allergic eye disease in children

Allergic Eye Disease in Children

Allergic eye disease, also known as allergic conjunctivitis, affects children and can significantly impact their daily life and comfort. Understanding the symptoms, causes, and treatment options is essential for parents and caregivers. This blog aims to provide comprehensive information on allergic eye disease in children to help you identify and manage the condition effectively.

What is Allergic Eye Disease in Children?

Allergic eye disease occurs when the body’s immune system reacts to allergens, causing inflammation and irritation of the eye. Common symptoms include redness, itching, tearing, and swelling. Allergic eye disease is often triggered by allergens such as pollen, dust mites, pet dander, and mould. It can range from mild discomfort to more severe forms like vernal keratoconjunctivitis.

allergic eye disease in children

Types of Allergic Eye Disease in Children

  • Seasonal Allergic Conjunctivitis: This type is caused by outdoor allergens like pollen and grasses. Symptoms often appear during the allergy season, such as spring and summer.
  • Perennial Allergic Conjunctivitis: This type is triggered by indoor allergens like dust mites, mould, and pet dander. Symptoms can occur year-round.
  • Vernal Keratoconjunctivitis: A more severe form, often seen in warmer climates. It affects both the cornea and conjunctiva, causing symptoms such as itching, swelling, and discharge.

Symptoms of Allergic Eye Disease in Children

  • Itching and burning sensation: The most common symptom, often described as uncomfortable and persistent.
  • Redness and Swelling: Eyes may appear pink and swollen due to inflammation.
  • Increased tear production: Children may produce more tears than usual.
  • Sensitivity to light: Children may squint or avoid bright lights.
  • Watery or stringy discharge: This can indicate the body’s response to allergens.

Causes of Allergic Eye Disease in Children

  • Common allergens: Pollen, dust mites, pet dander, and mould are some of the most common allergens that can trigger allergic eye disease in children.
  • Environmental factors: Changes in temperature, humidity, and wind can affect the concentration and presence of allergens in the environment.

Complications of Allergic Eye Disease in Children

  • Keratoconus: Frequent eye rubbing can cause keratoconus, a condition in which the cornea becomes thin and irregular in shape.
  • Secondary infections: Allergic eye disease can increase the risk of secondary bacterial or viral infections due to the body’s compromised immune response.
  • Chronic inflammation: Persistent inflammation can affect visual acuity and overall eye health.

Diagnosis of Allergic Eye Disease in Children

  • Medical history and physical examination: A detailed medical history, including exposure to allergens and a family history of allergies, is essential.
  • Allergy testing: Skin prick tests or blood tests can help identify specific allergens that trigger symptoms.
  • Slit-Lamp microscopy: Examination of the eye under a slit lamp can reveal inflammation and other signs of allergic conjunctivitis.

Treatment of Allergic Eye Disease in Children

1. Non-Surgical Approaches

  • Lifestyle Changes and Preventive Measures: Creating a clean and allergen-free environment at home, using air purifiers, and avoiding exposure to pets can make a significant difference.
  • Antihistamine Eye Drops: These medications can reduce inflammation and alleviate symptoms.
  • Artificial Tears: To wash away allergens and provide lubrication to reduce dryness and discomfort.
  • Steroid and other anti-inflammatory eye drops: Used over a short period of time to reduce severe ocular inflammation.
  • Cold Compresses: To reduce swelling and provide relief.

2. Surgical Intervention

  • When Surgery Might Be Necessary: In severe cases where non-surgical approaches are ineffective or symptoms persist, surgical intervention may be considered. This may include cases where the cornea is being affected, leading to reduced vision, or chronic inflammation continues despite other treatments.
  • Types of Procedures:
    • Punctal plugs: These small, biocompatible plugs can be inserted into the tear ducts to reduce tear drainage, helping to maintain a tear film over the eye and alleviate dryness.
    • Steroid injection: To reduce eyelid and ocular surface inflammation.

3. Post-Surgery care and follow-up: Regular follow-up visits with an eye specialist are essential to monitor recovery and manage any residual symptoms.

Natural Remedies and Lifestyle Adjustments

  • Indoor environment changes: Ensuring clean air, controlling humidity, and minimising exposure to allergens can make a significant impact. Using hypoallergenic bedding and air purifiers can reduce dust mites and mould spores in the environment.
  • Maintaining air quality: Regularly vacuuming carpets, using HEPA filters, and avoiding outdoor drying of laundry can minimise allergens.

How to prevent Allergic Eye Disease in Children?

  • Minimising allergen exposure: Creating an allergen-free environment at home, including using hypoallergenic bedding and regular vacuuming, can help reduce symptoms.
  • Managing seasonal allergies: During allergy seasons, keeping windows closed and using air purifiers can minimise exposure.

The Role of Pediatric Ophthalmology in Treating Allergic Eye Disease

Specialised paediatric ophthalmologists can provide tailored treatment plans to manage complex cases effectively. They understand the unique needs of children and can offer comprehensive care that addresses the root cause of symptoms.


Early detection and appropriate management of allergic eye disease in children are essential to ensuring their comfort and well-being. By understanding the symptoms, causes, and treatment options, parents and caregivers can take proactive steps to provide relief and prevent complications. 

If you or your child are experiencing symptoms of allergic eye disease, reach out to us for personalised care and expert guidance. 

Author Bio

Dr Parth Shah is a leading ophthalmologist in Canberra, with a special interest in paediatric eye surgery. With extensive training and experience, he is renowned for his expertise in the field. Dr Shah is dedicated not only to performing successful surgeries but also to patient education. His compassionate approach, combined with technical proficiency, has earned him the trust and gratitude of countless patients. He is a true advocate for eye health and a trusted name in the Canberra ophthalmology community.


  1. How can I differentiate between allergic conjunctivitis and viral conjunctivitis?
  • Allergic conjunctivitis often presents with itching, redness, and watery discharge. Viral conjunctivitis may be associated with a more watery or mucous-like discharge, along with symptoms such as mild swelling, fever, and a sensation of grit in the eyes. A healthcare professional can help make a definitive diagnosis.

2. Can allergic eye disease go away on its own?

  • Allergic eye disease may improve on its own in some cases, particularly with lifestyle changes and avoiding allergen exposure. However, early intervention and appropriate management can provide more effective and long-lasting relief.

3. What is the best way to clean artificial tears or eye drops used for allergic eye disease?

  • It is essential to wash hands thoroughly before and after using eye drops or artificial tears. Use a clean tissue or cloth to gently wipe away any excess medication or residue from the eye area.

4. Can allergic eye disease affect my child’s behaviour or mood?

  • Yes, symptoms such as persistent itching, discomfort, and irritation can impact a child’s mood and behaviour. If symptoms are severe or chronic, it may lead to irritability, difficulty concentrating, or a general feeling of discomfort.

5. How often should I schedule follow-up appointments with an eye specialist if my child has allergic eye disease?

  • The frequency of follow-up appointments can vary depending on the severity of the condition. Typically, initial visits may be more frequent, and then follow-ups may be scheduled every few months to monitor progress and adjust treatment as needed.

6. Can stress worsen allergic eye disease symptoms in children?

  • Yes, stress can have an impact on the body’s immune response and potentially worsen allergy symptoms. Ensuring a calm and relaxed environment for the child can help manage symptoms.

7. Can air conditioning or heating units contribute to allergen exposure in the home?

  • Yes, air conditioning and heating units can sometimes harbour allergens like dust mites and mould. Regular cleaning and maintenance of filters and ducts can help minimise exposure to these allergens.

8. Is allergic eye disease hereditary?

  • There may be a genetic component to allergic eye disease, as children with a family history of allergies or asthma are more likely to develop allergic conditions, including eye disease.

9. Can allergic conjunctivitis be cured permanently?

  • Allergic conjunctivitis can be managed and treated, but it may not be completely cured. The goal of treatment is to reduce symptoms and minimise exposure to allergens. With proper management, symptoms can often be controlled effectively.

10. What can be mistaken for eye allergies?

  • Eye infections, such as bacterial or viral conjunctivitis, can have similar symptoms to eye allergies. Other conditions, such as dry eyes, may also present with discomfort and redness. It is important to consult with a healthcare professional to make an accurate diagnosis.

11. What is the difference between an eye infection and an eye allergy?

  • Eye infections, such as bacterial or viral conjunctivitis, can cause symptoms like yellow or greenish discharge, pain, and increased sensitivity to light. Eye allergies typically cause itching, redness, and watery eyes without a significant discharge. A healthcare professional can provide a definitive diagnosis.

12. How to know if it is dry eye or allergies?

  • Both dry eye and allergies can cause eye discomfort, redness, and irritation. However, dry eye is often characterised by a feeling of dryness, grittiness, or a sensation of having something in the eye, and it does not typically cause itching. Allergies can cause itching, redness, and swelling. An eye care professional can conduct tests to determine the underlying cause.