Allergic Conjunctivitis: Symptoms and Concerns - Ophthalmology

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Allergic conjunctivitis issues?


Hello, I previously visited an ophthalmologist due to itchy eyes and was diagnosed with allergic conjunctivitis.
Recently, I've been experiencing sudden, intense stabbing pain in my right eye, along with redness and tearing, making it difficult to open my eye, but it returns to normal after a few minutes.
I would like to ask if this is one of the symptoms of allergic conjunctivitis?

ABC, 20~29 year old female. Ask Date: 2019/03/25

Dr. Cai Wenyuan reply Ophthalmology


Hello, I apologize, but it may require an actual examination to know for sure.
Wishing you safety and health.
Sincerely, Dr.
Tsai Wen-Yuan, Director of the Ophthalmology Department, Taoyuan General Hospital, Ministry of Health and Welfare.

Reply Date: 2019/03/25

More Info


Allergic conjunctivitis is a common condition characterized by inflammation of the conjunctiva, which is the membrane that covers the white part of the eye and the inner eyelids. It typically occurs when the eyes come into contact with allergens such as pollen, dust mites, pet dander, or mold. The symptoms can vary in severity and may include redness, itching, tearing, and swelling of the eyes.
In your case, the sudden onset of a strong stabbing pain in your right eye, accompanied by redness and tearing, could indeed be related to allergic conjunctivitis. However, the intensity and nature of the symptoms you describe warrant further consideration. While allergic conjunctivitis typically presents with itching and redness, the acute stabbing pain and inability to open your eye may suggest the possibility of other underlying issues, such as a corneal abrasion, foreign body sensation, or even an acute episode of another condition like viral conjunctivitis or even a more serious condition like uveitis.

It's important to note that allergic conjunctivitis can sometimes lead to secondary complications, especially if the eyes are rubbed frequently or if there is significant inflammation. The presence of pain, especially if it is severe or persistent, should not be ignored. It is advisable to consult with an eye care professional for a comprehensive examination to rule out any other potential causes of your symptoms.
In terms of management, allergic conjunctivitis is often treated with antihistamines, either in oral form or as eye drops. These medications help to alleviate the itching and redness associated with allergies. In more severe cases, corticosteroid eye drops may be prescribed to reduce inflammation. Additionally, avoiding known allergens and using cold compresses can provide symptomatic relief.

If your symptoms persist or worsen, or if you experience any changes in vision, it is crucial to seek immediate medical attention. Eye health is vital, and timely intervention can prevent complications and ensure proper treatment.
In summary, while your symptoms may align with allergic conjunctivitis, the acute nature of the pain and other symptoms suggests that a thorough evaluation by an eye care professional is necessary to ensure an accurate diagnosis and appropriate treatment.

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