4 Topic Commentaries

Contact Lens Dropout? Start With the Lids

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  Lauren Gormley, OD

  Optometry; Dry Eye and Ocular Surface Disease

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  Johns Hopkins University School of Medicine, Wilmer Eye Institute

  Treatment for evaporative dry eye focuses on ensuring that the meibomian glands, which open onto the eyelid margin, can let the oils out. There are over-the-counter lid hygiene products that can help balance the natural bacteria that live by the eyelashes and clear away any debris that builds up through the day.

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  Jason J. Nichols, OD, MPH, PhD

  Optometry; Dry Eye and Contact Lenses

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  University of Alabama at Birmingham

  But people have to be consistent and clean their eyes daily,

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  Karen S. DeLoss, OD, FAAO

  Optometry; Contact Lenses and Ocular Surface Disease

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  University of Michigan Health

  Dry eye is one of the most common reasons for contact lens drop out.

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  Roni M. Shtein, MD, MS

  Ophthalmology; Cornea and Ocular Surface Disease

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  Michigan Medicine, W.K. Kellogg Eye Center

  Inflammation of the eyelids, a condition called blepharitis, can accompany dry eyes. The eyelids can become irritated and itchy, and it can feel like you have sand in your eyes. This is closely related to meibomian gland dysfunction, where the glands in the eyelids do not produce enough oils. As a result, the composition of the tear film is unbalanced, and the eyes dry out.

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