearing eyeglasses if you were at the bottom of this heap. Contact lenses are a better choice for rough sports.

Contact lenses are a more convenient option than glasses for all types of athletes.
 

So what are the downsides of contact lenses? Lots of people think a lens can get behind the eye and be lost forever. That absolutely can't happen: there's no way for a contact lens to go behind your eye. Sometimes, they go up under your lid and can be a pain to get out, but that usually happens only if you've been rubbing your eye. The most common problem with contacts is dirt or dust getting in your eye; the lens can trap small particles in your eye, which can be itchy or painful. Putting in contact lens drops or removing the lens and rinsing it with solution will usually solve the problem.

Other problems with contact lenses tend to be caused by the people wearing them. If you don't clean your lenses often enough or properly, protein can build up on them (leading to itchiness, blurriness and lens movement) or you can get an infection. If you leave your lenses in longer than the doctor recommends, you can deprive your eyes of oxygen, which leads to problems with the cornea. If you share your contacts with others (a big no-no, but some kids let their friends try them on), you're risking major infection or disease.

It is possible, though not likely, that you could have a vision problem that would make contacts an unrealistic choice. Or, you might want to avoid them if you have a lot of problems with your eyes, such as infections or dryness.

As for cost, that varies. Sometimes glasses are cheaper, sometimes contacts. It really depends on which kind of each that you're considering. For example, daily disposable contact lenses are not likely to be less expensive than glasses. Ideally, most people should have both contacts and glasses (which can serve as a backup in case a contact lens is lost or eyes become dry).

Cost is not the only difference among contacts; here's some info about the varieties.
 

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Soft Contact Lenses

Most people who wear contacts wear soft ones. They're popular because they're easy to adjust to and comfortable to wear. Even people with sensitive eyes can usually wear them. If you plan to switch back and forth between your glasses and contacts, soft contacts are a good choice because your eyes need very little time to adjust (gas permeable lenses may require a longer adjustment period).

Page 2 of 2: Gas permeable contact lenses; wear and replacement schedules; cleaning; tints; specialty contacts

[Page updated November 2005]

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