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Do I Have Dry Eyes or Allergies?

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Do you find yourself rubbing your eyes again? When they feel irritated, gritty, and uncomfortable, it is often difficult to pinpoint the culprit. Is it the crisp, thin Colorado air, or has seasonal pollen finally caught up with you?

These symptoms often overlap so much that it’s easy to get them mixed up. However, identifying the root cause of these common eye conditions is the first step toward reclaiming clear, comfortable vision. The answer often depends on your main symptom. Allergies usually cause intense itching, while dry eyes typically create a sandy or gritty sensation.

Key Symptoms: Dry Eyes vs. Eye Allergies

Dry Eyes

A healthy tear requires a precise balance of oil, water, and mucus. When your eyes don’t produce enough tears, or the tears they produce are not of the right quality, you may experience what’s known as dry eye disease. This discomfort is often persistent and can make it difficult to focus on tasks.

This can cause a range of symptoms, including:

  • A scratchy or gritty feeling
  • Burning or stinging sensations
  • Blurry vision
  • Eye fatigue
  • Light sensitivity
  • Stringy mucus
  • Excessive watering

Allergies

Eye allergies happen when your immune system overreacts to environmental triggers like ragweed, grass, or pet dander. Your body releases histamines to fight these “invaders,” which causes the blood vessels in your eyes to swell and leak.

This reaction can lead to symptoms such as:

  • Intense itching
  • Watery discharge
  • Redness
  • Puffy eyelids
  • Swollen eyes
  • Sneezing
  • Stuffy nose

What Causes Dry Eye?

Dry eye discomfort develops when your tear film is unstable. This can happen for many reasons, from the environment around you to your daily screen habits. When you stare at a computer, you tend to blink less, which can contribute to digital eye strain and prevent your tears from keeping your eyes properly lubricated.

Other common factors include:

  • Getting older
  • Hormone changes
  • Clogged oil glands
  • Health Issues like diabetes or thyroid problems

Common Allergy Triggers

Allergies are a result of your immune system overreacting to harmless substances. Your immune system thinks a tiny piece of dust is a major threat, so it releases a chemical called histamine to “attack” it, which leads to the classic itchy, watery, and red eyes associated with an allergic reaction.

Some common allergy triggers include:

  • Dust Mites
  • Mold
  • Pet dander
  • Makeup
  • Strong Smells

The Hidden Link Between Dry Eyes and Allergies

Interestingly, these conditions often feed into each other. Chronic allergies can lead to inflammation that damages the tear-producing glands, eventually causing dry eye. Conversely, a dry eye lacks the “washing” effect needed to flush out allergens, making your allergy symptoms feel even more severe.

A person lifts their glasses up their face to rub their irritated eyes with a tissue

How Your Daily Habits & Environment Affect Your Eyes

Your surroundings play a big part in how your eyes feel. A dry, windy climate can make tears evaporate more quickly, leading to irritation. During certain seasons, high pollen counts fill the air and can create misery for anyone with allergies.

Your everyday choices can also contribute to eye discomfort. For example, wearing contact lenses can sometimes interfere with your natural tear film. Additionally, some medications can cause side effects that reduce tear production and lead to dryness.

Simple Ways to Soothe Your Eyes at Home

Tips for Allergy Relief

The goal for allergies is to calm the inflammation and remove the “triggers” that make you itch.

  • Use Cold Compresses: Place a cool, damp cloth over your closed eyes to reduce swelling and “numb” the itch.
  • Wash Your Face: After being outdoors, wash your face and eyelids to remove any stuck pollen.
  • Keep Windows Closed: On high-pollen days, keep your home and car windows shut to keep irritants out.
  • Avoid Rubbing: Rubbing feels good for a second, but it actually releases more chemicals that make the itching worse.

Tips for Dry Eye Relief

For dry eyes, the goal is to add moisture back and keep the tears you do have from disappearing.

  • Use Artificial Tears: Use over-the-counter lubricating drops throughout the day to keep the surface of your eye wet.
  • Follow the 20-20-20 Rule: Every 20 minutes, look 20 feet away for 20 seconds to give your eyes a break from screens.
  • Add Humidity: Use a humidifier in your bedroom to keep the dry air from stealing your natural moisture.
  • Stay Hydrated: Drink plenty of water. Your body can’t make quality tears if you are dehydrated.

When to Get a Professional Opinion

While at-home care provides temporary comfort, it rarely fixes the underlying issue. If your symptoms worsen or home remedies fail to provide lasting relief, it’s time for a professional evaluation.

Schedule an exam if you experience:

  • Vision changes or persistent pain.
  • Symptoms that interfere with your work or driving.
  • Redness that doesn’t clear up with over-the-counter drops.

An optometrist can identify the source of the problem and explore a treatment plan tailored to your needs.

Stop Guessing and Start Healing

Whether you are battling seasonal pollen or dry air, you don’t have to suffer through the discomfort. While home remedies offer a great head start, the only way to know for sure what your eyes need is through a professional exam. You don’t have to keep wondering whether you have dry eyes or allergies. The team at Eye Care Center of Colorado Springs is here to provide clarity and help you find lasting relief. Schedule a visit to get the answers and care your eyes deserve.

Written by Dr. Taylor Little

Dr. Taylor Little graduated with a B.A. in Biology and Chemistry from Southern Illinois University in Edwardsville, IL and received her Doctor of Optometry degree from the University of Missouri-St. Louis in St. Louis, MO. Dr. Little is the Past President of the Southern Colorado Optometric Society, a member of the Colorado Optometric Association, and previously the Communications Director for the AOA Contact Lens and Cornea Section. Dr. Little has been practicing in Colorado Springs since 2018. Dr. Little offers a full range of services including comprehensive vision examinations, diagnosis and treatment of eye disease, myopia control management, and more.
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