Managing Allergic Conjunctivitis: Symptoms, Treatments, and Eye Care Tips

Q: Managing Allergic Conjunctivitis: Symptoms, Treatments, and Eye Care Tips

Hello! The causes of allergic conjunctivitis include： 1. <br>Common causes related to allergic predisposition include humid and warm climates or allergens such as dust mites and pollen. <br>Patients with a history of atopic dermatitis, asthma, or allergic rhinitis are often affec

Allergic conjunctivitis

Hello Doctor: I have been experiencing eye issues, and since September of this year, I have had recurrent redness and swelling.
After treatment from an ophthalmologist, the redness and swelling improved, but the itching has become worse than before.
I have been using medication, but the itching has not improved for a long time, and my vision is blurrier than before treatment.
If I stop using the medication, will it improve or worsen? Initially, the doctor diagnosed me with allergic conjunctivitis, but after a month of medication, the doctor said my allergy is not severe.
However, my eyes continue to feel uncomfortable, so the doctor switched me to steroid-containing eye drops.
After a week, I was switched back to Emadine, which the doctor said does not contain steroids and can be used long-term.
However, when I use this medication, my eyes feel blurry.
The doctor mentioned that this medication should be very moisturizing and should not contain any suspensions, so I am unsure what to do.
Every time I apply this medication, I experience a stinging sensation; is this a normal reaction? Right now, my eyes feel like they haven't had enough sleep, and I have a sensation of not being able to open them.
Will this lead to permanent damage to my eyes? Please help me with these questions.
Additionally, I am currently working in Taichung County; could you recommend an ophthalmologist nearby?

kim, 30~39 year old female. Ask Date: 2004/12/12

Dr. Lin Zhengyi reply Ophthalmology

Hello! The causes of allergic conjunctivitis include: 1.
Common causes related to allergic predisposition include humid and warm climates or allergens such as dust mites and pollen.
Patients with a history of atopic dermatitis, asthma, or allergic rhinitis are often affected.
2.
Contact lenses or other foreign bodies.
3.
Topical eye drops or cosmetics.
For the latter two, simply discontinuing the use of the allergenic eye drops or cosmetics, and removing contact lenses or foreign bodies, along with the use of some topical treatments, can lead to improvement.
However, for the first group, patients with allergic predisposition experience symptoms due to the interaction between their immune system and environmental factors.
Therefore, unless environmental factors such as humid climates, dust mites, pollen, or food allergens can be completely avoided, symptoms may not improve easily.
If you want to identify which substances you are allergic to, you can consult an immunologist or rheumatologist for testing.
Your blurred vision may be due to rubbing your eyes, which can cause corneal injury or associated keratitis.
It is recommended that you visit a hospital with a corneal specialist for examination and treatment.
Thank you!

Reply Date: 2004/12/12

More Info

Managing allergic conjunctivitis can be quite challenging, especially when symptoms persist despite treatment. Allergic conjunctivitis is an inflammation of the conjunctiva caused by allergens such as pollen, dust mites, pet dander, or mold. Symptoms typically include redness, itching, tearing, and swelling of the eyes. Here’s a comprehensive overview of managing this condition, including symptoms, treatments, and eye care tips.

Symptoms of Allergic Conjunctivitis
1. Itching: This is often the most bothersome symptom, leading to frequent rubbing of the eyes, which can exacerbate irritation.

2. Redness: The eyes may appear red and inflamed due to increased blood flow to the conjunctiva.

3. Tearing: Excessive tearing can occur as the eyes attempt to wash away allergens.

4. Swelling: The eyelids and conjunctiva may become swollen, leading to a puffy appearance.

5. Burning Sensation: Some individuals may experience a burning or stinging sensation in the eyes.

6. Blurred Vision: This can occur due to excessive tearing or the presence of discharge.

Treatment Options
1. Antihistamines: Oral antihistamines can help reduce overall allergic symptoms. Topical antihistamine eye drops, such as Emadine (emedastine), are often prescribed for localized relief. However, some patients may experience side effects like stinging or blurred vision, which should be discussed with your doctor.

2. Mast Cell Stabilizers: These medications help prevent the release of histamine and other inflammatory mediators. They are often used for long-term management.

3. Corticosteroids: In cases of severe inflammation, short-term use of corticosteroid eye drops may be necessary. However, these should be used cautiously due to potential side effects with long-term use.

4. Artificial Tears: Lubricating eye drops can help alleviate dryness and wash away allergens. It’s important to choose preservative-free options if you need to use them frequently.

5. Avoidance of Allergens: Identifying and avoiding triggers is crucial. This may involve using air purifiers, keeping windows closed during high pollen seasons, and practicing good hygiene to reduce dust and pet dander.

Eye Care Tips
1. Cold Compresses: Applying a cold compress to the eyes can help reduce swelling and provide relief from itching.

2. Proper Hygiene: Wash your hands frequently and avoid touching your eyes. If you wear contact lenses, consider switching to glasses during flare-ups.

3. Regular Eye Exams: Regular check-ups with an eye care professional can help monitor your condition and adjust treatment as necessary.

4. Stay Hydrated: Drinking plenty of water can help maintain overall eye health.

5. Limit Screen Time: Reducing screen time can help minimize eye strain and discomfort.

Concerns About Medication
You mentioned experiencing blurred vision and a stinging sensation with the use of Emadine. While some discomfort can be expected with certain eye drops, persistent or severe symptoms should be addressed with your eye care provider. It’s essential to communicate any adverse effects you experience, as your doctor may need to adjust your treatment plan.

Regarding your concern about stopping medication, it’s crucial to consult your doctor before making any changes. Stopping medication abruptly can lead to a rebound effect, worsening your symptoms. Your doctor can provide guidance on how to taper off medications safely if needed.

Conclusion
Managing allergic conjunctivitis requires a multifaceted approach, including medication, lifestyle adjustments, and regular monitoring by an eye care professional. If symptoms persist or worsen, it’s vital to seek further evaluation to rule out other potential causes of your discomfort.
As for finding an eye doctor in Taichung County, I recommend checking local medical directories or hospital websites for qualified ophthalmologists or optometrists who specialize in allergy-related eye conditions. They can provide personalized care and treatment options tailored to your specific needs.
Remember, your eye health is paramount, and seeking professional guidance is the best way to ensure effective management of your symptoms.

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