Corneal Abrasions, Ulcers, and Infections: Why Costume Contacts Aren’t Worth the Risk

Posted by: Eye Health Northwest in General Eye Health on October 1, 2026

A pair of solid black eyes or a cat’s yellow slit pupils can turn a simple costume into something unforgettable, and colored contact lenses are usually the easiest way to get that effect. Millions of people reach for these lenses every October without a second thought about where they came from or whether they fit correctly.

The American Academy of Ophthalmology has designated October as Halloween Eye Safety Month, reminding people that decorative contacts can harm the eyes. Novelty lenses bought from costume shops, pop-up Halloween stores, or unregulated websites are a leading cause of the corneal damage that sends people to urgent eye care in the days after a party.

Why Is the Cornea So Easy to Damage?

The cornea is the clear, dome-shaped tissue covering the front of the eye, and it has no blood vessels. It receives oxygen directly from the air and from the tear film, which is one reason poorly made lenses cause so much trouble. 

Costume contacts are often manufactured with thicker plastic and less breathable material than prescription lenses, so they block oxygen from reaching the corneal surface. A cornea deprived of oxygen swells, and its surface cells become more fragile and prone to scratching from a lens that doesn’t match the eye’s curve.

How Do Costume Contacts Lead to Ulcers and Infections?

A scratch on the cornea, known as a corneal abrasion, creates an opening in the eye’s protective barrier. Bacteria from an unclean lens, a contaminated lens case, or unwashed hands can enter through that opening and multiply, sometimes progressing to a corneal ulcer within a day or two. 

Left untreated, an ulcer can permanently scar the cornea and, in severe cases, require a corneal transplant to restore vision. Cosmetic lenses sold without a prescription are considered medical devices under United States law, yet many are shipped from overseas manufacturers with no fitting, no sterilization instructions, and no guarantee of quality control.

What Are the Warning Signs of a Problem?

Redness that does not fade, eye pain, light sensitivity, blurred vision, or discharge after wearing any contact lens calls for prompt attention rather than a wait-and-see approach. These symptoms can appear within hours of putting in a poorly fitted lens, and a corneal infection can worsen quickly enough that you need a same-day eye exam. Anyone who slept in costume contacts, wore a pair borrowed from a friend, or noticed swelling around the eye should treat those symptoms with the same caution.

How Can Costume Contacts Be Worn Safely?

Getting fitted for contact lenses through a licensed provider is the only way to guarantee that a lens matches the curve and size of an individual eye. A proper fitting also comes with instructions for cleaning, storage, and safe wear time, all of which affect how much oxygen reaches the cornea during the hours a costume is worn. 

See an Eye Doctor Before the Costume Goes On

A costume built around dramatic contact lenses can still look striking without the guesswork of an unregulated purchase. Working with an eye doctor before Halloween gives you time for a proper fitting and an overall eye health check, rather than treating a corneal injury afterward. 

Schedule an appointment at EyeHealth Northwest in Portland, OR, today to talk through options for safe, comfortable costume contacts this season.


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18345 SW Alexander St,
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Aloha, OR 97003
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Glisan
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Portland, OR 97206
503 777-5546 see more
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2318 Portland Rd, Suite 300
Newberg, OR 97132
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Portland, OR 97209
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1306 Division St
Oregon City, OR 97045
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Peterkort
9555 SW Barnes Rd.
#100
Portland, OR 97225
(503) 227-2020 see more
Providence Portland
5050 NE Hoyt St., Suite 445
Portland, OR 97213
(503) 231-0166 see more
Providence St. Vincent
9135 SW Barnes Rd., Suite 961
Portland, OR 97225
(503) 292-0848 see more
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2501 NE 134th St, Suite 105
Vancouver, WA 98686
(360) 208-9472 see more
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10819 SE Stark St,
Portland, OR 97216
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12817 SE 93rd Ave, Clackamas, OR 97015
(503) 783-3300 see more
Tigard
15298 SW Royalty Parkway
Tigard OR 97224
(503) 227-2020 see more
Wilsonville
29250 SW Town Center Loop W
Wilsonville, OR 97070
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1002 N. Boones Ferry Rd.
Woodburn, OR 97071
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Denali Surgery Center
3500 NE John Olsen Avenue, Hillsboro, OR 97124
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13240 SW Pacific Hwy
Portland, OR 97223
(503) 639-6571 see more
EyeHealth Eastside Surgery and Laser Center
12050 SE Stevens Rd.
Happy Valley, OR 97086
(971) 206-6100 see more

Our Locations

Aloha
18345 SW Alexander St,
Suite A
Aloha, OR 97003
(503) 642-2505 see more
Glisan
6701 NE Glisan Street
Portland, OR 97213
(503) 255-2291 see more
Gresham
24601 SE Stark St.
Troutdale, OR 97060
(503) 255-2291 see more
Hillsboro
6111 NE Cornell Rd
Hillsboro, OR 97124
(503) 846-9400 see more
Lake Oswego
9 Monroe Parkway, Suite 160
Lake Oswego, OR 97035
(503) 636-2551 see more
Milwaukie
11086 SE Oak St
Milwaukie, OR 97222
(503) 656-4221 see more
Mt. Tabor
5935 SE Division St.
Portland, OR 97206
503 777-5546 see more
Newberg
2318 Portland Rd, Suite 300
Newberg, OR 97132
(503) 538-1341 see more
Northwest Portland
1955 NW Northrup St
Portland, OR 97209
(503) 227-2020 see more
Oregon City
1306 Division St
Oregon City, OR 97045
(503) 656-4221 see more
Peterkort
9555 SW Barnes Rd.
#100
Portland, OR 97225
(503) 227-2020 see more
Providence Portland
5050 NE Hoyt St., Suite 445
Portland, OR 97213
(503) 231-0166 see more
Providence St. Vincent
9135 SW Barnes Rd., Suite 961
Portland, OR 97225
(503) 292-0848 see more
Vancouver, WA
2501 NE 134th St, Suite 105
Vancouver, WA 98686
(360) 208-9472 see more
Southeast Portland
10819 SE Stark St,
Portland, OR 97216
(503) 255-2291 see more
Sunnybrook
12817 SE 93rd Ave, Clackamas, OR 97015
(503) 783-3300 see more
Tigard
15298 SW Royalty Parkway
Tigard OR 97224
(503) 227-2020 see more
Wilsonville
29250 SW Town Center Loop W
Wilsonville, OR 97070
(503) 582-0000 see more
Woodburn
1002 N. Boones Ferry Rd.
Woodburn, OR 97071
see more
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Denali Surgery Center

3500 NE John Olsen Avenue, Hillsboro, OR 97124
(503) 924-8701 see more

Westside Surgery Center

13240 SW Pacific Hwy
Portland, OR 97223
(503) 639-6571 see more

EyeHealth Eastside Surgery and Laser Center

12050 SE Stevens Rd.
Happy Valley, OR 97086
(971) 206-6100 see more