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Do I Have Dry Eyes or Allergies?

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A person rubbing their eyes while outside due to seasonal allergies

That red, irritated, and uncomfortable feeling in your eyes can disrupt your entire day. You might wonder if it’s the pollen in the air, too much screen time, or something else entirely. It can be difficult to tell the difference between dry eye and allergies, but our team at Lowy & Sewell Eye Care can help you find clarity.

The main difference between dry eye and eye allergies often comes down to one key symptom: Intense itchiness. Getting the right relief starts with a proper diagnosis from a comprehensive eye exam to understand the source of your discomfort.

What Is Dry Eye?

Dry eye occurs when your eyes either do not produce enough tears or when your tears are not of the right quality. Tears are more than just water: They are a complex mixture that lubricates your eyes, protects them from infection, and keeps the surface smooth and clear. Without a healthy tear film, your eyes can feel uncomfortable, and your vision may even become blurry.

Common Dry Eye Symptoms

If you experience dry eye, you may notice a few distinct sensations. These often include:

  • A stinging or burning feeling in your eyes
  • A gritty or sandy sensation, as if something is in your eye
  • Periods of blurry vision, especially after reading or using a computer
  • Redness and general irritation

What Are Eye Allergies?

Eye allergies, also known as allergic conjunctivitis, happen when your eyes react to an allergen in your environment. Common triggers include pollen, pet dander, dust mites, and mold. When you encounter 1 of these, your body releases a substance called histamine, which causes your eyes to become red, itchy, and swollen.

Common Eye Allergy Symptoms

An allergic reaction in your eyes typically appears suddenly and can feel quite intense. Signs of eye allergies include:

  • Intense itching and redness
  • Swollen or puffy eyelids, particularly in the morning
  • Watery, clear discharge from your eyes
  • A burning sensation
A person dabbing their eye with a tissue due to seasonal allergies

Spot the Difference: Key Symptoms Compared

While some symptoms overlap, a couple of key differences can help you distinguish between the two conditions. Pay close attention to how your eyes feel, not just how they look. This can provide important clues about the cause of your discomfort.

The Main Clue: Itchiness

Itchiness is the most significant thing that sets allergies apart. If your most obvious feeling is an overwhelming urge to rub your eyes, allergies are likely the source. Dry eye, on the other hand, typically causes a feeling of irritation (like sand in your eye) rather than a true itch.

What Your Tears Tell You

Both conditions can make your eyes water, but for different reasons. With allergies, your eyes produce excess tears to wash away the allergen, resulting in a very watery discharge. Dry eye can also cause watery eyes as a reflex, but this is usually accompanied by that gritty, burning feeling.

How Your Optometrist Can Help

Self-diagnosing eye discomfort can lead to using the wrong treatments, which may not provide relief and could even make things worse. An optometrist can identify the specific cause of your symptoms and guide you toward solutions for clear and comfortable vision.

Get a Clear Diagnosis

During an eye exam, our eye doctor can listen to your symptoms and look at your eyes with specialized tools. Our team can perform simple tests to assess your tear quality and quantity, helping to create a personalized care plan tailored to your specific needs.

Find the Right Treatment

Once the cause is clear, your optometrist can recommend the most suitable path forward. This may include specific lubricating eye drops, helpful lifestyle adjustments, or in-office procedures. For some forms of dry eye, a treatment like OptiLight by Lumenis can offer relief by addressing underlying inflammation.

Get Relief for Your Eye Discomfort

You don’t have to put up with constant eye irritation. Finding out whether you have dry eye or allergies is the first step toward lasting comfort. A professional diagnosis helps you get the targeted care you need to see and feel your best.

Book Your Eye Exam

At Lowy & Sewell Eye Care, our team is focused on how your vision and eye health impact your quality of life. An eye health examination is a great way to determine the cause of your discomfort and find a solution. Schedule a visit to talk about your symptoms with the optometrists in Vaughan and get on the path to relief.

Written by Dr. Deborah Lowy

Dr. Deborah Lowy graduated from the University of Waterloo with a Doctor of Optometry in 1981. She received an award for academic excellence from the dean of the school. Her training included an internship at Huronia Regional Centre, serving mentally and physically disabled residents, and the Department of Ophthalmology at Hadassah Hospital in Jerusalem.

She opened up her own practice at Dufferin and Steeles in 1984 and has served the Concord, ON, community ever since. Giving back to the profession and the public is foremost.

Her interest led her to serve on the Complaints Committee at the College of Optometrists of Ontario from 2000–2007 and chair that committee from 2004–2007. She held a council position at the College of Optometrists for two 3-year terms. She was especially honoured to have received the Queen’s Jubilee medal for her work in third-world countries.

She has special interests in glaucoma, pediatrics, and complex contact lens fitting, including multifocals and keratoconus.

Dr. Lowy’s personal interests include travelling, decorating, reading, exercising, and cooking. She is married and has 2 adult sons; Jordan, a lawyer, and Jeremy, an optometrist with Lowy & Sewell Eye Care.

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