Seasonal allergic conjunctivitis is an allergic reaction of the eye surface that recurs at particular times of year, usually in response to pollen. It commonly affects both eyes and often accompanies hay fever.
Typical Symptoms
People experience intense itching, redness, watering, and mild swelling of the lids, often with a stringy discharge. Symptoms may worsen outdoors on windy, high‑pollen days and improve indoors or out of season.
- Rubbing the eyes can make inflammation worse and risk corneal damage
- Contact lens wear often becomes uncomfortable during attacks
- Nasal congestion and sneezing are frequently present
- Vision is usually only mildly blurred by watering or rubbing
Management
Treatment includes allergen avoidance, cold compresses, lubricating drops, and prescribed anti‑allergy eye drops. Early, regular use through the season is more effective than treating only severe days.
- Combination antihistamine and mast‑cell stabiliser drops are commonly used
- Short courses of topical steroids may be needed for significant inflammation under specialist care
- Children may require advice for school and outdoor activities
- Seek urgent review if symptoms are unusually painful or vision is significantly reduced
