[64F] With itchy, tearing eyes post-cataract surgery

What might be happening

Based on the information you have provided, here are some possible explanations for your symptoms:

• Dry Eye Syndrome: This condition occurs when your eyes don't produce enough tears or the right quality of tears to keep your eyes lubricated. Symptoms include a sandy, gritty feeling, itching, redness, and tearing. It can be exacerbated by lack of sleep and environmental factors.

  • Treatment: Over-the-counter artificial tears, prescription eye drops, and lifestyle changes such as using a humidifier and taking breaks from screen time.

• Allergic Conjunctivitis: This is an inflammation of the eye caused by an allergic reaction to substances like pollen, dust, or pet dander. Symptoms include itching, redness, tearing, and a gritty feeling.

  • Treatment: Avoiding allergens, using antihistamine eye drops, and taking oral antihistamines.

• Blepharitis: This is an inflammation of the eyelids that can cause redness, itching, and a gritty feeling in the eyes. It is often associated with dry eyes.

  • Treatment: Warm compresses, eyelid scrubs, and sometimes antibiotic or steroid eye drops.

• Post-Surgical Dry Eye: After cataract surgery, some people experience dry eyes as a side effect. This can cause symptoms similar to those you are experiencing.

  • Treatment: Similar to dry eye syndrome, including artificial tears and prescription eye drops.

What you can do

While it's important to consult a healthcare professional for a formal diagnosis and treatment plan, here are some steps you can take to alleviate your symptoms:

1. Use Artificial Tears: Over-the-counter artificial tears can help lubricate your eyes and relieve the gritty feeling.
2. Apply Warm Compresses: A warm compress can help soothe your eyes and reduce inflammation.
3. Avoid Allergens: If you suspect allergies, try to avoid exposure to dust, pollen, or other potential allergens.
4. Maintain Good Eye Hygiene: Clean your eyelids gently with a warm, damp cloth to remove any debris.
5. Stay Hydrated: Drink plenty of water to help maintain tear production.
6. Use a Humidifier: Adding moisture to the air can help keep your eyes from drying out.
7. Get Adequate Sleep: Ensure you get enough rest, as lack of sleep can exacerbate eye discomfort.
8. Journal Your Symptoms: Use MDandMe to track your symptoms, note any triggers, and share this information with your healthcare provider.

What you should look out for

Seek medical attention if you experience any of the following:

• Severe Pain: If you develop severe eye pain, it could indicate a more serious condition.
• Vision Changes: Any sudden changes in vision, such as blurriness or loss of vision, should be evaluated by a healthcare professional.
• Persistent Symptoms: If your symptoms do not improve with over-the-counter treatments or worsen, consult a healthcare provider.
• Discharge: If you notice yellow or green discharge, it could indicate an infection that requires medical treatment.

Remember, while these suggestions can help manage your symptoms, it's important to consult a healthcare professional for a formal diagnosis and appropriate treatment.