Daily vs Monthly Contact Lenses: How to Choose

Daily lenses are worn for one day and thrown away; monthly lenses are cleaned and stored every night. Safety, care, overnight wear, switching types and who each one suits.

Published

By Michel Geha, O.O.D.

Illustration of seven small daily contact lens packs beside a lens case and a soft contact lens.

The difference between daily and monthly contact lenses is the replacement schedule. A daily lens is worn for one day and thrown away at night. A monthly lens is worn for up to a month, but it comes out and gets cleaned every night. The right choice depends on your eyes and on how you wear them.

What is the difference between daily and monthly contact lenses?

How long the lens lasts. According to the Centers for Disease Control and Prevention (CDC), a disposable lens, as the U.S. FDA defines it, is used once: on a daily schedule, you open a new pair every day and throw it away at night. Planned replacement lenses come out every night and are worn again for several days; their schedule runs from 7 to 30 days.

In between, there are also two-week lenses. The American Academy of Ophthalmology (AAO) counts all of them as daily wear lenses: you wear them while you are awake and take them out to sleep. Your optometrist sets the schedule that suits you.

Card: Three replacement schedules. Daily: thrown away each night. Two-week: cleaned each night. Monthly: cleaned each night.
According to the CDC, a daily disposable lens is used once. Planned replacement lenses, every two weeks or every month, are taken out, cleaned and stored every night.
One week compared on two rows. Daily: seven separate packs, one per day. Monthly: a single continuous bar with one lens at the start, and a case drawn at every night between the days.
The difference is the replacement schedule. With dailies, a new pair comes out of its pack each morning and goes in the trash at night. With monthlies, it is the same pair for the whole scheduled period, taken out, cleaned and stored in the case every night.

Are daily contact lenses safer?

They remove one source of risk: the case and the solution. According to a CDC report published in 2015, daily disposable wearers might have a lower risk of infection if they really throw their lenses away every day, since they use no case and no solution. The same report notes that many of them still used a case, sometimes with tap water.

A case-control study at Moorfields Eye Hospital in London, published in 2008 in the journal Ophthalmology, did not find fewer corneal infections among daily disposable wearers. It did find that vision loss was less common among them than among wearers of reusable soft lenses. So the hygiene rules apply to every type.

Card: Daily lenses and risk. No case, no solution. Infection risk is still there. Vision loss less common.
The CDC notes that daily disposable wearers might have a lower risk of infection if they throw their lenses away every day. A 2008 study at Moorfields Eye Hospital did not find fewer infections, but it did find less vision loss.

What care do monthly lenses need?

A cleaning every night, with the solution you were prescribed. The CDC says to rub and rinse your lenses with disinfecting solution, to put fresh solution in the case without mixing it with old solution, to let the case dry upside down with the caps off, and to replace it at least every three months.

The AAO adds that you should never wear lenses stored for 30 days or longer without disinfecting them again. Our article on contact lens care goes through each step.

Card: Monthly lenses, every night. Rub and rinse with solution. Fresh solution in the case. Case replaced every 3 months. Stored 30 days? Re-disinfect.
Care for reusable lenses, according to the CDC and the American Academy of Ophthalmology: rub, rinse, fresh solution, and a new case at least every three months.

Who are daily lenses for?

Often for people who wear contacts once in a while. According to the AAO, some ophthalmologists recommend daily disposable lenses if you only wear them occasionally: for sports, an evening out or a trip, a new pair comes out of its pack and goes in the trash at night.

They need little care, but they still have rules: according to the CDC, wearing a daily lens for more than one day may cause discomfort or other complications. A daily lens is not stored for the next day.

Card: Wearing them once in a while. Sports, an evening out, a trip. Dailies, suggested by some doctors. A new pair each time.
According to the American Academy of Ophthalmology, some ophthalmologists recommend daily disposable lenses for people who wear contacts only once in a while.

Who are monthly lenses for?

For people who wear their lenses regularly and keep a care routine every night. The CDC describes that routine for all reusable daily wear lenses: take the lenses out each night, rub and rinse them with solution, then store them in a clean case filled with fresh solution.

The replacement date matters as much as the cleaning. The CDC says that wearing lenses longer than the recommended schedule can lead to discomfort or other complications. Our article on how many hours a day you can wear contacts explains how to follow your schedule.

Card: Wearing them every day. A routine every night. A clean case. The replacement date kept.
Planned replacement lenses need a routine every night and a clean case, and they are replaced on the prescribed date.

Can you sleep in daily or monthly lenses?

No, unless your optometrist prescribed extended wear lenses. According to the CDC, daily wear lenses are not designed for overnight wear, and sleeping in them increases the chance of a serious eye infection. Extended wear lenses are worn from one to six nights or up to 30 days, depending on your eye care provider's evaluation.

In the Moorfields study, overnight wear clearly raised the risk of infection, whatever the lens type. Our article Can you sleep in your contact lenses? explains what to do if you fell asleep with your lenses in.

Card: What about overnight. Daily lenses: no. Monthly daily-wear lenses: no. Extended wear: if prescribed.
Neither daily lenses nor daily-wear monthly lenses stay in overnight. Only extended wear lenses, prescribed for it, allow that (CDC, FDA).

Can you switch from monthly to daily lenses?

Yes, with your optometrist. The CDC says to talk to your eye care provider before changing your contact lens type. According to the FDA, brands do not all have the same water content or shape, and the choice of lens should be based on an exam, not on a phone call.

A trial shows how the new lens sits on your eye and whether your vision stays clear. Our page on contact lenses in Montréal covers fittings and trial lenses.

Card: Changing lens type. Talk to your optometrist. Each brand has its own shape. A trial before you order.
The CDC says to talk to your eye care provider before changing your lens type. According to the FDA, brands differ in water content and shape.

What about water, showers and makeup?

The same rules for both types. The CDC says to keep lenses away from all water and to take them out before swimming or showering. The FDA adds that tap, bottled or distilled water should never be used on your lenses. Our article on showering and swimming with contact lenses has the details.

For makeup, the FDA advises putting your lenses in before your makeup, taking them out before you remove your makeup, and applying sprays such as hairspray or deodorant before you put your lenses in.

Card: No water, whatever the type. Not in the shower. Not in the pool. No tap water.
Daily or monthly, the CDC says to keep lenses away from all water, and to take them out before a shower or a swim.
Card: Makeup and lenses. Lenses in first. Makeup after. Lenses out before makeup comes off. Sprays before lenses.
The FDA's advice: lenses in before makeup, and out before you remove your makeup. Sprays such as hairspray go on before you put your lenses in.

Where can you try daily or monthly lenses in Montréal?

At PrimeVision, 9520 Boulevard de l'Acadie, Suite 222, in Montréal (Ahuntsic), optometrists and a licensed optician work under one roof. The clinic fits silicone hydrogel soft contact lenses only, as daily or planned replacement lenses depending on what suits your eyes. Most trial lenses are available the same day when in stock, otherwise in 2 to 5 business days, and the follow-up after a first fitting usually takes place a few days to a week later. RAMQ covers eye exams for children under 18 and adults 65+.

For an up-to-date prescription before a fitting, book an eye exam. If you are still deciding between the two options, read Glasses or contact lenses: which should you choose?

Card: At PrimeVision. Silicone hydrogel lenses. Trial often the same day. Otherwise in 2 to 5 business days. A follow-up a few days later.
At the PrimeVision clinic in Montréal: silicone hydrogel soft lenses, trial lenses often available the same day, otherwise in 2 to 5 business days, and a follow-up a few days after the first fitting.

Sources

This article is general information and does not replace an eye exam.

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