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Do I Have Dry Eyes or Allergies?

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A person blowing their nose into a tissue due to their spring allergies.

You rub your eyes, hoping for relief, but nothing changes: They just feel red and irritated. It’s a frustrating feeling that can disrupt your entire day, and it’s a concern our team at Insight Eyecare often helps families address. Is it the pollen in the air, or have you been staring at your computer for too long?

The difference between the 2 issues often depends on a few symptoms: Allergies usually cause intense itching, while dry eye typically feels gritty or creates a burning sensation. While having a general understanding of what makes them different is helpful, getting a professional eye exam is a great way to be certain which issue you’re dealing with.

Spot the Common Signs of Dry Eye

When you have dry eye, you might feel like there’s a tiny piece of sand stuck in your eye that you just can’t get out. This gritty, scratchy feeling is a classic sign of dry eye disease. You may also notice other clues that your eyes need more moisture, like:

  • A stinging or burning sensation
  • Redness and irritation
  • Blurry vision that comes and goes
  • Sensitivity to light

Watery Eyes Can Be a Symptom

It sounds strange, but very watery eyes can also be a sign of dryness. Your eyes might produce a flood of tears to try to fix the problem. However, these “emergency” tears are often watery and don’t have the right balance of oils to properly lubricate your eye’s surface, so the discomfort continues.

The Clues for Eye Allergies

If the main thing you want to do is itch your eyes, you might be dealing with allergies. This intense, persistent itchiness is the most common symptom of an allergic reaction in the eyes. Along with the itch, you might see other signs:

  • Puffy or swollen eyelids
  • Redness
  • Watery discharge

Symptoms Beyond Your Eyes

Think about how the rest of your body feels. Allergies that affect your eyes often come with other tell-tale symptoms. You might also have a runny nose, start sneezing, or feel congested. These additional signs are strong clues that an allergen is the source of your discomfort.

Compare the Main Differences and Causes

While both conditions can make your eyes red and watery, paying attention to the specific feeling and your environment can help you tell them apart. One often feels like an itch you need to scratch, while the other feels more like a burn or irritation.

A person sitting a computer working and blowing their nose due to seasonal allergies.

Itch vs. Burn

One of the biggest giveaways is usually the main sensation you feel. Severe itching is a hallmark of eye allergies. But dry eye is more likely to cause a burning, stinging, or gritty feeling. It’s possible to have both, which can make getting an eye exam to tell the difference even more important.

Triggers for Your Symptoms

Think about what might be making your symptoms worse. Dry eye discomfort often increases after long periods of screen use, in windy conditions, or in rooms with dry air from heating or air conditioning. Allergic reactions happen when you’re exposed to things like pollen, pet dander, or dust.

How You Can Find Relief at Home

For temporary relief, a few simple strategies can help calm your eyes. If you suspect allergies, a cool, damp compress held over your closed eyes can be very soothing and may help reduce itchiness and swelling. This simple compress can offer a moment of peace.

Whether you have dry eye or allergies, always remember to avoid rubbing your eyes, as it can make irritation worse.

When to See an Optometrist

When home remedies aren’t enough, or if you’re just not sure what’s going on, a professional opinion can provide real clarity. An eye exam is a great way to get a clear answer and find a solution that works for you.

Get a Clear Diagnosis

Because the symptoms of dry eye and allergies can overlap, it’s easy to misdiagnose your own condition. An optometrist can perform tests to understand the health of your eyes and determine the factors contributing to the problem. This helps rule out other potential eye health issues, too.

Explore Your Treatment Options

Once you have a clear diagnosis, our team can begin getting you on the right path to relief. An optometrist in South Surrey and White Rock can recommend personalized strategies, from specific types of eye drops to lifestyle changes. If you wear contact lenses, they can also discuss options that help keep your eyes comfortable all day.

Schedule an Appointment Today

You don’t have to guess what’s causing your eye irritation. To get a clear diagnosis and a personalized plan for relief, book an appointment with our team at Insight Eyecare.

Written by Dr. Karen Sahota

Dr. Karen Sahota is originally from Maple Ridge, BC. She received her undergraduate degree in Biology from the University of British Columbia. She then went to Pacific University of College of Optometry, where she received her Doctor of Optometry degree (with distinction) in 2008. She and her husband, Dr. Avi Sahota, started Insight Eyecare – Doctors of Optometry in 2010. Dr. Sahota is a member of the Beta Sigma Kappa International Optometric Honour Society, BC Doctors of Optometry, and the Canadian Association of Optometrists. Besides giving exceptional optometric exams for general eye health and vision correction, Dr. Sahota also specializes in contact lens fittings and diagnosis of early glaucoma, cataracts, and retinal pathologies. She is very experienced in pediatrics, infant vision, and pre- and post-operative LASIK and cataract surgery through her training in the United States at the Spokane VA Eye Clinic, Eugene Oregon Eye Care Centre, and the Oak Harbor Naval Hospital. Dr. Sahota is also fluent in Punjabi. She is dedicated to educating her patients and increasing public awareness about the importance of regular eye health check-ups and providing her patients with the utmost best care possible. Currently, Dr. Sahota resides in South Surrey with her husband, Dr. Avi Sahota and her two sons, Kai and Luka. In her free time, she enjoys spending time with her family, travelling, and reading.
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