PREPARATION! Contact lens wearers are more prone to comfort issues with their eyes secondary to dry eye. The reason is because with a contact lens, the tear film on the eye is split into two (half of the tears go behind, and half go in front of the lens). To be successful, we need to get ahead of this issue and create a healthy environment so that contact lenses feel comfortable on the eye. I recommend all of my patients insert a drop of artificial tears in the morning when they wake up, and in the evening before going to bed. Before inserting contact lenses in the morning, prime the eyes by putting a clean washcloth under warm water and holding over closed eyes. This helps to get any debris off the lashes and also to open the oil glands in the lids which contribute to the tear film. Developing a strong routine for a healthy ocular surface will prepare you to be comfortable all day long in your contact lenses.