Updated – October 17, 2024
Are you dealing with eye discomfort but aren’t sure what’s causing it?
You’re not alone.
Many people experience symptoms like itchy eyes, redness, or a dry scratchy feeling and wonder whether they’re dealing with dry eyes or eye allergies. Both are common eye problems people deal with every day, but it can be tough to tell them apart because they feel the same.
In this post, we’ll break down the causes, symptoms, and treatments for both dry eyes and eye allergies, so you can better understand what’s going on with your eyes and find the relief you need, especially if you wear contact lenses.
Dry Eyes Causes and Symptoms
Dry eyes happen when your eyes can’t produce enough tears or when the tears evaporate too quickly. This can lead to discomfort and even blurry vision. Causes include aging, heavy digital device use, windy or dry environments, and certain medications.
Dry eye symptoms:
- Dry, gritty sensation
- Redness
- Blurry vision
- Sensitivity to light
Why are my eyes dry?
Your eyes may feel dry because they aren’t producing enough tears, or the tears you do produce evaporate too quickly. This can happen for a number of reasons. Age can be a factor because tear production naturally decreases over time. Spending long hours in front of a screen can also cause dryness since you tend to blink less, which means fewer tears to keep your eyes moist. Environmental factors, like being in windy, dry, or air-conditioned spaces, can also speed up tear evaporation, while antihistamines and certain medications can contribute to dryness.
If you’re experiencing dry eyes regularly, it’s important to pinpoint the cause so you can treat it effectively.
Eye Allergies Causes and Symptoms
Eye allergies, also known as allergic conjunctivitis, occur when your eyes react to allergens like pollen, dust, or pet dander. This reaction triggers irritation and discomfort.
Eye allergies symptoms:
- Itchiness
- Redness
- Watery eyes
- Swollen eyelids
Can allergies cause dry eyes?
Yes, allergies can definitely cause dry eyes.
When your eyes are exposed to allergens like pollen or dust, they can become irritated, leading to inflammation. This inflammation affects tear production and can make your eyes feel dry.
So, while allergies typically cause watery eyes, they can also trigger dry eye symptoms, especially if the tear film is disrupted.
How to treat dry eyes from allergies
If you’re dealing with dry eyes caused by allergies, below are some tips to help:
- Use artificial tears to keep your eyes moisturized throughout the day.
- Apply a cold compress to reduce irritation and soothe inflammation.
- Avoid allergens by staying indoors during high pollen days or using air purifiers.
- Take antihistamines (be aware that some can make dryness worse).
- Try allergy eye drops to relieve both itchiness and dryness.
- Consult an eye doctor if over-the-counter remedies don’t provide relief. They may recommend prescription treatments or allergy shots.
Types of Eye Allergies
Below are five types of eye allergies that can trigger irritation and discomfort:
- Seasonal allergic conjunctivitis – The most common type of eye allergy. It frequently occurs in spring when allergens are more prominent. Often confused with dry eye syndrome.
- Perennial allergic conjunctivitis – Similar to seasonal eye allergies except its symptoms occur year-round.
- Giant papillary conjunctivitis (GPC) – This type of eye allergy occurs when the inside of your eyelid gets red, swollen, and irritated. It is usually found in people who wear contact lenses.
- Vernal keratoconjunctivitis (VKC) – VKC occurs when hard, elevated bumps appear on the upper eyelid, often due to a hypersensitivity to allergens. It is more common in warm climates.
- Atopic keratoconjunctivitis (AKC) – If VKC affects the upper eyelid, AKC affects the lower eyelid. With this eye allergy, the conjunctiva (thin, clear membrane that protects your eye) becomes red and swollen.
Is It Dry Eyes or Allergies?
It can be tricky to tell whether you’re dealing with dry eyes or allergies since both conditions share symptoms like redness, irritation, and discomfort. But it all boils down to this:
If your symptoms vary with the season or exposure to specific triggers, it’s likely allergies. But if your eyes feel dry in certain environments or after activities like staring at a screen, dry eyes are the more likely culprit.
Dry eyes feel gritty or sandy
This may come with a constant feeling of dryness or tiredness. You may also experience blurry vision or sensitivity to light, and symptoms often get worse after long periods of screen time or in dry environments.
Eye allergies come with itchy and watery eyes
Eye allergies also sometimes come with swollen eyelids. Also, symptoms tend to flare up when you’re exposed to allergens like pollen, dust, or mold.
Best Contact Lens for Dry Eyes
There’s no single best contact lens for dry eyes. Everyone’s eye health is different, and your needs will vary based on factors like tear production, lifestyle, and advice from your eye care professional.
That said, daily disposable contacts are a popular choice for those with dry eyes (and eye allergies) because they’re replaced each day. This means there’s little to no chance for allergens and irritants to stick to the lens.
Below are some top-rated options to consider if you struggle with dry eyes and allergies (consult your eye doctor to find the best one for your specific needs):
- ACUVUE® OASYS 1-DAY with HydraLuxe® – Manufactured by Johnson & Johnson, this daily disposable contact lens is known for providing excellent comfort and moisture retention. The lens features HydraLuxe Technology, which mimics your natural tears to keep your eyes moist and comfortable throughout the day. It’s ideal for those who experience dryness, especially during extended screen use.
- Biotrue® ONEday – This lens from Bausch + Lomb is another great daily disposable option. It’s designed to provide all-day hydration and comfort, with surface-active technology that maintains 98% moisture for up to 16 hours, making it a top choice for people who need long-lasting relief from dry eye symptoms throughout the day.
- DAILIES TOTAL1® – DAILIES TOTAL1 by Alcon is highly regarded for its superior comfort, even for those with chronic dry eyes. The lens uses Water Gradient Technology, featuring nearly 100% water content at the surface, creating a cushion of moisture that minimizes irritation and keeps your eyes feeling refreshed all day long.
- PRECISION1® – Also by Alcon, PRECISION1 is known for providing clear, sharp vision alongside high comfort. It features SMARTSURFACE Technology, which adds a moisture-rich layer on the lens surface. It is a reliable choice for people with dry eyes who need consistent hydration throughout the day.
- Clariti® 1 Day – From CooperVision, Clariti 1 Day is a more affordable daily disposable lens that’s also highly breathable. Made with silicone hydrogel, these lenses allow plenty of oxygen to reach your eyes. It’s an excellent option for those looking for a balance of affordability and comfort.
Best contact lens solution for dry eyes
If you’re struggling with dry eyes and wear contact lenses, using the right lens solution can make a big difference.
Popular solutions like Biotrue, Opti-Free Puremoist, and Refresh Optive are often recommended for their hydrating properties. These solutions are designed to keep your lenses moist and comfortable throughout the day.
As with contact lenses, it’s important to consult your eye doctor before choosing a solution. Different solutions work best for different eye conditions. Also, don’t rely on lens solutions alone if you’re unsure whether you’re dealing with dry eyes, allergies, or something else.
Contact lens drops for dry eyes
For additional moisture, contact lens-friendly drops can help relieve dryness.
Some of the more popular brands include Systane Ultra, Blink Contacts, and Refresh Tears, all known for providing quick relief and maintaining eye moisture.
As with lens solutions, use drops only after consulting with your eye doctor, as dry eyes may be caused by various factors, including allergies.
How to remove contact lens from dry eyes
Removing contact lenses from dry eyes can be tricky. Here’s how to gently do it to avoid irritation:
- Hydrate your eyes first – Use rewetting drops or artificial tears to add moisture to your eyes before attempting to remove the lens.
- Blink a few times – This helps distribute the moisture evenly and loosens the lens.
- Look up and slide the lens – Gently use your fingertip to slide the lens down toward the white part of your eye.
- Pinch and remove – With clean, dry fingers, carefully pinch the lens between your thumb and index finger to lift it off your eye.
- Never force it – If the lens doesn’t come off easily, add more drops and try again.
How to treat dry eyes for contact lens wearers
The following steps can make a big difference in keeping your eyes comfortable while wearing contacts:
- Switch to daily disposables – These lenses are replaced daily, reducing the chance of dryness from irritants.
- Use contact-friendly eye drops – Look for lubricating drops that are safe for contact lens wearers to keep your eyes moist throughout the day.
- Stay hydrated – Drink plenty of water to support tear production.
- Take breaks – Limit screen time and give your eyes regular breaks to avoid strain.
- Choose the right lens solution – Opt for hydrating solutions that help maintain lens moisture.
- Consult your eye doctor – Regular check-ups will help you stay on top of your dry eye symptoms and find the best lens options for your needs.
Frequently Asked Questions About Dry Eyes and Eye Allergies
- Can you wear contact lens with dry eyes?
Yes, you can wear contact lenses with dry eyes, but it’s important to choose lenses designed for moisture retention, like daily disposables. Always consult your eye doctor to find the best option for your eyes.
- Does contact lens cause dry eyes?
Yes, contact lenses can contribute to dry eyes if worn past the recommended wearing period or if you’re using lenses that don’t retain moisture well. Daily disposables and hydrating lenses are better suited for people with dry eyes.
- What is the best contact lens solution for dry eyes?
Solutions like Biotrue, Opti-Free Puremoist, and Refresh Optive are popular for keeping lenses moist and comfortable. Consult with your eye doctor before using any solution.
- What are the best contact lens drops for dry eyes?
Popular contact lens drops include Systane Ultra, Blink Contacts, and Refresh Tears. These drops provide relief for dryness, but you should only use drops recommended by your eye doctor to address your specific condition.
- Can allergies cause dry eyes?
Yes, allergies can cause dry eyes by inflaming the eyes and affecting tear production. It’s common to experience both watery and dry eyes when exposed to allergens like pollen or dust.
Dry Eyes vs. Allergies: The Verdict
So, which is it—dry eyes or allergies? The difference lies in the symptoms.
If your eyes feel gritty, dry, or tired, you’re likely dealing with dry eyes. If itchiness, watery eyes, or swelling occurs, it’s probably allergies.
Both conditions can overlap though, so it’s important to pay attention to triggers and consult your eye doctor for an accurate diagnosis and the best treatment plan.
