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Yes, allergies can make dry eyes feel much worse. If your eyes are often itchy, watery, or irritated during certain times of the year, allergies may be the reason. For people already dealing with dry eye, allergy season can add an extra layer of discomfort.
In this blog, we’ll explain how allergies and dry eye are linked, what symptoms to watch for, and how you can get relief.
Quick Summary
Allergies can trigger or worsen dry eye symptoms
Pollen, dust, and animal dander are common culprits
Eye rubbing and overuse of antihistamines may increase dryness
Symptoms include itching, burning, redness, and watery eyes
Treatments include lubricating drops, cold compresses, and dry eye care
Speak to an optometrist to manage both conditions properly
How Allergies Affect the Eyes
Seasonal and environmental allergies are caused by your immune system reacting to harmless things like:
Pollen (trees, grass, weeds)
Dust mites
Animal dander
Mould spores
When exposed, your eyes may become red, itchy, and watery. These are signs of allergic conjunctivitis. But for those with dry eye, this allergic reaction can also reduce tear quality and worsen irritation.
Why Allergies Make Dry Eyes Worse
There are several reasons allergy flare-ups can trigger or intensify dry eye symptoms:
Tear film disruption: Allergic inflammation reduces the stability of your tear film, causing tears to evaporate too quickly.
Rubbing your eyes: This common response can damage the eye’s surface and lead to more dryness and irritation.
Antihistamine use: Some allergy medications, especially oral antihistamines, can reduce tear production.
Blocked oil glands: Allergic swelling can impact the meibomian glands, which help keep your tears from evaporating.
This combination of factors creates a cycle of discomfort that’s difficult to manage without help.
Common Symptoms to Watch For
If you suffer from both dry eyes and allergies, symptoms may overlap. Watch for:
Itchy, red, or burning eyes
Watery eyes that still feel dry
Gritty or sandy sensation
Blurry vision that comes and goes
Light sensitivity
Eyelid swelling or puffiness
It’s not uncommon to have both allergic conjunctivitis and dry eye at the same time. Knowing the difference is key to choosing the right treatment.
lady itching her dry eyes
How to Manage Allergy-Related Dry Eye
Here are a few ways to reduce symptoms and protect your eyes:
1. Use Lubricating Eye Drops
Preservative-free artificial tears can help flush out allergens and keep your eyes hydrated. Look for drops made specifically for dry or allergy-prone eyes.
2. Avoid Rubbing Your Eyes
Although tempting, rubbing makes inflammation worse. Try a cold compress instead to soothe itching.
3. Wear Sunglasses Outside
Sunglasses help block pollen, wind, and UV rays from irritating your eyes further.
4. Reduce Allergen Exposure
Keep windows closed during high pollen seasons
Use air purifiers indoors
Wash your face and hands after being outside
Avoid touching your eyes
5. Speak to Your Optometrist
At E Eye Place, we’ll assess whether allergies or other factors are contributing to your dry eye and recommend targeted treatment. This might include prescription eye drops, in-practice treatments, or a personalised dry eye care plan.
If your symptoms last longer than a week or get worse with over-the-counter remedies, it’s time to book an appointment. We’ll look at your tear film, eyelid health, and allergy history to get to the root cause.
You don’t need to suffer through another allergy season with uncomfortable eyes. There are safe, effective treatments that can help.
Allergies and dry eye are a common but frustrating combination. With the right advice and ongoing care, you can minimise flare-ups and enjoy clearer, more comfortable vision year-round.
Stephanie is an owner optometrist, researcher and educator. She has held clinical, teaching and research roles in Australia and overseas, and has extensive training and clinical experience. Stephanie is also the head optometrist at E Eye Place, on top of this, she is also currently a PhD candidate at UNSW. Dr Stephanie Yeo Optometrist BOptom (HC1) GradCertOcTher DOPT (Merit) CO Ophthalmic Medicines Prescriber.