11 answers
The best thing really is to throw it away and open a new one, because even after rinsing it with saline solution you can't get rid of all the bacteria and particles that get stuck on the lens. The real danger is that the floor has invisible stuff on it - it's not just obvious dirt - and eye inflammations or infections are complications that aren't worth risking over a single contact lens.
I've had this happen to me before, and honestly the risk isn't worth it. The lens picks up bacteria, dust and other stuff from the floor that can infect your eye, even if it looks clean after you rinse it. If it falls, the best thing is to throw it away and use a new one - the cost of treating an eye infection is way worse than the price of a contact lens.
Don't use the lens if it fell on the floor. That's the golden rule, period. The risk is very real because the floor has bacteria, fungi, and particles that stick to the lens and won't come off with just a rinse. You can end up with a serious eye infection, like keratitis, which hurts a lot and can damage your vision.
The thing nobody really thinks about is that even if you rinse the lens with saline solution or even put it back in its case with fresh solution, the bacteria have already colonized its surface. It's not just visible dirt, it's microscopic organisms that have settled there. Your cleaning solution isn't strong enough as a disinfectant to get rid of everything.
If it fell, just throw it away. Contact lenses are like personal hygiene - it's not about wasting money for no reason, it's about not putting your eye at risk. If you want to save money, talk to your eye doctor to see if there's a promotion or buying in bulk that works out cheaper, but anything that hit the floor is done for.
People are being pretty extreme about it, but it's not really that simple. It depends on where it fell, honestly. If it fell on your kitchen floor that you just cleaned, that's way different from it falling on the street or a public bathroom floor. The thing is, even if you clean it with saline solution, you can't be 100% sure you've removed everything - and then the real risk is inflammation, infection, or even keratitis.
But like, if you rinse it really well with saline solution (not tap water, that makes it worse), put it in a clean case with fresh solution and watch your eye over the next few days, the chance of having a problem is pretty small in most cases. What really gets you is ignoring signs like redness, discomfort, or tearing - then you go to an ophthalmologist fast. Now, if you have spare lenses, honestly the easiest thing is to throw it away and use a new one, because then you're not worrying all the time about whether you're gonna get some annoying infection.
How long was the contact lens on the floor before you picked it up? Because that changes things quite a bit.
People are right to warn you about the risk, but I'll be more practical: if it dropped in your bedroom and you grabbed it in seconds, maybe you can save it. Now, if it was sitting there for a few minutes or dropped somewhere with a lot of foot traffic, then I'd honestly just throw it away. The problem is that the floor (even a "clean" one) has an absurd amount of bacteria, dust mites, and microscopic particles that stick to the lens and don't come off with just a quick rinse in saline solution. When you put the lens back in, all that stuff stays in direct contact with your eye, and then the risk of infection becomes very real.
Here's something nobody mentioned: if you're going to try to save the lens, it's not just about running saline solution on it. You need to wash it properly with the right contact lens solution, soak it for a few minutes (the longer the better), and then use it. But honestly, considering that a lens costs like 30 reais, it's not really worth risking an eye infection that could get pretty serious. If you have a spare, wear that one and throw away the one that dropped. If you don't have a spare, then yeah, try to clean it properly, but pay attention over the next few days to see if your eye gets irritated or tears up more than usual.
The thing is, the risk really depends on the context, but even so the safety margin is very small. The floor, regardless of how clean it looks, has invisible microorganisms - bacteria, fungi, even dust mites - that stick to the lens surface. When you rinse it with homemade saline solution (or worse, tap water), you can remove what's visible, but you don't eliminate the microscopic stuff. The lens is porous, so those particles get into the micro-fissures.
What nobody mentioned is that a lot of eye infections caused by contaminated lenses don't show up right away - they develop over days or even weeks. They start as mild discomfort, redness, and then get worse. If you let it progress, you could end up with a serious infection that affects your vision. It's not worth saving one lens when the cost of an inflammation or keratitis is way higher.
If it fell, honestly it'd be safer to just throw it away and open a new one. If you don't have a spare on hand, the solution is to wear glasses that day instead of risking it. It's more of a hassle, but it's a lot cheaper than an urgent appointment with the ophthalmologist.
I get the temptation to reuse it, but even if the floor looks clean, contact lenses accumulate microscopic particles and invisible debris that then sit directly against your eye for hours. The thing is, an eye infection is no joke - it can damage your vision if it's not treated in time. Plus, a contact lens costs way less than an eye doctor visit or treating an infection, so it's really not worth the risk even if it's just "this once."
The real thing nobody mentioned is that even if the floor looks clean, contact lenses have a porous surface that traps microscopic particles, and then they're in direct contact with your cornea - a super sensitive and vascularized spot. Rinsing with saline solution doesn't remove everything, and the risk of inflammation or infection a week later is basically gambling with your eye. If it fell on the floor, honestly, just throw it out and call it a day.
Forget about rinsing and reusing it, because even if it looks clean afterwards, the lens becomes porous and absorbs everything it picked up from the floor. Bacteria, fungi, dust particles - they get trapped inside and don't come out with just saline solution. The risk of infection is real and it can leave you with a red, painful eye or worse.
I had a situation where the lens fell in the kitchen, I rinsed it well and thought "ah, it should be fine", put it back in... Two days later I woke up with a burning eye and an annoying irritation that lasted a week. It wasn't worth saving a cheap lens just to end up with an inflamed eye. If it falls, the sensible thing is really just to throw it away and open a fresh one from the box.
It also depends on what type of lens - if it's daily disposable, like, it's not even worth cleaning because it basically costs the same as one or two coffees. If you wear monthly or yearly lenses and want to save it, at least take it out of your eye immediately, store it in a container with fresh solution and soak it for a few hours before using it again. Even then, you're taking a risk, but it's less risky than putting it in directly.
Even on a floor that looks clean, you can't see the bacteria and microscopic particles that stick to the lens - and an eye infection is no joke, it can leave you with lasting damage. If it's a soft lens, the risk is even higher because the porous material absorbs all that stuff. Better to throw it out and put in a fresh one than deal with pain, redness, or something worse later.
Don't put the lens back in without thinking it through twice. The folks above got it right to be worried, but it's not just about whether the floor looks visually clean or not - the problem is you can't tell what's there, invisible stuff. Fungi, bacteria, microscopic particles stick to the lens surface easily, and rinsing it with solution doesn't get everything off. The real risk is developing a corneal infection, which is expensive to treat and causes a lot of hassle. If it dropped, it's safer to just toss it and open a fresh one.
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