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Eye burning - itching and discharge

• Overview
• Treatment

Alternative Names:

Itching - burning eyes; Burning eyes

Home Care:

Apply cool compresses to soothe itching.

If the eyelids have crusts, gently soften them with warm compresses. Gently washing the eyelids with baby shampoo on a cotton applicator can help remove crusts.

Artificial tears used several times a day (4-6 times) can also relieve symptoms. Avoid over-the-counter eyedrops other than artificial tears because they will eventually make symptoms worse.

Itching and burning due to allergy or chemicals can be very uncomfortable. Attempt to determine the cause of the allergy such as a pet, seasonal pollen, or irritating cosmetics. Refrigerated artificial tears can be very soothing. Antihistamine drops, available from your health care provider, can be helpful.

Pink eye or viral conjunctivitis causes a red or bloodshot eye and excessive tearing. If you suspect pink eye, remember to wash your hands often, and avoid touching the unaffected eye. The infection will run its course in about 10 days.

Bacterial conjunctivitis is not common, but if you have eye discharge that is white, yellow or greenish, contact your health care provider.

Call your health care provider if:

• Vision is decreased.
• There is excessive eye pain or sensitivity to light.
• The discharge is thick, greenish, or resembles pus.

What to expect at your health care provider's office:

The medical history will be obtained, and a physical examination performed.

Medical history questions documenting your symptom in detail may include:

• What does the eye drainage look like?
  • Is it thick?
  • Is it yellow?
  • Does it look like pus?
  • Is it green?
  • Is it bloody?
  • Is it clear?
• Other
  • What other symptoms are also present?
  • Is there decreased vision ?
  • Is there eye pain ?
  • Is there photophobia (light sensitivity)?

The physical examination may include a check of vision, eye motion, eyelids, and the reaction of pupils to light.

Intervention:

Antihistamines in the form of eye-drops or ointments may be prescribed. Cortisone-like eye ointments are not often prescribed. These medications will reduce many types of inflammation, but can make certain infections, such as herpes, worse.

After seeing your health care provider:

If symptoms do not improve or are worse in 1-2 weeks, contact your health care professional. Occasionally, additional treatments are needed.

• Review Date: 12/15/2005
• Reviewed By: Edward B. Feinberg, MD, MPH, Professor and Chair, Department of Ophthalmology, Boston University School of Medicine, Boston, MA. Review provided by VeriMed Healthcare Network.

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