Should I Continue Using Eye Drops for Allergic Conjunctivitis? - Ophthalmology

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I would like to ask questions about issues related to the use of eye drops for allergic conjunctivitis?


Hello, doctor.
A few days ago, I visited a clinic for my chronic conjunctivitis, and the doctor diagnosed me with allergic conjunctivitis.
I was prescribed Maxitrol eye drops and Soothe XP eye drops.
Initially, there was no pain when using them, but over the past few days, I have experienced pain in my left eye when using the Maxitrol eye drops to the point where I can't open it.
I'm unsure if I should continue using the Maxitrol eye drops.
Given this situation, should I keep using this medication? I'm now fearful of using the Maxitrol drops...

Jaeneko Liu, 30~39 year old female. Ask Date: 2022/01/11

Dr. Gao Pilin reply Ophthalmology


Hello Jaeneko Liu: If you experience any discomfort, please refrain from using it temporarily and consult your physician to determine if a change in medication is necessary.

Reply Date: 2022/01/11

More Info


When dealing with allergic conjunctivitis, it’s essential to approach treatment with caution, especially if you are experiencing discomfort or pain while using prescribed eye drops. Based on your description, it seems that you have been prescribed two types of eye drops: one for allergy relief (likely an antihistamine) and another that may be a steroid or anti-inflammatory.
First and foremost, if you are experiencing significant pain in your left eye after using the eye drops, it is crucial to consult your eye care provider as soon as possible. Pain can indicate a few different issues, including an allergic reaction to the medication, irritation from the drop itself, or an underlying condition that may need to be addressed.
Here are some considerations regarding your situation:
1. Consult Your Eye Care Provider: It is vital to communicate your symptoms to your doctor. They can assess whether the pain is a side effect of the medication or if there is another underlying issue. They may recommend stopping the use of the eye drops temporarily or switching to a different medication that may be better tolerated.

2. Understanding Side Effects: Many eye drops, especially those containing preservatives, can cause irritation or discomfort in some individuals. If the pain started after using the eye drops, it could be due to a sensitivity to one of the ingredients. For example, benzalkonium chloride, a common preservative in many eye drops, can cause irritation in some patients.

3. Alternative Treatments: If the current eye drops are causing discomfort, your doctor may suggest alternative treatments. This could include preservative-free eye drops, which are often better tolerated, or other forms of allergy management, such as oral antihistamines or even allergy testing to identify specific triggers.

4. Monitoring Symptoms: Keep a record of your symptoms, including when the pain occurs, its severity, and any other associated symptoms (like redness, tearing, or discharge). This information can be invaluable for your doctor in determining the best course of action.

5. Potential for Long-term Management: Allergic conjunctivitis can be a chronic condition for some individuals. Long-term management strategies may include avoiding known allergens, using artificial tears to wash away allergens, and possibly using medications on a more regular basis during allergy seasons.

6. Follow-Up Appointments: Regular follow-ups with your eye care provider are essential, especially if you have chronic conditions like allergic conjunctivitis. They can monitor your condition and adjust your treatment plan as necessary.

In conclusion, while it is important to treat allergic conjunctivitis, your comfort and safety come first. If you are experiencing pain or discomfort with your current eye drops, do not hesitate to reach out to your healthcare provider for guidance. They can help determine whether to continue the current treatment or explore alternative options that may provide relief without causing discomfort.

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