[42M] With itchy and burning eyes post-exposure to flooring dust

Patient Description

A 42-year-old male presents with itchy and burning eyes, primarily around the outside of the eyes, which started suddenly and worsened over the course of 1.5 weeks. The itching is described as a tingling sensation, and there is associated redness and swelling, but no discharge or significant changes in vision aside from occasional blurriness. The patient reports that the symptoms began after sanding flooring, suggesting possible exposure to dust or irritants. The patient has not tried antihistamines or allergy medications and does not have a history of allergies or chronic illnesses. There are no respiratory symptoms such as sneezing or a runny nose. The patient has not experienced similar symptoms before and has not found relief with a healing ointment previously used. No known drug allergies and no medications currently being taken.

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Arora's Assessment

What might be happening

Based on your symptoms, here are some possible explanations:

  • Allergic Reaction or Contact Dermatitis: The itching and burning sensation around your eyes could be due to an allergic reaction, possibly from the dust exposure while sanding. Contact dermatitis can occur when the skin comes into contact with an irritant or allergen.

    • Treatment: Avoiding the irritant and using over-the-counter antihistamines or hydrocortisone cream may help relieve symptoms.
  • Irritant Exposure: The sanding dust might have irritated the skin around your eyes, causing itching and redness.

    • Treatment: Gently washing the area with water and using a soothing moisturizer can help.

What you can do

  1. Avoid Further Exposure: Try to avoid any further exposure to dust or other potential irritants.
  2. Use Cool Compresses: Applying a cool, damp cloth to the affected area can help soothe itching and reduce inflammation.
  3. Over-the-Counter Remedies: Consider using antihistamines or a mild hydrocortisone cream to alleviate itching.
  4. Moisturize: Use a gentle, fragrance-free moisturizer to help protect the skin around your eyes.
  5. Track Symptoms: Use MDandMe to journal your symptoms, track progress, and share notes with your healthcare provider.

What you should look out for

  • Seek Medical Attention: If symptoms worsen, or if you experience swelling, severe pain, or changes in vision, consult a healthcare professional.
  • Persistent Symptoms: If the itching and redness do not improve with home care, it’s important to see a doctor for further evaluation.

Remember, it's always best to consult with a healthcare professional for a formal diagnosis and treatment plan.

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1 mo ago

People Also Ask


What are common causes of itchy and burning eyes?

Common causes of itchy and burning eyes include allergies, irritant exposure (such as dust or chemicals), dry eyes, and infections. In this case, exposure to sanding dust is a likely cause.


How can I differentiate between an allergic reaction and irritant exposure?

An allergic reaction often includes symptoms like itching, redness, and swelling, sometimes accompanied by sneezing or a runny nose. Irritant exposure may cause similar symptoms but typically lacks respiratory symptoms. The context of exposure can help differentiate the two.


What over-the-counter treatments are effective for itchy eyes?

Over-the-counter treatments for itchy eyes include antihistamines (like loratadine or cetirizine) for allergies, and hydrocortisone cream for contact dermatitis. Cool compresses and gentle moisturizers can also provide relief.


When should I seek medical attention for eye irritation?

You should seek medical attention if you experience worsening symptoms, severe pain, significant swelling, or changes in vision, as these could indicate a more serious condition requiring professional evaluation.


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