Allergic Conjunctivitis: Symptoms, Treatments, and Recovery - Ophthalmology

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Allergic conjunctivitis


Hello, doctor.
I would like to ask you about something.
For the past two months, I have started to feel uncomfortable when wearing contact lenses in my right eye, particularly on the upper part.
After a short while, I experienced a foreign body sensation, as if something was pressing against my eye, and the contact lens tends to shift upwards, causing significant discomfort.
Recently, I visited an ophthalmologist near my home.
He had me lean on a device and instructed me to look down while he manually lifted my upper eyelid to magnify the image on a screen.
On the screen, I saw small dots that resembled tiny blisters, which I normally cannot see unless magnified.
He prescribed me two types of eye drops: one is CROMO (2% eye drops) for allergic conjunctivitis, and the other is FOXONE (0.1% ophthalmic suspension, 1 mg/ml), which also resembles those small blisters.
Will that improve my condition? He mentioned that we would consider surgery later if necessary, which surprised me a bit.
However, he suggested I try these two eye drops first.
If it’s just a mild issue, how long will it take before I can wear contact lenses again?

Yi ge ren, 20~29 year old female. Ask Date: 2016/11/28

Dr. Gao Pilin reply Ophthalmology


Hello, a small particle is likely a follicle, which can occur during inflammation.
You have already been prescribed antihistamine eye drops and steroid eye drops, which should help improve the condition, and surgery should not be necessary.
If you are uncomfortable, you should stop wearing your contact lenses.
If you decide to start wearing them again, begin with short periods and gradually increase the duration.
The Ophthalmology Department at Puzi Hospital in Taiwan is open Monday to Friday from 8:00 AM to 12:00 PM and Wednesday afternoons from 1:00 PM to 4:30 PM.
Please note that online responses are for reference only; it is essential to seek medical attention at a healthcare facility if needed.
I hope to have the opportunity to assist you.
Dr.
Kao Pi-Lin

Reply Date: 2016/11/28

More Info


Allergic conjunctivitis is a common condition that occurs when the eyes come into contact with allergens, leading to inflammation and irritation of the conjunctiva, the thin membrane that covers the white part of the eye and the inner eyelids. Symptoms can vary in severity and may include redness, itching, tearing, swelling, and a sensation of grittiness or foreign body in the eye. In your case, the discomfort and the sensation of something pressing against your eye while wearing contact lenses could indeed be indicative of allergic conjunctivitis or another related condition.

The treatment for allergic conjunctivitis typically involves the use of antihistamine eye drops, such as the ones you were prescribed (CROMO and FOXONE). CROMO (Cromolyn sodium) is a mast cell stabilizer that helps prevent the release of histamine and other inflammatory mediators from mast cells, thereby reducing symptoms. FOXONE (Loteprednol etabonate) is a corticosteroid that can help reduce inflammation and provide relief from symptoms. These medications can be effective in managing the symptoms of allergic conjunctivitis, but it may take some time to see significant improvement.

Regarding your concern about the small, bubble-like spots observed during your eye examination, these could be related to several conditions, including allergic reactions, inflammation, or even changes in the conjunctiva due to prolonged contact lens wear. If these spots are indeed a result of allergic conjunctivitis, they may improve with appropriate treatment. However, if they persist or worsen, further evaluation may be necessary, and your eye doctor may consider additional treatment options, including the possibility of surgical intervention if deemed necessary.

As for wearing contact lenses, it is generally advisable to avoid them during the acute phase of allergic conjunctivitis until your symptoms improve. The duration of this period can vary depending on the severity of your condition and how well you respond to treatment. In many cases, patients can resume wearing contact lenses within a few days to a couple of weeks after starting treatment, but this should be determined based on your individual response and the advice of your eye care professional.

In addition to medication, there are several self-care measures you can take to alleviate symptoms and promote recovery:
1. Avoid Allergens: Try to identify and avoid the allergens that trigger your symptoms. Common allergens include pollen, pet dander, dust mites, and mold.

2. Cold Compresses: Applying a cold compress to your eyes can help reduce swelling and provide relief from itching and discomfort.

3. Artificial Tears: Over-the-counter artificial tears can help wash away allergens and provide moisture to the eyes.

4. Maintain Hygiene: Ensure that your contact lenses are clean and that you follow proper hygiene practices when handling them. Consider switching to daily disposable lenses if you continue to experience issues.

5. Consult Your Doctor: If your symptoms do not improve with the prescribed treatment or if you have concerns about the condition of your eyes, follow up with your eye doctor for further evaluation and management.

In conclusion, allergic conjunctivitis can be effectively managed with appropriate treatment and self-care measures. It is essential to communicate openly with your eye care provider about your symptoms and any concerns you may have regarding your condition and treatment options. With proper management, you can expect improvement in your symptoms and a return to comfortable contact lens wear.

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