What Happens If You Wear Contact Lenses Past Their Replacement Date?

Keeping contact lenses past their replacement date raises the risk of discomfort and complications. What the date means, dailies worn twice, what to do now, the signs that need a call, the case and an expired prescription.

Published

By Michel Geha, O.O.D.

Illustration of a calendar page with one day circled beside a soft contact lens.

Keeping your contact lenses past their replacement date raises the risk of discomfort and complications, such as an infection of the cornea. Comfort is not enough: follow the prescribed schedule. If you went past the date, take your lenses out and open a new pair; if your eye is red or painful, call your optometrist.

What is a contact lens replacement date?

It is the point when a lens has to be thrown away and replaced with a new one. According to the Centers for Disease Control and Prevention (CDC), most soft contact lens wearers must replace their lenses on a schedule prescribed by their eye care provider: one day for daily lenses, 7 to 30 days for planned replacement lenses.

The American Academy of Ophthalmology (AAO) describes lenses that are replaced every day, every week, every two weeks or every month. Our article on daily vs monthly contact lenses compares these schedules.

Card: Your replacement date. Daily: one day only. Two-week: 14 days. Monthly: one month. As your optometrist sets it.
According to the CDC and the American Academy of Ophthalmology, lenses are replaced every day, every two weeks or every month, on the schedule your eye care provider sets.

What happens if you wear contact lenses too long?

The risk of discomfort and complications goes up. The CDC says that wearing contact lenses longer than the recommended replacement schedule can lead to eye discomfort or other complications. It adds that germs such as bacteria, fungi or amebae are more likely to invade the eye when lenses are worn for too long or not cared for correctly.

Those germs can cause microbial keratitis, an infection of the cornea that, in the most severe cases, can lead to blindness or a corneal transplant, according to the CDC. The CDC also notes that most complications can be easily treated when you get seen.

Card: Past the date. More discomfort. More complications. Germs get in more easily.
According to the CDC, wearing lenses longer than the replacement schedule can lead to discomfort or other complications, and germs invade the eye more easily.

Why replace a lens that still feels fine?

Because comfort does not tell you whether the lens is still good. The Canadian Association of Optometrists (CAO) says to wear your contacts only for the length of time recommended, even if they feel comfortable, and to remove, clean and disinfect them at the intervals prescribed. The AAO says to keep the schedule your eye doctor gives you for wearing and replacing your lenses.

Our article on how many hours a day you can wear contacts covers the same rule for daily wearing time.

Card: Comfortable is not the same as new. Even if they feel comfortable. Change them on the scheduled date. Keep the schedule from your exam.
The Canadian Association of Optometrists says to wear your lenses only for the length of time recommended, even if they stay comfortable.

Is it common to keep lenses too long?

Yes. In a University of Waterloo study published in 2011, 501 silicone hydrogel lens wearers from seven optometry offices were surveyed: two in three wore their lenses longer than the manufacturer recommended. Lens-related problems were more common among those who did not follow their optometrist's schedule.

In the United States, a CDC survey of about 1,000 wearers published in 2015 found that close to half said they had replaced their lenses later than recommended at some point.

Card: A Waterloo study, 2011. 501 contact lens wearers. 2 in 3 went past the date. More problems reported.
In a University of Waterloo study published in 2011, 501 silicone hydrogel lens wearers were followed: two in three kept their lenses longer than the manufacturer recommended, and problems were more common among those who did not follow their optometrist's schedule.

Can you wear daily contact lenses for two days?

No. According to the CDC, a daily disposable lens is used once: you throw it away each night and put in a new pair the next morning. Wearing it for more than one day may cause discomfort or other complications.

A daily lens is not designed to be cleaned and stored in a case for the next day. If you wear lenses once in a while, keep a supply of new pairs rather than reusing the same one.

Card: Daily lenses. A new pair every day. In the trash at night. Not a second day.
According to the CDC, a daily lens is thrown away at the end of each day; wearing it for more than one day may cause discomfort or other complications.

I went past the date: what should I do now?

Take your lenses out and switch to a new pair. The CDC says to replace your lenses as often as your eye care provider tells you. If you are out of new lenses, wear your glasses in the meantime, as the CDC advises always carrying a pair of glasses with you.

If your vision is blurred or your eye hurts, Health Canada says to take your lenses out right away and, if it does not go away within a few hours or gets worse, contact your eye care professional or go to the emergency department.

Card: Went past the date. Take the lenses out. Open a new pair. Any symptom? Call.
If you went past the date, take your lenses out and switch to a new pair. With blurred vision or pain, Health Canada says to take your lenses out right away and get checked if it does not go away.

Which signs mean you should call right away?

A red, irritated eye, pain that gets worse even after you take the lenses out, light sensitivity, sudden blurry vision, unusually watery eyes or discharge. These are the signs the CDC lists; it says to remove your lenses and call your eye doctor immediately.

The FDA adds not to put those lenses back in and not to throw them away: store them in their case and bring them, since your eye care professional may use them to find the cause. 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. Sensitivity to light.
The signs the CDC lists: a red, irritated eye, pain that gets worse, sudden blurry vision, sensitivity to light. Take your lenses out and call your eye care provider.
Card: A problem with your lenses. Don't put them back in. Keep them in the case. Bring them to your visit.
The FDA says not to throw away lenses that caused a problem: store them in their case and bring them, as they may help find the cause.

What about the case and the solution?

Replace the case at least every three months, according to the CDC and the AAO, and right away if it cracks or gets damaged. The CDC says to clean it with solution, let it dry upside down with the caps off, and never mix fresh solution with old solution.

The FDA says to throw out all the solution after each use and never to reuse or top it off. Our article on contact lens care goes through each step.

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.
After each use, let the case dry upside down with the caps off, unless its label says otherwise. Replace it at least every three months, and right away if it cracks or gets damaged.
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).
Empty the case and fill it with fresh solution every time, without topping off used solution. Tap water, even drinking water, is not sterile and should never touch your lenses.

What if my prescription has expired?

Have your eyes checked before you order. According to the Ordre des optométristes du Québec (OOQ), how long a prescription is valid is up to the optometrist's judgment and, for ophthalmic lenses, should normally not be less than one year. The FDA advises against ordering lenses with an expired prescription or stocking up right before it expires.

Our article on contact lens prescriptions explains what the numbers mean and how long a prescription is valid.

Card: And your prescription. It has an expiry date. No stockpiling before it expires. An exam to renew it.
Your prescription has a validity period set by the optometrist (OOQ). The FDA advises against stocking up on lenses right before it expires.

Where can you renew your contact 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, and your lenses' replacement schedule is set at the fitting. 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+.

Our page on contact lenses in Montréal covers fittings and trial lenses. For an up-to-date prescription, book an eye exam.

Card: At PrimeVision. Silicone hydrogel lenses. Trial often the same day. A follow-up a few days later. Optometrists and an optician.
At the PrimeVision clinic in Montréal: silicone hydrogel soft lenses, trial lenses often available the same day, and a follow-up a few days after the first fitting.

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

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