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The Florida Society of Ophthalmology

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Ophthalmologists Warn of Five Frightening Risks of Wearing Contact Lenses Without a Prescription

Florida Society of Ophthalmology and the American Academy of Ophthalmology share patient stories, urge Halloween revelers to avoid over-the-counter lenses

JACKSONVILLE, Fla. (October 25, 2017) – Zombie or devil contact lenses may elevate a Halloween costume’s fright factor, but wearing them without a prescription could result in something far more terrifying – blindness. The Florida Society of Ophthalmology joins the American Academy of Ophthalmology in urging Halloween shoppers to understand the risks of wearing over-the-counter contact lenses. 

While it is illegal to sell non-prescription contact lenses, they can still be easily purchased at many places such as beauty supply stores, costume shops and on the web. Falsely advertised as “one-size-fits-all” or “no prescription necessary,” these lenses can cause serious eye damage. One girl became partially blind in her left eye, the top layer of her cornea having been ripped off, after a mere four hours of wearing non-prescription contact lenses she bought at a jewelry booth.

Ophthalmologists – the physicians and surgeons that specialize in medical and surgical eye care – are reminding people of five frightening consequences of ignoring the warnings: 

  1. Scratches to the eye – If contacts are not professionally fitted to your eye, they can scratch the clear front window of the eye. This is called a corneal abrasion, which is not only painful, but can cause permanent damage. Just ask Laura Butler, who was in severe pain due to corneal abrasions 10 hours after putting in non-prescription lenses, which “stuck to my eye like suction cups.” Treatment often involves medication and patching, but in some cases damage cannot be reversed. Butler now lives with a corneal scar, vision damage and a drooping eyelid.
     
  2. Infection – Research shows wearing non-prescription contacts increases the risk of an infection called keratitis by 16 times.  Early treatment with antibiotic or steroid drops may preserve vision, but sometimes surgery, such as corneal transplantation, is necessary. Robyn Rouse had to have that surgery after she got an infection after wearing non-prescription lenses she bought at a local store. Twelve years later, she still has blurry vision in her left eye and uses daily drops to combat dry eye.
     
  3. Pink eye – Never share contacts because doing so can spread germs, causing conditions such as pink eye. Highly contagious, pink eye treatment depends on the cause, but typically includes antibiotic drops.
     
  4. Decreased vision – Whether from a corneal scratch or infection, wearing non-prescription contacts can lead to decreased vision.
     
  5. Blindness – It’s no scare tactic: wearing non-prescription contacts can lead to permanent vision loss. Julian Hamlin has had more than 10 surgeries and is now legally blind in his left eye after wearing contacts to change his eye color, a mistake he’ll live with forever.

“One night of the perfect Halloween costume isn’t worth risking your vision,” said Thomas L. Steinemann, M.D., a clinical spokesperson for the American Academy of Ophthalmology. “If you must have contact lenses to complete your costume, avoid over-the-counter ones at all costs. Protect your vision by getting prescription lenses from an eye health professional.”

“It is important to remember with all the fun and excitement around Halloween, that we not do anything potentially dangerous,” said Sarah Wellik, M.D., FSO Board Member and Associate Professor of Clinical Ophthalmology at the Bascom Palmer Eye Institute, University of Miami Miller School of Medicine. “Ophthalmologists strongly recommend against using any costume related contact lenses. They are known to cause ocular infections and scarring –in some people this has caused irreversible damage to the eye.”

The Academy encourages the public to watch and share its “No Prescription, No Way” public service announcement that shows the serious damage that these non-prescription costume contact lenses can inflict on the eyes.

Visit the Academy’s EyeSmart® website to learn more about contact lens safety.

To find an ophthalmologist in Florida, visit mdeye.org.

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1Sauer, A., & Bourcier, T. 2011. Microbial keratitis as a foreseeable complication of cosmetic contact lenses: A prospective study. Acta Ophthalmologica 89 5, pp. e439-e422. DOI:10.1111/j.1755-3768.2011.02120.

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