Eye Irritation: Symptoms of Redness, Dryness, and Allergies - Ophthalmology

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Foreign body sensation in the eyes, dryness, and redness?


Hello, about two days ago, I suddenly experienced symptoms around my eyes similar to hives.
I have had similar situations in the past, but they usually resolved after a night or a few hours.
However, my eyes are still red and swollen, with a foreign body sensation, and I occasionally experience hives again, which causes bloodshot eyes.
I haven't rubbed my eyes, and since the onset of symptoms, my eyes also feel easily fatigued.
Since this situation is different from before, I would like to ask the doctor why this is happening.
Thank you.

I'm sorry, but it seems that, 10~19 year old female. Ask Date: 2020/08/09

Dr. Cai Wenyuan reply Ophthalmology


If symptoms persist, it is recommended to seek medical evaluation.

Reply Date: 2020/08/09

More Info


Hello! It sounds like you're experiencing a concerning set of symptoms related to your eyes, including redness, swelling, a sensation of foreign bodies, and possibly allergic reactions resembling hives. Let's break down these symptoms and their potential causes, as well as what you can do about them.


Understanding Your Symptoms
1. Redness and Swelling: These symptoms can be indicative of several conditions, including allergic conjunctivitis, which is an inflammation of the conjunctiva (the membrane covering the white part of the eye) due to allergens. Other possibilities include viral or bacterial conjunctivitis, or even a more severe condition like uveitis, which affects the middle layer of the eye.

2. Foreign Body Sensation: This feeling often accompanies dry eye syndrome or allergic reactions. In dry eye, insufficient tear production leads to irritation and discomfort. Allergies can also cause swelling and irritation, leading to a sensation that something is in the eye.

3. Hives-like Symptoms: The appearance of hives around the eyes suggests an allergic reaction. Allergens can trigger histamine release, leading to swelling and redness. This could be due to environmental factors (like pollen or dust), contact allergens (like cosmetics or skincare products), or even systemic allergies.

4. Bloodshot Eyes: The presence of blood vessels in the eye becoming more prominent can be due to irritation, inflammation, or increased blood flow in response to allergens or infections.

5. Eye Fatigue: This can be a result of prolonged exposure to screens, inadequate tear production, or the strain from trying to see clearly when your eyes are irritated.


Possible Causes
Given your symptoms, here are some potential causes to consider:
- Allergic Conjunctivitis: This is the most likely cause given your history of similar symptoms. It can be triggered by seasonal allergens, pet dander, or even certain foods.


- Dry Eye Syndrome: If your eyes are not producing enough tears, they can become dry and irritated, leading to redness and discomfort.

- Infection: While you mentioned that you have not been rubbing your eyes, infections can still occur and lead to similar symptoms.

- Contact Lens Use: If you wear contact lenses, improper hygiene or prolonged wear can lead to irritation and redness.


Recommendations
1. Avoid Allergens: If you suspect allergies, try to identify and avoid potential triggers. This might include staying indoors during high pollen counts or avoiding certain products that may irritate your eyes.

2. Artificial Tears: Over-the-counter artificial tears can help alleviate dryness and provide relief from irritation. Look for preservative-free options if you plan to use them frequently.

3. Cold Compress: Applying a cold compress to your eyes can help reduce swelling and provide comfort.

4. Consult an Eye Care Professional: Given that your symptoms have persisted longer than usual and are different from previous episodes, it's essential to consult an eye care professional. They can perform a thorough examination, possibly including tests for allergies, and provide a tailored treatment plan.

5. Avoid Rubbing Your Eyes: This can exacerbate irritation and introduce more allergens or bacteria.

6. Monitor Symptoms: Keep track of when your symptoms worsen or improve, as this information can be valuable for your healthcare provider.


Conclusion
Eye irritation can stem from various causes, and understanding your symptoms is crucial for effective treatment. Given your recent changes in symptoms, it’s advisable to seek professional medical advice to rule out any serious conditions and to receive appropriate treatment. Remember, your eyes are sensitive organs, and timely intervention can prevent further complications. Take care, and I hope you find relief soon!

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