7 Reasons You May Have a Sore Eyelid (and What to Do About It)

Dry, itchy or watery eyes can make simple day to day activities quite uncomfortable, particularly if the symptoms are affecting your ability to read, work or enjoy time outside. The two most common causes of eye discomfort are dry eye disease and eye allergies. They can present in a very similar way so it's important to be able to differentiate between the two in order to know when you need to see an eye care professional. An eye examination at Baptist Eye Surgeons will help to establish the cause of your symptoms and will allow us to recommend the most appropriate treatment. What is the difference between dry eye and eye allergies? Dry eye disease is essentially the condition where your eyes either aren't producing enough tears or the tears produced are evaporating too quickly to adequately lubricate the surface of the eye. The result is typically irritation, redness, a gritty feeling and sometimes quite the opposite of what you'd expect in the form of excessive tearing. Eye allergies (allergic conjunctivitis) are basically your immune system reacting to an allergen (pollen, dust mites, mold, pet dander etc). The result of that reaction is the release of histamine and other mediators which can lead to itching, redness and swelling. As both conditions may result in red, watery and uncomfortable eyes, it's important to be able to recognize the specific symptoms in order to get to the root of the problem and find relief. Dry Eye vs. Allergies: Common Symptoms to Watch For Although there is some overlap between the two conditions there are certain symptoms which may help you to tell them apart. 1. Itchy Eyes vs. Burning and Grittiness One of the most obvious differences is the kind of discomfort you're suffering. Eye allergies are very much associated with intense itching (to the point where you're constantly itching the eyes) and with swelling of the eyelids. Dry eye disease is more likely to cause a burning, stinging sensation (as if something is in your eye) or a gritty feeling. Your eyes will often feel tired and/or irritated, particularly after reading, working at a computer or being in an air conditioned environment. 2. Watery Eyes and Excessive Tearing Both dry eye and allergies can lead to watery eyes, just that the mechanism is different in each case. With dry eye disease, irritation can trigger a reflex which results in an overproduction of watery tears. These tears may well be in fact more of a problem than a solution as they won't provide the sustained lubrication that your eyes require. With allergies you often get watery eyes along with itching, redness and swelling of the eyelids. These can become quite apparent after exposure to pollen, dust and so on. 3. Seasonal Symptoms and Environmental Triggers The timing of your symptoms can be of some use in terms of giving you a clue. Eye allergies are a common problem and tend to be worse at certain times of year (particularly when pollen counts are high). They can also occur year-round if you're exposed to indoor allergens such as dust mites and pet dander. Dry eye symptoms can occur all year round and can be made worse in dry, windy or air conditioned environments. Lengthy screen time, ageing, certain medications and some medical conditions may all contribute to dry eye disease. 4. How Symptoms Affect Both Eyes Allergic conjunctivitis will typically affect both eyes and is very often associated with quite marked itching. Dry eye can also affect both eyes, though the symptoms may be quite different in the two eyes. Neither pattern alone is definitive for determining the cause of eye irritation. How Are Dry Eye and Eye Allergies Diagnosed? An eye exam enables your eye care professional to assess your symptoms, take your medical history and look for any signs of irritation or inflammation. Depending on your symptoms, the testing may look at tear production, tear quality, tear evaporation and the surface of the eye. Your eye care professional may also look at environmental triggers and other conditions which may be playing a part in your symptoms. Accurate diagnosis is important as dry eye and allergies can require different treatments and in some cases both can be present at the same time. How can you find relief from eye irritation? Treatment is dependent on the etiology of your symptoms. Artificial tears may be of some help in the relief of dry eye discomfort, allergy medication or antihistamine eye drops may be of benefit in the management of allergic symptoms. Your eye care professional will be in a position to advise you on the most appropriate options for you. Don't rub your eyes and consider minimizing exposure to any known irritants/allergens. If the symptoms continue, get worse or keep coming back then you should have an eye exam rather than just carrying on treating them without knowing the actual cause. Get prompt medical attention for severe eye pain, sudden change in vision, intense light sensitivity or severe redness. Protecting Your Eye Health Knowing the difference between dry eye and allergies can go a long way to helping you understand your symptoms and get to the root of the problem so that you can take appropriate steps to alleviate them. The issue is that the two conditions can present with such similar symptoms that a proper assessment by a professional is often the only way to work out which one you actually have. If you are experiencing persistent itching, burning, redness, or watery eyes, schedule an appointment with Baptist Eye Surgeons. An eye care professional can help identify the source of your symptoms and develop a treatment plan to support your comfort and long-term eye health. 

A thorough eye exam is an important part of keeping your vision healthy and protecting your eyes. If you are arranging for your first eye examination as an adult, if you are taking a child in for an evaluation, or if you have noticed any changes in your vision, knowing what to expect can help make the experience more comfortable. The eye exams carried out at Baptist Eye Surgeons not only check your vision but also look at your general eye health and spot any possible problems that might call for further investigation. What is the Importance of Eye Examinations? An eye examination does not merely enable one to find out if glasses or contact lenses are required. It lets an eye care professional assess how well your eyes are working and spot the signs of common eye conditions.  Some eye conditions can progress slowly without symptoms. Regular eye checkups can help detect changes earlier and make sure you receive appropriate treatment when needed. Step by step: The Process Involved in Having an Eye Examination Even though the different appointments may vary according to your particular needs, a typical full eye examination will involve a number of significant steps. 1. An Examination of Your Medical & Eye History Your appointment may start with questions about your vision, medical history, medications, any previous eye conditions, and your family history of eye disease. Be sure to report any changes in your vision, eye discomfort, headaches, or other concerns you have noticed. Your eye care professional may also ask about the glasses or contact lenses you currently use and how well they work for you. 2. Checking Your Vision A well-known part of an eye examination is the visual acuity test. You might be asked to read some letters or symbols from a chart at a set distance. This lets doctors assess how clearly you can see and decide whether corrective lenses would help. Further testing could assess your ability to see up close and the way well your eyes work together. 3. The Measurement of Eye Health & Function Your eye care professional might carry out a number of tests in order to assess the health and functioning of your eyes. The tests involved may vary depending on your age, symptoms, and risk factors and could include measuring eye pressure, examining eye movement and coordination, and looking at the structures at the front and back of the eye. They can help spot possible signs of eye disorders. 4. Discussing Your Results Your ophthalmologist will review the results with you after the examination. If your vision has changed, they may suggest new prescription lenses. If they spot an eye condition or another issue, they could recommend further testing, further monitoring, or treatment. It is also a good chance to ask questions regarding your eye health and the recommended follow-up care. What Should You do to Get Ready for your First Eye Examination? Having an eye examination usually involves nothing complicated. It is a good idea to take with you your present glasses or contact lens details and to be ready to give a list of any medications as well as any applicable medical or family history. Additionally, it might be helpful to remember any vision changes or symptoms you have had. Dilation may occur during the examination if certain tests are performed. After dilation has been advised, your vision might be temporarily blurred or more sensitive to light. Supporting Healthy Vision The initial eye examination is a valuable chance to determine a baseline for your eye health and understand your specific vision needs. Regular eye exams help monitor changes over time and support early detection of possible eye conditions. Plan a visit with an eye care professional if you have discovered any changes in your vision or if you're due for a check-up.