How to Fight Ocular Pruritus
Ocular pruritus affects many people and is really annoying. It can be due to dryness, allergies, diseases or substances that circulate in the air. If you ignore the cause, contact your eye care professional to determine it. Then, intervene in a targeted way to soothe it using natural remedies, taking medication or making changes to your lifestyle.
Treat Allergic Nature Pruritus
1) Keep a diary.
Allergies, which can be seasonal or annual, tend to cause redness, secretions and ocular itching, but also rhinorrhea, coughing and sneezing. Try to determine the cause by keeping a diary. Record symptoms, duration and activities during the day. If you know the reason for the allergy, you will always be ready to face it or to prevent it.
Write down if you have observed a deterioration in spending time outdoors, in a dusty room or in contact with animals.
2) Reduce exposure to pollen or other allergens.
Keeping away from the cause of allergy is the most effective way to prevent it. Pollen is one of the main causes. Try to adopt simple habits to minimize exposure:
Plan outdoor activities at times when fewer pollens are circulating, for example at noon. Check the pollen bulletin on the internet and stay at home when the pollen count is high. Do not go out on particularly windy days.
If you have to go out, protect yourself by wearing sunglasses, hats and scarves to keep them away from your eyes and hair.
Keep the grass in the garden short and choose plants that spread few allergens (or none) in the air. Contact a nursery to receive accurate information about it.
If the cause was another, for example, an allergy to cats or dust, try to minimize contact as much as possible.
3) Keep the house and the car clean.
It is not always possible to avoid pollen, dust and other allergens, so try to keep your personal space clean. Dust and vacuum the house once a week. Aspire the interior of the car at least once a month. Keep the car windows and windows of the house closed.
If possible, get a vacuum cleaner equipped with HEPA filter, able to capture the microparticles.
Brush your four-legged friends every day on a wooden or tile surface, so you can collect hairs and dead cells with a vacuum cleaner. Wash your hands after touching them
4) Eliminates traces of pollen from the body.
At the end of the day, put the dirty clothes in the laundry basket and take a shower before going to bed. It is preferable to wash your hair too. Change the sheets at least once a week, while the pillowcases should be replaced more often.
Wear a mask when cleaning or you dedicate to gardening
5) Rinse your eyes on the sink or in the shower.
Sprinkle water into eye sockets or let it flow on your face. If you find it comfortable, try to keep your eyes open to expel all irritants.
You can also try to soak a clean cloth of water and use it to make a compress. Wring out excess water, then place it on your eyes.
Put two teaspoons in the refrigerator for an hour or so, then place them on your eyes to fight the swelling and relieve itching. Wash them before using them to eat.
6) Rinse the paranasal sinuses.
Perform a nasal irrigation with the sterile distilled saline solution to expel the allergens from the breasts. Buy a squeezable bottle or neti lota in a pharmacy or in herbal medicine. To irrigate the breasts, fold the head over the sink and pour the water or saline into the upper nostril, letting it escape from the lower nostril.
Use only distilled water, boiled and allowed to cool. Keep the neti lota or bottle clean, so as not to introduce germs into the breasts.
7) Take over-the-counter antiallergic drugs.
In the case of a mild or moderate allergy, antihistamines are usually used without a prescription, available in the form of tablets, nasal sprays and eye drops. Fexofenadine, cetirizine and loratadine are among the most widespread. Remember that antihistamines in tablets cause drowsiness.
Benchtop decongestants, such as pseudoephedrine, can also help alleviate allergy symptoms but offer less evidence in the event of ocular pruritus. Nasal spray decongestants should only be used for two or three days at a time.
To alleviate allergy, try a sodium nasal spray chromoglycate, otherwise ask for a prescription for eye drops containing the same active ingredient to combat ocular pruritus.
Many people find relief by combining various medicines. Contact your doctor or pharmacist to find out how to associate them and avoid exaggerating.
Even the counter eye drops are effective. Look for those based on naphazoline, pheniramine, 0.1% olopatadine, lodoxamide, 0.1% trometamol salt or 0.025% ketotifen.
8) Take prescription drugs.
If the allergy is severe or the over-the-counter treatments are not effective, talk to your doctor for a prescription of anti-allergy medicines. Since there are several types, it will help you determine which ones are best for you based on the symptoms you are accusing of and your medical record. Here are some options:
Corticosteroids for nasal inhalation, such as those based on fluticasone or mometasone. They are a safe and long-term solution with few side effects;
Montelukast prescription tablets can help fight allergies, especially when associated with asthma;
Nasal spray based on ipratropium;
Corticosteroids with oral administration, such as prednisone. They can mitigate the most serious allergies. However, it is possible to use them only for a limited period, as prolonged use causes various side effects.
9) If the drugs do not help you improve the situation
talk to a doctor to evaluate the possibility of trying specific immunotherapy, a sort of anti-allergic vaccine. This treatment, which lasts three to five years, allows the body to get used to the allergens. It can help fight the itching and other symptoms associated with long-term allergies
10) Try a herbal treatment.
Although their effectiveness has not been sufficiently proven, some people find them useful. Talk to your doctor. If you recommend them, buy them in herbal medicine. You could take one of the following:
Butterbur extract (choose only products free of pyrrolizidine alkaloids);
11) Avoid touching or rubbing your eyes.
If they are prudent, it is normal to have the temptation to do so, but it risks worsening the situation. Instead, try using another method to find relief, like a cold compress.
12) Apply a cold compress.
It can soothe the itching and at the same time combat ocular swelling. Soak a towel in cold water. Roll it up, place it on your eyes and lie down. Keep it in place for 20 minutes before removing it.
13) Prevent dry eye, which can cause redness, tingling, burning and itching.
It often manifests when the eyes do not produce enough tears to moisturize the eyes. It usually happens in specific situations, such as on the plane, when the air conditioning is switched on, after having long fixed the monitor of a computer, riding a bicycle or driving with the window open.
Dedicate a diary to the symptoms. On the days when you accuse dryness and itching, note the activities you have done. Review the notes to determine the possible cause.
If you can determine the cause of the dryness, avoid to export again or prepare in advance by taking eye drops, wearing a pair of glasses or a mask.
14) Use over-the-counter eye-drops.
Artificial tears can be found at any pharmacy or drugstore. If you suffer from occasional dryness, use lubricating drops such as those based on tetrahydrozoline. Follow the instructions on the package.
It may be necessary to apply them only once a day, in some cases more than one. If you suffer from chronic dryness, use them even when you do not feel them dry.
If you use eye drops more than four times a day, choose one free of preservatives, available in single disposable ampoules.
15) Before going to bed, apply an eye salve, denser than eye drops.
It can alleviate dryness and itching, but it can also cloud vision. As a result, it should not be used during the day when driving or working. Put it before going to sleep
16) Treat the triggering diseases.
Some diseases can cause dryness or sharpen it. If you accuse a certain ocular discomfort, examine your medical record with a doctor. Treating the underlying cause also eye problems will improve.
Here are some diseases that can cause dry eyes: diabetes, lupus, rheumatoid arthritis, scleroderma, Sjögren’s syndrome, thyroid problems and vitamin A deficiency.
Ectropion is an abnormality of the eyelid that can cause chronic dryness. In this case, ask your doctor to recommend a surgeon who specializes in blepharoplasty
17) Stop taking medications that cause dry eye.
Talk to your doctor and ask if you can change them. Never stop taking a medicine without the supervision of a specialist. Here are some of the possible managers:
Antihistamines, decongestants, drugs for hormone replacement therapy (estrogen and so on), antidepressants and contraceptives;
Medicines to treat acne, high blood pressure and Parkinson’s.
18) Take more fatty acids.
Some people have observed that enriching their diet with omega-3 and omega-6 fatty acids help alleviate dryness of the eye and its symptoms. Eat more foods that are rich, such as salmon, mackerel, sardines, linseed and vegetable oils
19) Stop smoking.
Smoking can cause or increase dryness. Before making a final decision, just smoke outdoors and wash your hands well when you enter a closed room again.
20) In case of severe dryness, consider a drastic treatment.
There are several types. Ask an ophthalmologist to learn about the various long-term solutions. Here are some:
Insertion of small devices between the lower eyelid and the eye to stimulate the production of artificial tears;
Medicines that stimulate tear production, such as pilocarpine and cevimeline;
Surgical obstruction of lacrimal ways to regulate tearing;
Special contact lenses called scleral lenses;
Phototherapy and eyelid massage;
Eye drops with castor oil (its effectiveness is not supported by many tests, but some people have allowed finding relief).
Addressing the Conjunctivitis
21) Contact your ophthalmologist if itching and redness affect only one eye.
Conjunctivitis commonly tends to cause itching and typically occurs through one eye (although it can affect both). Of viral or bacterial origin, it is contagious, so if you notice itching, redness and eye swelling, go to the ophthalmologist.
Conjunctivitis has symptoms such as redness, irritation or burning sensation, secretions or crusting and tearing.
Although it may affect only one eye at first, it can affect the other in two or five days.
22) If the ophthalmologist determines that it is bacterial conjunctivitis, treat it with antibiotics by following the instructions to the letter.
Before applying them, rinse your eyes with tap water. Antibiotics can be found in the form of eye drops or ointment.
Viral conjunctivitis and some types of bacterial conjunctivitis can heal without taking medication. Your doctor will determine the most appropriate treatment for your specific case.
If the conjunctivitis was caused by the herpes virus, you could prescribe antiviral drops.
23) Discontinue use of contact lenses until complete healing, otherwise risk spreading the infection or hinder treatment.
To avoid infecting the eyes again, usually you need to throw away the contact lenses, the case or the solution, but first, ask your doctor. If you use reusable lenses, clean them thoroughly before reapplying them
24) Apply a cold compress to the eye affected by conjunctivitis.
To relieve itching and swelling, prepare a cold compress using a clean cloth. If you want you can also soak it in warm water. Do not use the same cloth on both eyes
25) Adopts good personal hygiene habits.
Conjunctivitis is very contagious, therefore, to avoid spreading it, you should acquire certain habits. Wash your hands often with warm water and soap. Wash all sheets, pillowcases and towels. Do not wear make-up until complete healing and throw away all the makeup tools or brushes that come into contact with the eye affected by conjunctivitis.