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Eye Allergies: Seasonal Itchy Eyes
The eyes are one of the most sensitive and vulnerable organs in the body. Airborne allergens and other particles can land directly on the surface of the eye, causing irritation and redness. Eye allergies are no different than allergies that affect your sinuses, nose or lungs. When an allergen comes in contact with your eyes, your body releases histamine - a chemical produced in reaction to a substance that the immune system can't tolerate. Special cells called mast cells make histamine. These cells are present throughout the body but are highly concentrated in the eyes. Ocular allergens tend to be airborne (as are most other allergens). The most frequent allergic triggers include:
  • Pollen
  • Pet hair or dander
  • Dust
  • Some medicines
Conjunctivitis is an inflammation of the conjunctiva (the membrane lining under the eyelids) and can be caused by allergies. When conjunctivitis is caused by allergies, both eyes are usually affected. Common symptoms of allergic conjunctivitis are:
  • Redness and itching under the eyelid
  • Excessive watering
  • Swelling of the eyeball
The most effective treatment is prevention: try to avoid the allergens that trigger symptoms. For many, this is easier said than done, especially if your triggers are airborne, such as pollen. When ocular allergies can't be controlled, there are several medications that may help relieve symptoms. Most of these treatments come in a topical form - such as eye drops or an ointment. Eye drops, also called "tear substitutes," can help in two ways: (1) by physically washing away allergens; and (2) by moistening the eye, which can become dry and red when irritated. Eye drops that contain medications to help reduce allergy symptoms also are available. Eye drops containing antihistamines can reduce redness and swelling in the eye. Antihistamines block the effects of the chemical histamine, which is responsible for allergic symptoms like swelling, redness and itching. Mild antihistamine eye drops are available over the counter, but stronger ones are available by prescription. Chilling any topical medications can help relieve redness and itching of the eyes. In addition, using cold compresses can help reduce some of the discomfort associated with conjunctivitis. A washcloth soaked in cold water works well.