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How Can I Eliminate My Eye Allergy Symptoms?

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Question
I’ve been suffering from allergic shiners for the past few years. I’ve tried antihistamines, eye drops, and nasal sprays. Nothing seems to work. My eyes are always puffy and swollen. Any suggestions to eliminate them?
Answer

Nasal congestion or a stuffy nose causes allergic shiners. Nasal congestion happens when the tissue and blood vessels in the nose become swollen with excess fluid. This excess fluid, which is commonly caused by allergies, collects in the small veins under the eyes. The blood pools under the eyes and these swollen veins dilate and darken, creating dark circles and puffiness. This creates blue-gray or purple circles under the eyelids. This is called “Allergic Shiners”.

The most effective way to deal with allergic shiners is to treat the underlying cause such as:

  • Allergies such as pet dander, dust mites, and pollen
  • Irritants such as cigarette smoke, pollution, perfumes
  • Lack of sleep
  • Eczema
  • Dehydration

Common treatments include nasal saline washes, antihistamines (oral or nasal sprays), decongestants, topical nasal steroid sprays, and anti-inflammatory eye drops. Another anti-inflammatory is Singulair.

Since you have tried many of these eye allergy treatments, allergy shots may be a good option for you. They can be very effective for patients with more severe allergies. Speak with your doctor or allergist about other allergy treatment options.

Categories
Allergy, Eye Allergy, Nasal Allergy (Rhinitis)
Answered by

John M. James, MD, is a board-certified allergist. He is also President of Food Allergy Consulting and Education Services, LLC. He has worked as a medical specialist in the field of allergy, asthma, and immunology for over 30 years. Dr. James received his bachelor’s degree from the University of Arkansas and his Doctor of Medicine degree from the University of Tennessee. He is board certified by the American Board of Allergy and Immunology.

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