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Summary

Long-term contact lens wear does not significantly impact the vestibulo-ocular reflex (VOR). This finding suggests that VOR assessments can be performed with or without contact lenses, though caution is advised.

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Area of Science:

Ophthalmology
Neuroscience
Vestibular System

Background:

Contact lenses are widely used, but their effect on vestibular function is not well understood.
Accurate assessment of the vestibulo-ocular reflex (VOR) is crucial for diagnosing balance disorders.

Purpose of the Study:

To determine if long-term contact lens wear affects vestibulo-ocular reflex (VOR) gain and suppression.
To investigate the influence of optical correction on VOR assessment outcomes.

Main Methods:

Twelve myopic adults wearing contact lenses daily participated.
VOR gain and suppression were measured using sinusoidal harmonic acceleration (SHA) and video head impulse tests (vHIT).
Testing was conducted with and without contact lenses, and pupil tracking accuracy was noted.

Main Results:

VOR gain increased with stimulus frequency, aligning with physiological expectations.
No significant differences in VOR gain or suppression were found between conditions with and without contact lenses.
Increased variability in VOR gain and occasional pupil tracking challenges were observed with contact lenses.

Conclusions:

Long-term contact lens wear does not significantly alter VOR gain or suppression.
Clinicians can test patients with or without contact lenses.
Caution is recommended during VOR testing with contact lenses due to potential tracking difficulties and increased variability.