How Allergies May Be Worsening Your Dry Eye Symptoms
Discover how seasonal allergies may be intensifying your dry eye symptoms. Learn about the connection between allergic reactions and tear film disruption—and explore expert tips, including the powerful benefits of hypochlorous acid (HOCl) as a compliment to key relief strategies.
Close your eyes, and think of a time when eye discomfort has been more of a hot-button issue than it is today. Go ahead, we'll wait!
The truth is, two of the most common culprits of said discomfort are allergies and dry eye syndrome, which often occur together and can amplify symptoms or create a frustrating cycle of irritation¹⁻⁵.
This summer seems to be continuing the onslaught of allergens that spring reliably brought us. And it got us thinking; since so many of us experience an exacerbation of allergy symptoms in the warmer weather, let's explore how allergies can worsen dry eye symptoms. The goal? To help you be more informed about how these two phenomena interact and aware of some strategies to help you make the most of the season without the discomfort.
The Allergy-Dry Eye Connection
Allergic reactions occur when the immune system misidentifies harmless substances (like pollen, pet dander, or dust) as threats, triggering a chain reaction¹⁻⁵. This response releases histamines, causing itchy, red, watery, and swollen eyes—classic signs of allergic conjunctivitis¹⁻⁵.
Meanwhile, dry eye syndrome results from poor tear quality or reduced tear production¹⁻⁷. A healthy tear film, composed of water, mucus, and oil layers, keeps the eye nourished and lubricated¹⁻⁷. When this balance is disrupted—by aging, hormonal changes, medications, or dry environments—dry eye symptoms arise: burning, grittiness, blurred vision, and paradoxically, excessive tearing.¹⁻⁷
When these two conditions combine, they worsen each other in several ways¹⁻⁵:
- Inflammation from allergies damages tear-producing glands and destabilizes the tear film.
- Histamines increase tear evaporation, contributing to dryness.
- Eye rubbing, a common allergy response, can injure the ocular surface and further aggravate dry eye symptoms.
- Environmental allergens (e.g., pollen, dust) worsen both allergy and dryness symptoms.

Tips for Managing Allergies with Dry Eye
Managing both allergies and dry eye requires a dual approach¹⁻⁵:
- See an eye specialist for accurate diagnosis and treatment guidance - this is especially critical before integrating any new ocular health therapies or treatments.
- Avoid known allergens through utilizing air filtration systems, closing windows, and frequently cleaning surfaces.
- Use humidifiers to keep indoor air moist, especially in dry climates or air-conditioned spaces.
- Protect your eyes outside by wearing wraparound sunglasses to prevent pollen and other allergens from reaching your eyes.
- Avoid rubbing or scratching your eye area when experiencing irritation, and consider using a cold compress to temporarily relieve discomfort from irritation and inflammation.
- Stay hydrated and include omega-3-rich foods in your diet.

Hypochlorous Acid: A Compliment to Relief Strategies for Dry Eye & Allergy Symptoms
One promising solution for managing dual dry eye and allergy symptoms is the application of hypochlorous acid (HOCl) to the the eye itself, and the skin around the eye. HOCl is a gentle-yet-powerful molecule naturally produced by our body’s immune system to fight infection and reduce inflammation⁶⁻⁸. When applied topically to one's eyes as a spray or mist, HOCl has been found to eliminate up to 99.6% percent of staph bacterias, including antibiotic resistant strains within just 20 minutes⁶—all while offering the same non-toxic comfort and safety profile as saline. It's a remarkable combination that only HOCl can offer. In fact, this combination is especially beneficial when allergies or dry eye provoke frequent eye rubbing or scratching, which can introduce or spread harmful microbes that further inflame the eyes.
Beyond its potent antimicrobial benefits, HOCl acts as a natural anti-inflammatory, helping to calm redness, reduce swelling, and ease itching and general discomfort⁷⁻⁸. Emerging clinical evidence⁸ also supports its role in improving dry eye symptoms, as it helps restore a healthier ocular environment and enhances the stability of the tear film.
For those struggling with the double burden of allergies and dry eye, a pure and stable hypochlorous acid solution such as BIHOCL O.D. will offer a safe, multipurpose approach that targets both the causes and the consequences of irritation.
Soothe Your Sight: Conquering Dry Eye and Allergy Discomfort
The interplay between allergies and dry eye can create a challenging cycle of discomfort, but with the right strategies, relief is within reach. By understanding the connection between these conditions, implementing preventative measures, and exploring complementary products like BIHOCL O.D., you can significantly improve your ocular comfort and quality of life.
Don't let itchy, irritated, or dry eyes hold you back from enjoying the season to its fullest. Consult with an eye care professional to develop a personalized management plan and discover how a multi-faceted approach can help you achieve lasting relief and clearer, more comfortable vision.
References
- Candice Jones, M. D., Lakiea Wright, M. D., & MAT, M. (2021). Seasonal allergies. Contemporary Pediatrics, 38(3), 22-25.
- Bielory, L., & Bielory, B. P. (2020). Allergic and immunologic eye disease. Pediatric Allergy, E-Book: Principles and Practice, 354.
- Paulsen AJ, Cruickshanks KJ, Fischer ME, et al. Dry eye in the beaver dam offspring study: prevalence, risk factors, and health-related quality of life. Am J Ophthalmol. 2014;157(4):799-806. doi:10.1016/j.ajo.2013.12.026.
- Sánchez-Hernández M, Torres-Morera LM, Cárdenas-Velázquez F, Hernández-Camarena JC. The impact of allergic conjunctivitis on tear film stability. Cornea. 2011;30(9):1009-1013. doi:10.1097/ICO.0b013e31820c58aa.
- Goto E, Yagi Y, Matsumoto Y, Tsubota K. Impaired functional visual acuity of dry eye patients. Am J Ophthalmol. 2002;133(2):181-186. doi:10.1016/s0002-9394(01)01325-9.
- Stroman, D. W., Mintun, K., Epstein, A. B., Brimer, C. M., Patel, C. R., Branch, J. D., & Najafi-Tagol, K. (2017). Reduction in bacterial load using hypochlorous acid hygiene solution on ocular skin. Clinical Ophthalmology, 707-714.
- Fukuyama, T., Martel, B. C., Linder, K. E., Ehling, S., Ganchingco, J. R., & Bäumer, W. (2018). Hypochlorous acid is antipruritic and anti‐inflammatory in a mouse model of atopic dermatitis. Clinical & Experimental Allergy, 48(1), 78-88.
- Li, Z., Wang, H., Liang, M., Li, Z., Li, Y., Zhou, X., & Kuang, G. (2022). Hypochlorous acid can be the novel option for the meibomian gland dysfunction dry eye through ultrasonic atomization. Disease Markers, 2022(1), 8631038.