Why an eye waters
Tears keep the eye surface wet and wash away particles. When something irritates the eye, it makes more. MedlinePlus lists common causes of watery eyes including allergies, blepharitis, a blocked tear duct, conjunctivitis, smog, chemicals or wind, something in the eye, a scrape on the eye, infection, and an eyelid turning in or out.[1]
One of the most common causes is dry eye: when the eye dries out and becomes uncomfortable, it responds by making too many tears.[1] So a watering eye can still be a dry eye.
With a scleral lens in, add the lens itself to that list.
Lens causes to check first
Take the lens out with clean hands and look at it in good light. Wearers commonly find:
- Debris or a hair under the lens. Rinse the lens, refill with a fresh vial of saline and reinsert.
- A bubble. A small bubble can make the eye water or burn. See filling solution and air bubbles.
- A reaction to the fill. Some wearers’ eyes water or sting for a while after insertion with one saline but not another, often linked to buffered or unbuffered fills. Change fill only with your fitter’s agreement. See the solution troubleshooter.
- Residue from cleaning. Cleaner or disinfecting solution not fully rinsed off can irritate. If you use hydrogen peroxide, make sure it was fully neutralized. See why do my lenses burn?
- A chip, crack or warp. Run a clean fingertip gently around the edge. A damaged lens can irritate the eye and shouldn’t be worn. See what to do if your lens cracks.
- The wrong eye. Check the markings. See right and left lenses mixed up.
Fit and wear causes
If the lens looks fine and the watering keeps coming back in the same eye, the cause may be how that lens sits:
- An edge that presses or lifts in one area can irritate the conjunctiva. Look for a red mark or ring there after removal.
- Overwear. Wearers often notice one eye reddening and watering after a long wear day, and some found a midday removal and refill helped.
- Change over time. Lenses that were comfortable for a long time can become watery, loose or blurry as they age or as the eye changes.
These are things your fitter needs to see, ideally late in the day while you’re wearing the lens.
Eye causes
If the eye waters with the lens out too, it may be the eye itself: dry eye, allergy, blepharitis, an infection, a scratch from a difficult insertion, or a tear duct problem. MedlinePlus advises contacting your provider for a scratch on the eye, painful red eyes, a lot of discharge, or long-term unexplained tearing.[1]
What wearers say
- Most one-eye watering has a simple cause. A rinse and fresh fill, a different saline, or a bubble-free reinsertion solved it for many.
- Persistent watering is a warning. Wearers who kept wearing a lens through constant watering in one eye sometimes found it was a damaged or warped lens, or an injury to the cornea, and wished they had stopped sooner.
- Indoor heating and wind make it worse. Several wearers noticed more watering in dry, heated rooms or windy weather.
What to ask your fitter
- Could my fill or cleaning products be irritating this eye?
- Can you check this lens for damage, deposits or a worn coating?
- Is the edge pressing or lifting anywhere on this side?
- Should I do a midday removal and refill on long days?
- Does this eye need a dry eye or tear duct check?
When to get help right away
MedlinePlus advises seeking help right away if chemicals get into the eye, if you have severe pain, bleeding or loss of vision, or if you have a severe eye injury.[1] The FDA lists excess tearing among the symptoms of eye irritation or infection that mean you should remove your lenses and contact your eye care professional.[2]
Common questions
My eye waters for a few minutes after insertion, then settles. Is that a problem?
Mention it to your fitter. Wearers often trace short-lived watering after insertion to the fill solution, a tiny bubble, or something on the lens. Trying a fresh vial, a careful rinse, or a different fill your fitter approves often helps.
Can my lens be in the wrong eye?
Yes, it happens. Right and left lenses can look identical. A swapped lens can feel and see wrong in both eyes, but some wearers notice it most in one. See our guide to right and left lenses mixed up.
Could it be my tear duct?
Possibly. MedlinePlus lists a blocked tear duct among the causes of watery eyes, along with eyelid problems, allergies, and dry eye. Your eye doctor can check, especially if the eye waters with the lens out too.
The watering only started after years of good wear. What changed?
Lenses age, warp, chip, and lose their coating, and eyes change too. Wearers whose comfortable lenses became watery, loose or blurry after a long time were usually advised to see their fitter, as the lens may need replacing.
