Scary Eyes: 7 Safety Tips For Halloween Contacts

As Halloween approaches each year, the FDA ramps up warnings about unapproved decorative contact lenses, which pose serious risks to eye health if used improperly. Decorative contacts can enhance costumes by changing eye color or adding dramatic effects, such as cat eyes, spirals, or other unusual designs. But using these lenses without a prescription and proper care can lead to severe consequences, from infections to potential vision loss.

To make your Halloween safe and enjoyable, here’s a comprehensive guide on the dangers of unapproved lenses and the steps you should take if you’re interested in using decorative contacts.

Why Decorative Contact Lenses Are a Concern

According to James Saviola, an Ophthalmic and Ear, Nose, and Throat Devices Network Leader at the FDA’s Center for Devices and Radiological Health, the main problem with decorative lenses isn’t that people use them—it’s that they often buy and use them improperly. Unlike regular Halloween accessories, such as wigs or makeup, decorative contact lenses are regulated medical devices and require a prescription. Using them without professional guidance can introduce a range of eye injuries and complications.

The Risks of Unapproved Lenses

Buying decorative lenses from beauty stores, flea markets, convenience shops, or online vendors that do not require a prescription can be tempting, but it poses significant risks. The lack of professional oversight when purchasing unregulated lenses can lead to:

• Corneal Ulcers: Painful, open sores that form on the cornea and, if untreated, may cause blindness.
• Corneal Abrasions: Scratches on the eye surface that can become infected and lead to further complications.
• Infections: Unregulated lenses are often made from materials that can trap bacteria, increasing the risk of eye infections.
• Vision Impairment or Blindness: Severe infections or untreated injuries can lead to lasting vision damage or total loss.

Legal Requirements: Prescription Needed

Decorative lenses, even if they don’t correct vision, must be obtained with a valid prescription. These non-corrective lenses—sometimes called plano, zero-powered, or simply decorative contacts—are regulated by the FDA as medical devices, just like corrective contact lenses. This means that a licensed eye care professional must evaluate your eyes and provide a prescription that matches your exact eye shape and needs. Since each person’s eyes are different, wearing lenses that don’t fit well can cause irritation or even injury.

Tips for Safe Decorative Contact Lens Use

If you’re set on using decorative contact lenses for Halloween or any other occasion, follow these important guidelines:

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1. Get a Professional Eye Exam

Even if you feel that your vision is perfect, it’s essential to see an eye care professional for a proper fitting. Eye health isn’t just about vision clarity—it’s also about ensuring that lenses won’t damage your eye surface or cause irritation.

2. Obtain a Valid Prescription

A prescription is not only a legal requirement but also ensures you’re getting lenses that are safe and appropriate for your eyes. The prescription should include the brand, lens material, base curve, diameter, and power (even if it’s zero) to ensure a safe fit.

3. Purchase Lenses from Reputable Vendors

Only buy decorative contacts from licensed vendors who require a prescription. Avoid sellers that don’t ask for prescription details, as they may be providing substandard or counterfeit products that aren’t FDA-approved.

4. Follow Proper Cleaning and Care Instructions

Improper lens care is a common cause of eye infections. Always follow the manufacturer’s instructions and recommendations from your eye care provider for cleaning and disinfecting your lenses. Use fresh contact lens solution each time—never reuse or top off old solution—and avoid using water or saliva to clean lenses.

5. Limit the Duration of Wear

While it can be fun to wear your decorative lenses all day and night, it’s important to follow recommended wear times. Most decorative lenses are not designed for extended wear and can deprive your eyes of oxygen, leading to dryness, irritation, and a higher risk of infection.

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6. Schedule Regular Follow-up Appointments

If you plan to wear decorative lenses more than occasionally, regular eye check-ups are crucial. Even with safe usage, lenses can sometimes cause changes to the eye surface, which an eye professional can detect early.

Recognize and Act on Warning Signs

Knowing the symptoms of an eye infection or other lens-related issues is essential. If you experience any of the following, remove your lenses immediately and consult a healthcare professional:

• Redness
• Pain or discomfort
• Blurry vision
• Sensitivity to light
• Discharge from the eye

Any eye infection or injury should be treated as an emergency to avoid lasting damage.

Reporting Problems with Decorative Lenses

If you encounter issues with decorative lenses, the FDA encourages consumers to report them. This helps monitor and manage potential risks associated with unregulated products on the market. Here’s how you can report:

• Local FDA Office: File a complaint with your nearest FDA consumer complaint coordinator. Visit the FDA’s website for contact information.
• MedWatch Program: Adverse reactions or quality problems can also be reported through the FDA’s MedWatch Program.

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Extra Tips for Choosing Safe and Comfortable Decorative Contacts

1. Avoid Sharing Lenses: Never share your decorative lenses with friends or family members, as this can spread bacteria and lead to infections.
2. Steer Clear of DIY Modifications: Modifying lenses at home, like adding color or reshaping, is extremely dangerous and can cause irreversible damage.
3. Check Expiration Dates: Contact lenses have an expiration date, which you should adhere to. Using expired lenses increases the risk of bacterial growth and infections.
4. Opt for Shorter Wear Times if You Have Sensitive Eyes: If you have a history of dry eyes or sensitivity, limit the time you wear decorative lenses and use lubricating eye drops (approved for use with contacts) as recommended by your eye care professional.

While decorative lenses can add flair to your Halloween costume, it’s vital to prioritize your eye health. With an eye exam, a proper prescription, and diligent care, you can safely enjoy this fun accessory. The FDA’s warnings serve as a reminder that when it comes to eye health, there’s no room for shortcuts.