Instant Relief for Eye Allergies: Effective Solutions for Itchy Eyes - Internal Medicine

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How to Immediately Relieve Itching from Eye Allergies


Hello Doctor, I am currently 20 years old and my eyes occasionally itch due to allergies, but it only happens infrequently (on average less than once a day).
Rubbing my eyes helps relieve the itch, but the problem is that I have to rub quite hard to stop the itching, which results in redness around my eyes (it takes 1-2 applications of a steroid ointment to resolve).
I use antihistamine eye drops daily, which do relieve the itching, but I feel it's strange to use medication every day for something that only itches occasionally.
Therefore, I would like to ask if I can use an immediate relief eye drop (not an antihistamine) when my eyes itch instead.
Is there such a type of eye drop? Would this be better than using antihistamine eye drops daily? Note: While ice packs can relieve the itching, they are not convenient to use when I am outside.
I have tried artificial tears, but they were not effective.
Thank you, Doctor.

Zhengzhong, 20~29 year old female. Ask Date: 2022/08/19

Dr. Gao Jiankai reply Internal Medicine


Hello, thank you for your question.
Antihistamine eye drops can be used as needed.
Other non-antihistamine eye drops may need to be used continuously.
Therefore, if the original eye drops do not have any side effects, it is recommended to continue using the original eye drops.
Best regards from the Allergy, Immunology, and Rheumatology Department of Changhua Hospital, Ministry of Health and Welfare.

Reply Date: 2022/08/19

More Info


When it comes to managing eye allergies, particularly the occasional itchiness you experience, there are several effective solutions that can provide instant relief. Your situation, where you experience mild itching infrequently, suggests that you may not need a daily regimen of antihistamine eye drops. Instead, you could consider using on-demand treatments that target your symptoms more effectively.

Firstly, it's important to understand that eye allergies are often triggered by environmental factors such as pollen, dust mites, pet dander, or mold. When your eyes come into contact with these allergens, they can release histamines, leading to symptoms like itching, redness, and swelling. While antihistamine eye drops can help prevent these symptoms, they may not be necessary for infrequent occurrences.

For immediate relief during an allergic reaction, you might want to consider using over-the-counter (OTC) eye drops that contain a combination of antihistamines and decongestants. These drops can provide quick relief from itching and redness. Brands like Visine A or Zaditor are examples of such products. They work by constricting blood vessels in the eyes, which reduces redness and alleviates itching. You can use these drops as needed when you feel an itch coming on, rather than applying them daily.

Another option for instant relief is the use of cold compresses. While you mentioned that ice packs are not always convenient, you can use a clean cloth soaked in cold water as a makeshift compress. Applying this to your closed eyes for a few minutes can help soothe irritation and reduce redness. This method is particularly useful if you are at home or in a setting where you can easily access water.

If you find that your symptoms persist or worsen, it may be beneficial to consult with an eye care professional. They can evaluate your condition and may recommend prescription-strength medications or other treatments tailored to your specific needs. In some cases, they might suggest a more comprehensive approach, such as allergy testing to identify specific triggers, which can help in managing your symptoms more effectively.

Regarding the use of steroid ointments, it's essential to use them cautiously and under the guidance of a healthcare provider. While they can reduce inflammation and redness, overuse can lead to side effects, including increased intraocular pressure or cataract formation. Therefore, it's advisable to reserve their use for more severe reactions and follow your doctor's recommendations.

In summary, for your occasional eye allergy symptoms, consider using on-demand antihistamine and decongestant eye drops for immediate relief, along with cold compresses when necessary. This approach allows you to manage your symptoms effectively without the need for daily medication. If your symptoms become more frequent or severe, don't hesitate to seek professional advice for a tailored treatment plan.

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