Halloween Contact Lenses: The Risks of Fancy-Dress Lenses and How to Wear Them Safely

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Every year in the first week of November, somebody comes in with a red, painful eye and a story that starts at a Halloween party. The lenses were cheap, they came from a market stall or a website, and they looked brilliant in the photos.

I have nothing against the look. Cat eyes, white-outs and blood-red irises are a big part of the fun. What worries me is how these lenses are bought and worn, because a contact lens is a medical device sitting on the surface of your eye, whether it corrects your vision or not.

Why a Lens With No Prescription Still Matters

  • Fancy-dress lenses usually have no power in them. They are often called plano or zero-powered lenses, and people assume that because they are not correcting anything, they are just a costume accessory. Your eye does not see it that way.

    • The lens sits on the cornea, the clear window at the front of your eye, which takes its oxygen from the air. A thick, heavily coloured lens can cut that supply.
    • A lens that has not been fitted can be too tight or too loose. Too tight and it grips the eye; too loose and it moves and rubs, which can scratch the surface.
    • The coloured layer on some cheap lenses is rough, or sits closer to the eye than it should.
    • Large lenses that cover the white of the eye are harder to put in, take out and clean than an ordinary soft lens.

What Can Go Wrong

  1. The British Contact Lens Association lists the problems linked to cosmetic lenses, and they range from the uncomfortable to the serious.

    • Scratches to the surface of the eye from a poor fit or rough handling.
    • Conjunctivitis and allergic reactions.
    • Swelling of the cornea from a lack of oxygen.
    • Corneal ulcers and infection. This is the one that matters. An infected ulcer can get worse within hours, and if it is not treated quickly it can leave a scar across the part of the eye you see through.

    Infection is rare when lenses are fitted properly and looked after. The risk rises sharply with the things that tend to happen at Halloween: lenses bought without a fitting, worn for too long, slept in, shared, or rinsed under the tap.

How to Wear Them Safely

If you want the look this year, this is how to have it without ending up in an emergency appointment.

  1. Get them fitted. A contact lens fitting checks that your eyes are healthy enough for lenses and finds one that sits properly. If you already wear lenses, tell us, because there may be a coloured version of a lens you already get on with.
  2. Practise before the night. Putting a lens in for the first time in a dark room, with face paint on, after a drink, is how scratches happen.
  3. Wash and dry your hands every time. Put the lenses in before your make-up and take them out before you remove it.
  4. Never let tap water, saliva or anything other than fresh solution touch the lenses or the case.
  5. Keep the wearing time short. A few hours for the party, not the whole weekend.
  6. Never sleep in them, and never share them, even with your best friend.
  7. Throw them away when the packet says to.

Signs You Need to Take Them Out and Ring Us

  • Pain, or a feeling that something is in your eye that does not go when the lens is out.
  • Redness that is getting worse rather than better.
  • Blurred vision that does not clear when you blink.
  • Light hurting your eyes.
  • A white spot on the coloured part of the eye.

Take the lens out, keep it and the case, and ring us that day. Do not put another lens in to see if it settles. If we are closed, NHS 24 on 111 will tell you where to go. I have written more about these warning signs in red eye: when to see your optician and in our guide to emergency eye care in Glasgow.

If You Normally Wear Glasses

Coloured lenses can be made with your prescription in them, so you do not have to choose between seeing and the costume. They need a fitting and a specification like any other lens, so book a couple of weeks ahead. The everyday options are explained in contact lenses in Glasgow: daily, monthly or Ortho-K, and if your normal lenses already give you trouble, read how to stop blurry vision while wearing contact lenses first.

Teenagers

Teenagers are the group most likely to buy lenses online and least likely to mention it. If yours wants coloured lenses for Halloween, bring them in for a fitting, and make sure they know to take them out the moment they hurt. Someone who has never worn lenses should not be learning on the night of the party. Our children’s eyecare page covers younger eyes more generally.

Make-up and Glitter

Glitter, face paint and false lashes cause their share of problems at this time of year too. Keep glitter well away from the lash line, use products made for use around the eyes, and take everything off before bed. If your eyelids are red and crusty afterwards, that is often blepharitis, which I have explained in what is blepharitis.

Book your comprehensive eye examination or eyewear styling consultation with
Mosspark Opticians today.

Frequently Asked Questions

They can be worn safely if they are fitted by an eye care professional, handled hygienically and worn for short periods. The risks, including scratches, infection and corneal ulcers, are much higher when lenses are bought without a fitting, worn for too long, slept in, shared or rinsed with tap water.

Under the Opticians Act 1989, zero-powered cosmetic contact lenses can only be sold by, or under the supervision of, a registered optometrist, dispensing optician or doctor. Selling them without that supervision is illegal, whether from a market stall, a fancy-dress shop or a website.

Yes. Coloured and effect lenses can be made with a prescription. They need a contact lens fitting so the lens sits correctly, and you should allow time for them to be ordered before the date you need them.

Take the lens out straight away and do not put another one in. If the pain, redness or blurred vision does not settle quickly, contact an optometrist the same day, or NHS 24 on 111 out of hours. Keep the lens and case, as they can help identify the cause.

A minor scratch to the surface of the eye usually feels much better within one to two days. If pain, redness or sensitivity to light get worse, or vision does not return to normal, the eye should be examined again, as infection or a deeper injury may need treatment.

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