Contact lenses can cause or exacerbate dry eye symptoms due to changes in the pre-corneal tear film and decreased tear production. Several factors influence contact lens-related dry eye, including the water content and material of the contact lens. Higher water content lenses dehydrate more, reducing oxygen transmission and sensitivity of the cornea, leading to less tear production. Symptoms include dryness, irritation, and red eyes. Signs include corneal staining and lens surface dehydration. Management involves addressing any underlying conditions, optimizing the contact lens parameters like water content and material, using artificial tears, and punctal plugs for more severe cases.