Common Eye Issues: Tears While Sleeping and Allergies Explained - Ophthalmology

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Dr. Wang, may I ask you a question?


1Q: I find that I unconsciously tear up while sleeping, which leaves me feeling like I have dried eye discharge stuck at the corners of my eyes when I wake up.

2Q: I have an allergic constitution, and my eyes are often red and itchy.
I'm not sure what to do about it.

3Q: If someone does not have myopia now, will they definitely develop it as they get older?

Xiao Wei, 20~29 year old female. Ask Date: 2008/07/30

Dr. Wang Zhangji reply Ophthalmology


When we sleep, our eyes do not blink, causing tears to flow slightly, which then dries and forms eye discharge.
For eye allergies, one can try ice packs or eye drops.
Individuals without myopia may develop varying degrees of myopia as they age due to cataracts.

Reply Date: 2008/07/30

More Info


When it comes to common eye issues such as tearing during sleep and allergies, there are several factors to consider that can help explain these phenomena and provide potential solutions.

Tears While Sleeping:
It’s not uncommon for individuals to experience tearing during sleep. This can happen for a variety of reasons. One primary reason is that while we sleep, our eyes are not blinking, which can lead to a buildup of tears that may overflow. This overflow can dry during the night, leading to crusty eye discharge upon waking, often referred to as "sleep" or "eye boogers."
In some cases, excessive tearing can be a response to irritation or inflammation of the eyes, which can be caused by various factors including allergies, dry eye syndrome, or even environmental irritants. If you find that you are consistently waking up with tears or crusty discharge, it may be beneficial to evaluate your sleeping environment. For instance, ensuring that your bedroom is free from allergens such as dust mites, pet dander, or pollen can help reduce irritation. Additionally, using a humidifier can help maintain moisture in the air, which may alleviate dryness in the eyes.

Allergies and Eye Irritation:
For individuals with a predisposition to allergies, symptoms such as redness, itching, and tearing can be particularly bothersome. Allergic conjunctivitis is a common condition where the eyes react to allergens, causing inflammation and discomfort. If you are experiencing persistent symptoms, it is advisable to consult with an eye care professional who can recommend appropriate treatments. This may include antihistamine eye drops, oral antihistamines, or even corticosteroid drops in more severe cases.

To manage allergy symptoms effectively, consider the following strategies:
1. Environmental Control: Regularly clean your living space to minimize dust and allergens. Use hypoallergenic bedding and consider air purifiers to reduce airborne allergens.

2. Cold Compresses: Applying a cold compress to your eyes can help reduce inflammation and soothe irritation.

3. Avoid Rubbing Your Eyes: This can exacerbate irritation and lead to further inflammation.

Age and Vision Changes:
Regarding the concern about developing nearsightedness (myopia) as one ages, it is important to note that not everyone will develop myopia simply due to aging. While age-related changes in vision, such as presbyopia (difficulty focusing on close objects), are common, myopia is influenced by a combination of genetic and environmental factors. Regular eye examinations are crucial as they can help detect any changes in vision early on, allowing for timely intervention if necessary.

In summary, if you are experiencing tearing during sleep or allergy-related eye issues, it is essential to maintain a clean and allergen-free environment, consider using appropriate eye drops, and consult with an eye care professional for personalized advice. Regular eye check-ups can also help monitor your vision and address any concerns as they arise. Remember, taking proactive steps can significantly improve your eye health and overall quality of life.

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