Can You Shower, Swim or Use a Hot Tub With Contact Lenses?

Take your contact lenses out before a shower, a swim or a hot tub. What the AAO, the CDC and the FDA say about water, Acanthamoeba and tap water, and the signs that mean you should call.

Published

By Michel Geha, O.O.D.

Illustration of a shower head with falling water drops next to an open contact lens case holding two lenses.

No. The American Academy of Ophthalmology, the CDC and the FDA all say to take your contact lenses out before a shower, a swim or a hot tub. Tap, pool, lake and ocean water can carry germs, including an ameba called Acanthamoeba that causes a rare but serious infection of the cornea.

Can you shower with contact lenses in?

No, take them out first. The American Academy of Ophthalmology (AAO) says not to shower, swim, use a hot tub or do anything where water gets in your eyes while wearing contacts. The CDC, the US public health agency, says the same: keep contact lenses away from all water, and remove them before swimming or showering.

The everyday routine is simple: lenses go in after the shower, with clean, dry hands, and come out before a bath.

Card: take your lenses out before a shower, a swim or a hot tub.
The American Academy of Ophthalmology and the CDC say to take your contact lenses out before showering, swimming or using a hot tub.
Four icons reminding you to take your lenses out before sleeping, showering, swimming and using a hot tub.
Before sleeping, showering, swimming or a hot tub: your lenses go in their case.

Can you swim with contact lenses?

No. The FDA, which regulates contact lenses in the United States, says to remove your lenses before swimming, and notes there is a risk of eye infection from bacteria in swimming pool water, hot tubs, lakes and the ocean. Its list of things to avoid with contacts includes swimming in them.

To see well at the pool without contacts, ask your optometrist which options suit your vision.

Card: germs in all of these waters. Swimming pool, hot tub, lake, ocean.
According to the FDA, there is a risk of eye infection from bacteria in swimming pool water, hot tubs, lakes and the ocean.

What about hot tubs?

Same answer: take the lenses out first. The AAO and the CDC name hot tubs alongside showering and swimming, and the FDA lists hot tubs among the risky waters. The CDC notes that Acanthamoeba is also found in swimming pools, hot tubs and drinking water systems.

At the cottage or a hotel, take your lenses out before you get in and store them in their case, in fresh solution.

Why don't water and contacts mix?

Because water can carry germs to the cornea. According to the CDC, Acanthamoeba is an ameba that lives in water, soil and dust. Acanthamoeba keratitis, an infection of the cornea, is rare, but it is most common in people who wear contact lenses and, left untreated, can cause severe pain and permanent vision loss.

The CDC says wearing contact lenses while swimming, using a hot tub or showering may increase the risk of the ameba entering the eye. The FDA adds that tap and distilled water have been associated with this infection, which is hard to treat. It is treated with prescription medication, which is why a quick visit matters.

Card: Acanthamoeba. Lives in water, soil and dust. Also in pools and hot tubs. A rare infection of the cornea. Most common in contact lens wearers.
What the CDC says about Acanthamoeba, an ameba found in water, and the keratitis it can cause.

Can you rinse your lenses or case with tap water?

No. The FDA says not to expose your lenses to any water: tap, bottled, distilled, lake or ocean water. Health Canada says never to clean contact lenses with tap water or saliva.

Only solution touches your lenses. The CDC says to rub and rinse them with disinfecting solution, never to mix fresh and old solution, and to clean the case with solution. The AAO adds to let the empty case air-dry, open. Our article on contact lens care covers each step.

Card: never on your lenses. Tap water. Bottled or distilled water. Lake or ocean water. Saliva.
The FDA says not to expose your lenses to any water, and Health Canada says never to clean them with tap water or saliva.
Card: what touches your lenses. Disinfecting solution only. Case rinsed with solution. Case air-dried, open.
According to the CDC and the AAO, lenses and the case are cleaned with solution, never with water.
Three lens cases side by side. The first has been emptied and is being filled with fresh solution (blue check). In the second, the lens is still in the full case and solution is added on top of the old solution (red cross). The third, empty, is being filled from the tap (red cross).
Fresh solution in an emptied case every time; never topped off, never tap water.
An empty lens case lying upside down on a clean tissue, with its two caps off beside it. Below: replace the case at least every 3 months.
Rinse the case with solution, let it air-dry open, and replace it at least every 3 months (CDC).

What should you bring to the pool, the beach or on a trip?

Your glasses, your lens case, solution and spare lenses. Those are the supplies the CDC suggests packing when you travel, along with up-to-date glasses in case you have to take your lenses out.

The CDC also reminds travellers to remove their lenses before sleeping, showering or swimming. If you tend to doze off at the cottage after a swim, our article Can you sleep in your contact lenses? explains why nights matter too.

Card: in your beach bag. Your glasses. Your lens case. Fresh solution. Spare lenses.
The CDC suggests packing up-to-date glasses, a lens case, solution and spare lenses when you travel.

Which signs mean you should call an eye care professional?

An irritated, red eye, pain that gets worse even after you take the lenses out, light sensitivity, sudden blurry vision, unusually watery eyes or discharge. Those are the signs of microbial keratitis listed by the CDC, which says to remove your lenses and call your eye doctor immediately.

The CDC also says not to wear your lenses again until your eye doctor tells you to. Our urgent eye care page explains what to do first.

Card: take them out and call. A red, irritated eye. Pain that gets worse. Sudden blurry vision. Tearing, discharge or light sensitivity.
The signs of microbial keratitis according to the CDC: take your lenses out and call your eye doctor right away.

Where can you get contact lenses fitted 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 and has more than 4,000 frames in store, so you can have up-to-date glasses for pool or cottage days. RAMQ covers eye exams for children under 18 and adults 65+.

Our page on contact lenses in Montréal covers fittings and trial lenses. To choose between the two, read Glasses or contact lenses: which should you choose? And for an up-to-date prescription, book an eye exam.

Card: at PrimeVision. Silicone hydrogel soft lenses. More than 4,000 frames. Optometrists and an optician.
At the PrimeVision clinic in Montréal: silicone hydrogel soft lenses, more than 4,000 frames in store, optometrists and a licensed optician.

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

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