Managing Eye Allergies: Concerns About Prescribed Eye Drops - Ophthalmology

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Allergy and Eye Medication Consultation


Hello, Doctor.
Recently, my eyes have often felt dry and sensitive to light, but they haven't been red.
An ophthalmologist at the hospital diagnosed me with eye allergies and prescribed eye drops, including artificial tears and antihistamine drops, to be used for 7 days (four times a day).
However, I felt uneasy about the doctor's diagnostic approach.
After examining my eyelids, he had me measure my tear production and then didn't inform me of the results; the nurse just handed me the prescription.
After returning home and researching the side effects of the medications, I became increasingly hesitant to use them (I have a history of elevated intraocular pressure, around 19, and I regularly monitor it at another clinic).
I would like to ask if these eye drops are safe for me to use.
Thank you, Doctor! Wishing you good health and safety.

sunny, 20~29 year old female. Ask Date: 2022/01/28

Dr. Gao Pilin reply Ophthalmology


Hello Sunny: It should be safe to use.
The side effects of these medications are actually very minimal.
If you experience any discomfort after taking them, just stop using them, and there will be no issues.

Reply Date: 2022/01/28

More Info


Managing eye allergies can be a complex issue, especially when it involves prescribed medications that may have side effects or interactions with pre-existing conditions. In your case, it seems that you have been diagnosed with eye allergies and prescribed eye drops, specifically eye gel and antihistamine drops, for a duration of seven days. You also mentioned having a history of elevated intraocular pressure, which adds another layer of concern.

First, it is essential to understand that eye allergies can manifest as dryness, light sensitivity, and discomfort, even in the absence of redness. The prescribed medications are typically aimed at alleviating these symptoms. Antihistamine eye drops work by blocking the action of histamine, a substance in the body that causes allergic symptoms. They can be effective in reducing itching and discomfort associated with allergic reactions. Eye gels, on the other hand, are designed to provide lubrication and moisture to the eyes, which can be particularly beneficial if you are experiencing dryness.

However, your concern regarding the side effects of these medications is valid. Common side effects of antihistamine eye drops can include temporary stinging or burning upon application, blurred vision, and in some cases, increased intraocular pressure. Given your history of elevated eye pressure, it is crucial to monitor how your eyes respond to these medications. If you notice any worsening of your symptoms or any new symptoms, it is advisable to contact your eye care provider immediately.

Regarding your apprehension about the diagnostic process, it is understandable to feel uneasy when you feel that not enough information was provided about your condition. Effective communication between a patient and their healthcare provider is vital. If you feel uncertain about the diagnosis or the treatment plan, seeking a second opinion from another ophthalmologist could provide you with additional insights and reassurance.

In terms of managing your eye allergies, here are some recommendations:
1. Follow the prescribed regimen: If your doctor has prescribed the eye drops, it is generally advisable to follow their instructions unless you experience adverse effects. If you have concerns about the medication, discuss them with your doctor before discontinuing use.

2. Monitor your symptoms: Keep a journal of your symptoms, noting any changes in your condition, especially after using the prescribed medications. This information can be valuable for your healthcare provider in assessing the effectiveness of the treatment.

3. Regular check-ups: Since you have a history of elevated intraocular pressure, it is essential to continue regular follow-ups with your eye doctor. They can monitor your eye health and make adjustments to your treatment plan as necessary.

4. Consider environmental factors: Allergies can often be exacerbated by environmental factors such as pollen, dust, and pet dander. Try to identify and minimize exposure to potential allergens. Using air purifiers and keeping windows closed during high pollen seasons can help.

5. Artificial tears: If you are experiencing dryness, using preservative-free artificial tears can provide additional relief. These can be used alongside your prescribed medications to help maintain moisture in your eyes.

6. Discuss alternative treatments: If you continue to have concerns about the prescribed medications, discuss alternative treatments with your doctor. There may be other options available that could be more suitable for your specific situation.

In conclusion, while managing eye allergies can be challenging, open communication with your healthcare provider and careful monitoring of your symptoms can help you navigate your treatment effectively. If you have any doubts or experience any adverse effects from the medications, do not hesitate to reach out to your eye care professional for guidance. Your eye health is paramount, and it is essential to ensure that you are comfortable and informed about your treatment options.

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