Dr. Karl-Erik Tillmann of KSA Silmakeskus delves into the complex nature of tear film disruption and explains how overnight contact lenses can provide daytime freedom from dry eye discomfort.
Struggling with itchy, red, and tired eyes is a daily frustration for millions, and this burden is often magnified for contact lens wearers. In fact, contact lens-induced dry eye is the leading cause for people giving up their lenses entirely. When faced with this discomfort, the instinct is often to reach for over-the-counter lubricating drops.
However, according to ophthalmologist Dr. Karl-Erik Tillmann, relying solely on drops is rarely enough. While they may temporarily mask the symptoms, they often fail to address the underlying mechanisms of the disease.
Understanding the Root Cause of Dry Eye
Dr. Tillmann stresses that Dry Eye Syndrome is a highly complex, multifactorial disorder rooted in the disruption of tear film homeostasis. It is a common misconception that dry eyes simply do not produce enough tears. Very often, the root of the problem lies in the quality of the tears, specifically concerning the lipid layer produced by the meibomian glands located in the eyelids.
When meibomian gland dysfunction occurs, this protective fatty layer is compromised, causing the underlying watery tears to evaporate far too quickly.
Orthokeratology: A Solution for Contact Lens Wearers
For patients whose dry eye symptoms are triggered or worsened by daytime contact lens wear, a specialized approach called Orthokeratology (Ortho-K) offers a brilliant alternative. Ortho-k involves wearing specially designed, highly oxygen-permeable contact lenses only while you sleep.
How Ortho-K Works and Lasts
How exactly does this work, and how long do the results last? Throughout the night, the ortho-k lenses gently and safely reshape the front surface of the eye (the cornea) to correct refractive errors like nearsightedness. Upon waking and removing the lenses, the patient can see clearly for the entire day without the need for glasses or standard daytime contacts.
The results are designed to last comfortably throughout the day; however, because this corneal reshaping is temporary, the patient must wear the ortho-k lenses regularly each night to maintain their daytime clear vision. By entirely eliminating the need to wear a contact lens during waking hours, ortho-k removes the primary daytime trigger for dryness, providing eyes the chance to remain naturally lubricated and significantly reducing contact lens-related symptoms.
Diagnostics: The Foundation of Treatment
Despite the benefits of ortho-k, Dr. Tillmann reminds patients that successful management of dry eyes must always begin with precise diagnostics. Before initiating any new treatment or lens-fitting, a thorough evaluation of tear film stability, the general condition of the ocular surface, and meibomian gland functionality is essential. This data drives a tailored, step-by-step treatment strategy aligned with international guidelines.
A Holistic Approach to Dry Eye Management
Ultimately, the most successful outcomes stem from a holistic, combined approach—which might seamlessly integrate overnight ortho-k lenses with targeted eyelid hygiene, warm compress therapy, customized drops, and regenerative procedural treatments like the non-invasive QMR technology found in Rexon-Eye.
© 2026 KSA Vision Clinic. All rights reserved.
