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Swimming and Contacts, Not a Good Mix

swimming with contacts

Swimming and Contacts, Not a Good Mix UPDATED

It's the summer time at the Jersey shore and one of the most common questions I'm asked is, “Is it safe to swim with my contact lenses?”

The answer I give to my patients is “NO."  Do millions of people swim with their contact lenses? The answer is yes they do, but it is NOT a recommended activity.  There are several reasons why; some are comfort issues, others are far more sinister and potentially blinding.

The first reason not to swim with contacts in is that the pH and buffering of your tears is not that of plain water, and certainly not that of ocean or pool water.  Contact lenses, especially soft ones, are designed to do best in pH and buffers of solutions that mimic your natural tear film.   This pH difference is often why after you swim in a chlorinated pool your eyes tend to become red, burn or blur.  When pool water, or other water source, mixes with your tears the pH rapidly changes and there is a mini-chemical reaction occurring on the surface of your eye.  Now you add a contact lens to this mix and it prolongs the chemical mixing that occurs.  The actual contact lens will often swell due to the pH and buffer changes that are occurring and this swelling results in blurring of the vision.  When a contact lens swells it often tightens its fit onto your eye causing discomfort or even pain.  This is usually temporary until the volume of tears surpasses the volume of foreign water and the tears take over and the contact lens returns to its normal thickness, but the discomfort and blurring can last several minutes.

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The second reason is that you can lose your contacts under water. Contact lenses adhere to your eyes via a principle called capillary attraction.  Capillary attraction is when two surfaces are held together by a thin layer of liquid.  When your contact lens is placed upon your eye it is the tears that hold it there more than anything else.  Now if you go into a large body of water like a pool, ocean, etc. there is more water outside of your eye than the little layer between the contact and your eye and your contact lens floats out.  This can result in either a dislocated contact lens under an eyelid or a lost contact lens.  Since most people wear disposable lenses it may not be a big deal, however if they were the only pair of lenses you wore to the beach and your sunglasses are not prescription, you could have a difficult ride back home.

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The final and most important reason not to wear contacts while swimming is infection.  There are many different types of waterborne bacteria, viruses, fungi, and microorganisms.  Some may result in the typical types of conjunctivitis that is easily treated with antibiotics, but as with any infection you will have to stop wearing your contact lenses while you are being treated.  The two most difficult types of infections to treat are fungal infections and microorganisms/protozoans.  The reasons for difficulty in treatment is there are fewer options of treatment.  Fungal infections are notoriously difficult to treat and tend to require very long treatment times; these infections can lead to corneal scarring and sometimes permanently decreased vision.  The most dangerous type of infection is called Acanthamoeba.  This is a protozoa commonly found in soil and fresh water. If you happen to contract Acanthamoeba the infection commonly results in a painful eye, can ultimately cause blindness and the only course of treatment if that happens is to consider a corneal transplant.   The incidents of this infection are quite low – however, you do not want to be the type of person who contracts this infection because you swam in your contacts.  Organizations like the American Optometric Association (AOA), American Academy of Ophthalmology (AAO), and even the US Food and Drug Administration (FDA) all universally do NOT recommend swimming in any type of pool, lake, ocean or other body of water due to potential infection risks for contact lens wearers.

So with all those authorities advising against swimming with contact lenses, what are the options?  First, if your vision is not that bad you can just swim without your contact lenses and wear prescription sunglasses while on the beach. Second, if your prescription is significant they do make prescription swim goggles that can be worn while swimming.   Then once you have stopped swimming, switch over to prescription sunglasses for relaxing afterwards or consider putting your contact lenses on after you have done your laps.

One bright spot on the horizon for those who absolutely MUST swim in their contact lenses is that with the ever-growing use of daily disposable contact lenses, swimming in contacts is safer than for those who wear extended wear 2 week or monthly lenses. While there is still risk of potentially sight-threatening infection, those who dispose of their contacts after swimming see this risk dramatically decreased.

Please use extreme caution when swimming in contact lenses. For avid swimmers who have high prescriptions and cannot use prescription goggles, daily disposables are a must. However, most do just fine with either not wearing any prescription at all while in the water,

Click to see more of our Contact Lens Blogs.

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Friday, 21 January 2022

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