Eye Allergies: Treatment and Duration for Relief - Ophthalmology

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Eye allergies, also known as allergic conjunctivitis, can cause significant discomfort, including itching, redness, and tearing. The symptoms you are experiencing, which began with mild itching and escalated to severe itching leading to scratching, are common in allergic reactions. The medications prescribed by your eye doctor, Antazoline Hydrochloride combined with Tetrahydrozoline Hydrochloride, and Fluorometholone, are designed to alleviate these symptoms and reduce inflammation.


Duration of Treatment
In general, the duration for which you should continue using the eye drops depends on the severity of your symptoms and the underlying cause of your allergy. Since you mentioned that you also have hives (urticaria), it is likely that your eye allergy is related to a systemic allergic reaction. Here are some guidelines for your treatment:
1. Continue Using the Eye Drops: You should use the prescribed eye drops as directed—four times a day. It is important to follow your doctor's instructions closely. Typically, you can continue using the eye drops until your symptoms subside significantly.

2. Monitor Symptoms: You can stop using the eye drops when your eyes no longer feel itchy or irritated. However, if your symptoms persist beyond a week or worsen, you should return to your eye doctor for further evaluation.
3. Consider the Urticaria: Since your eye allergy may be linked to the hives, it is essential to manage both conditions. If the hives resolve, your eye symptoms may also improve. However, if the hives persist, it may be necessary to continue the eye drops until both conditions are under control.


Additional Considerations
- Avoid Allergens: Identify and avoid any known allergens that may be triggering your symptoms. This could include pollen, pet dander, dust mites, or certain foods. Keeping windows closed during high pollen seasons and using air purifiers can help reduce exposure.

- Cold Compresses: Applying a cold compress to your eyes can provide immediate relief from itching and swelling. This can be particularly soothing if your eyes feel inflamed.

- Artificial Tears: If your eyes feel dry or irritated, using preservative-free artificial tears can help lubricate your eyes and alleviate discomfort.

- Oral Antihistamines: If your eye allergy is part of a broader allergic reaction, consider discussing the use of oral antihistamines with your healthcare provider. These can help manage systemic symptoms like hives and may also provide relief for your eyes.


When to Seek Further Help
If you notice any of the following, you should seek immediate medical attention:
- Worsening Symptoms: If your symptoms worsen despite treatment or if you experience significant swelling, pain, or vision changes.

- Signs of Infection: If you develop discharge from your eyes, increased redness, or if your eyes feel gritty or painful, these could be signs of an infection requiring different treatment.


Conclusion
In summary, continue using the prescribed eye drops until your symptoms improve, ideally until the itching subsides and you no longer feel discomfort. Monitor your symptoms closely, and do not hesitate to reach out to your healthcare provider if you have concerns or if your condition does not improve. Managing your overall allergic response, including the hives, will be crucial in alleviating your eye symptoms as well.