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Shine Magazine

Eye allergy

Main symptoms:

Itchy eyes with frequent rubbing.
Increased tearing (watery eyes).
Red or pink eyes.
Mild swelling of the eyelids.
No discharge or a minimal sticky, stringy, mucus discharge.
No pain or fever.

Causes:

Pollen or other allergens (e.g., pollen, mold, cats).

See other topics if:

Runny nose and sneezing are also present, see hay fever.
Yellow or green pus in eyes, see eye, pus or drainage.
Doesn't look like eye allergy, see eye, red without pus.

Call your doctor within 24 hours (during regular office hours) if:

You think your child needs to be seen.
Sacs of yellow fluid on whites of eyes or inner lids.
Eyelids are swollen shut (or almost).
Discharge on eyelids that's not cleared after taking allergy medicines for two days.

Call your doctor during office hours if:

You have other questions or concerns.
Eyes are very itchy after taking allergy medicines for two days.
Diagnosis of eye allergies never confirmed by your doctor.

Parent care at home if:

Mild eye allergy and you don't think your child needs to be seen.

Home care advice for eye allergy:

1. Wash off allergens: First wash the pollen off the face. Use a wet washcloth to clean off the eyelids and surrounding area. Rinse the eyes with a small amount of warm water (tears will do the rest). Then apply a cold washcloth to the itchy eye. Wash the hair every night because it collects lots of pollen.

2. Antihistamine/vasoconstrictor eye drops: Usually, the eyes will feel much better after the pollen is washed out and cold compresses are applied. If they are still itchy or bloodshot, instill antihistamine/vasoconstrictor eyedrops (no prescription needed). You can ask your pharmacist to recommend a brand. Use one drop every eight-12 hours as needed. Avoid continuous use for more than five days.

3. Oral antihistamines: If these measures aren't effective, your child probably also has hay fever (i.e., allergic symptoms of the nose and eyes). Give your child an oral antihistamine, which should relieve both symptoms (see Dosage table for chlorpheniramine products). Continue it until pollen season is over.

4. Contacts: Children with contact lenses may need to switch to glasses temporarily (reason: to prevent damage to the cornea).

Expected course:

If the allergic substance can be identified and avoided (e.g., a cat), the symptoms will not recur. Most eye allergies continue through the pollen season (four to eight weeks).

Call your doctor if:

Itchy eyes aren't controlled in two days with continuous allergy treatment.
Your child becomes worse or develops any of the "Call Your Doctor" symptoms.