the Need for Eye Drops: Artificial Tears and Antihistamines Explained - Ophthalmology

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Usage of Eye Drops


Hello, doctor.
Previously, I visited the clinic due to discomfort from wearing contact lenses.
The doctor advised me to reduce the wearing time of the lenses and to sleep earlier.
They prescribed artificial tears and an antibiotic eye drop, but I don't understand why I need the antibiotic eye drop when the doctor didn't mention any signs of inflammation in my eyes.
Thank you.

Mia, 40~49 year old female. Ask Date: 2023/12/10

Dr. Gao Pilin reply Ophthalmology


Hello: Zhi Nong Min can help keep the eyes clean and hygienic, reducing the risk of infection.
It also has a preventive effect against infections.

Reply Date: 2023/12/10

More Info


When it comes to understanding the need for eye drops, particularly artificial tears and antihistamines, it's essential to consider the underlying causes of your symptoms and the specific roles these medications play in eye health.

Artificial tears are primarily used to alleviate dryness and discomfort in the eyes. They work by supplementing the natural tear film, which is crucial for maintaining moisture on the eye's surface. This is particularly important for individuals who wear contact lenses, as lenses can exacerbate dryness by reducing the amount of oxygen reaching the cornea and by creating a barrier that can trap debris and irritants. In your case, the discomfort from wearing contact lenses may have prompted your doctor to prescribe artificial tears to help lubricate your eyes and provide relief from dryness.

On the other hand, antihistamines, such as the one you mentioned (likely an antihistamine eye drop), are typically used to treat allergic reactions that can cause symptoms like itching, redness, and watering of the eyes. Even if your doctor did not observe any signs of inflammation during your examination, it is possible that your symptoms could be related to allergies or sensitivities that you may not have been fully aware of. Allergic conjunctivitis, for example, can occur without overt signs of inflammation but still lead to significant discomfort and symptoms like itching or a burning sensation.

Your doctor may have prescribed antihistamines as a precautionary measure, especially if you have a history of allergies or if your symptoms suggest that allergens could be contributing to your discomfort. Antihistamines work by blocking the action of histamine, a substance in the body that causes allergic symptoms. By reducing the effects of histamine, these medications can help alleviate symptoms even in the absence of visible inflammation.

It's also worth noting that the use of both artificial tears and antihistamines can be complementary. While artificial tears provide lubrication and moisture, antihistamines can help control any allergic reactions that might be contributing to your symptoms. This dual approach can be particularly effective for individuals who experience discomfort from contact lenses, as it addresses both dryness and potential allergic responses.

In addition to these treatments, there are several lifestyle modifications that can help improve your eye comfort. Reducing the time spent wearing contact lenses, ensuring adequate sleep, and taking regular breaks during prolonged screen time can all contribute to better eye health. Moreover, maintaining a humid environment and staying hydrated can also help keep your eyes moist.

If you continue to experience discomfort despite using artificial tears and antihistamines, it may be worthwhile to follow up with your eye care provider. They can reassess your condition, check for any underlying issues, and possibly recommend additional treatments or adjustments to your current regimen. In some cases, specialized contact lenses, such as scleral lenses, may be considered for individuals with persistent dryness or discomfort.

In summary, the use of artificial tears and antihistamines can be beneficial for managing eye discomfort, particularly in the context of contact lens wear and potential allergic reactions. Understanding the roles these medications play can help you make informed decisions about your eye care and improve your overall comfort. If you have further questions or concerns, don't hesitate to reach out to your healthcare provider for personalized advice.

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