
Dry Eye vs. Allergies in Alabama Summers
Symptoms & Relief Options
August 2, 2025
Summertime in Alabama brings sunshine and greenery. But for many residents summer also irritated eyes. If you’re suffering from red, gritty, or itchy eyes, you might wonder: is it dry eye or allergies? The two conditions share some symptoms, making it hard to tell which is causing your discomfort. Getting the answer right matters because the causes, and best relief methods, are different. In fact, treating for the wrong problem can make things worse (for example, oral antihistamines for allergies can dry your eyes out more!). This post will help you understand the difference between dry eye and seasonal allergies, so you can find relief and enjoy clear vision even in a humid Alabama summer.
Understanding Dry Eye vs. Eye Allergies
Both dry eye and eye allergies (allergic conjunctivitis) can strike during Alabama summers, but for different reasons. Dry eye disease happens when your tears aren’t able to keep your eyes lubricated. You either don’t produce enough quality tears, or they evaporate too quickly. This leads to irritation and a scratchy, burning sensation. Spending time in air-conditioned buildings (a must in hot, muggy Alabama weather) can worsen dry eye by drying out the indoor air. Long hours staring at screens or driving with the car AC blasting can also leave your eyes parched. (The National Eye Institute notes dry eye occurs when the eyes don’t make enough tears or the tears don’t work properly to keep the eye surface wet.) Common symptoms of dry eye include burning, a gritty “sand in the eyes” feeling, blurred vision, and sometimes excess tearing after a very dry period (your eyes reflexively water because they’re irritated).
Eye allergies, on the other hand, are caused by an immune reaction to allergens like pollen, pet dander, mold, or dust. Southern summers mean plenty of pollen. Grass pollen is a major summer allergen in Alabama, and mold spores thrive in warm, humid conditions. When these allergens get in your eyes, your body releases histamine and other chemicals that make your eyes itch, water, and turn red. Often, allergic eye symptoms come along with the classic “hay fever” signs of sneezing, runny or stuffy nose, and an itchy throat. If your eyes are itching like crazy and you also have nasal allergies, chances are you’re dealing with allergy-induced eye irritation (what doctors call allergic conjunctivitis). Allergies usually affect both eyes at once and may appear suddenly after exposure to triggers (like mowing the lawn or walking outside on a high-pollen day).
Dry Eye Symptoms vs. Allergy Symptoms
Because dry eye and allergies have overlapping signs (both can cause redness, irritation, and tearing), it helps to compare their typical symptoms side by side. Below is a quick rundown of how symptoms tend to differ between the two:
Symptom | Dry Eye (Dry Eye Syndrome) | Eye Allergies (Allergic Conjunctivitis) |
Itching | Usually mild or occasional itching. More often causes burning or gritty feeling than itch. | Intense itching is a hallmark, often prompting frequent eye rubbing (). |
Redness | Yes. Eyes can be red and irritated, especially later in the day or after screen use. | Yes. Redness is common due to inflammation from allergen exposure. |
Tearing / Watering | Yes: can cause watery eyes, but often as reflex tearing after periods of dryness (eyes may feel dry, then suddenly water). | Yes: often causes immediate tearing when exposed to allergens (eyes water at the same time as itching). |
Discharge | May have stringy or mucus discharge if chronic dry eye is present. Lids might feel sticky in the morning. | Typically clear, watery discharge. Allergies generally don’t cause thick pus; any mucus is usually thin and accompanied by tearing. |
Sensation | Gritty, sandy feeling (as if something is in your eye) is common. Also stinging or burning sensations. | More often burning and itching rather than true grittiness. Eyes might feel sore but itchiness predominates. |
Other Clues | Blurry vision or heavy eyelids (especially later in the day). Worse in dry environments (air conditioning, wind) or after long visual tasks. Usually no nose symptoms. | Eyelid swelling can occur (puffy eyes). Often accompanied by sneezing, runny or stuffy nose, and other allergy symptoms. Symptoms may spike when outdoors during high pollen counts or when cleaning dusty areas. |
Tip: One quick test people sometimes use is the “rub test”: Gently rubbing dry eyes may actually provide brief relief if it’s dry eye (because it spreads moisture), whereas rubbing allergic eyes usually worsens the itching. Of course, rubbing is not recommended in either case (it can irritate the eyes more or introduce germs), but it can be a clue to what’s causing your discomfort.
Relief Options for Dry Eye and Allergies
After figuring out whether you have dry eye vs. allergies (or sometimes both at once!), you can take steps to soothe your eyes. Some remedies overlap, but others target one condition specifically. Below we outline relief tips for each problem:
Dry Eye Relief Strategies
For dry eye relief, the goal is to keep your eyes lubricated and minimize things that dry them out:
Artificial tears (lubricating eye drops): Using artificial tear drops regularly can moisten your eyes and relieve that dry, scratchy feeling. You can buy them over the counter. If you need to use drops more than ~4 times a day, choose preservative-free tears to avoid irritation. Note: Avoid redness-reliever drops for dry eye; they don’t address the underlying dryness and long-term use can actually cause more redness.
Limit A/C and direct wind: Air conditioning and fans reduce humidity and can evaporate your tears. Try not to have car vents or home fans blowing straight in your face. Using a humidifier indoors, especially where you sleep or work, can help keep eyes from drying out. In Alabama’s hot summers, we rely on A/C, so counteract the dryness by adding moisture to the air or taking breaks outside in the natural humidity (when pollen counts are low).
Take screen breaks and blink: When using computers or phones for long periods, follow the 20-20-20 rule (every 20 minutes, look at something 20 feet away for at least 20 seconds) to give your eyes a rest. Blinking more often or consciously doing slow, full blinks helps re-spread tears over your eyes. Alabama students, gamers, and office workers often experience dry eye from marathon screen time – regular breaks can significantly reduce symptoms.
Wear sunglasses outdoors: Sunglasses aren’t just for sun protection; they also shield your eyes from drying winds. When you’re out fishing on Lake Tuscaloosa or at a summer BBQ, wraparound sunglasses can reduce tear evaporation and keep out allergens like pollen. It’s a simple trick to protect against both dry air and airborne irritants.
Warm compresses and eyelid care: If your dry eye is related to Meibomian Gland Dysfunction (MGD, a common issue where oil glands in the eyelids are clogged), warm compresses can help. Gently placing a warm, damp washcloth over closed eyes for 5-10 minutes softens clogged oils in your lids. Afterward, lightly massage your eyelids. This can improve the quality of your tears. Keeping your eyelids clean (using lid wipes or baby shampoo on a clean cloth) also helps by removing debris that could interfere with tear films.
Stay hydrated and consider supplements: Drink plenty of water, since dehydration can worsen dry eye. Some patients find that omega-3 fatty acids (like fish oil supplements) help improve their tear quality over time. Eating a diet rich in omega-3s (flaxseed, fish, walnuts) and staying hydrated is a natural approach to support tear production.
If you’ve tried these steps consistently but your eyes still feel dry and irritated, it’s time to talk to your eye doctor. Prescription treatments for dry eye are available, including medicated drops that reduce inflammation (like Restasis or Xiidra) or treatments to improve tear production. Modern clinics like Moore Eye Clinic even offer cutting-edge therapies such as light-based treatments for dry eye. Don’t suffer in silence: relief is available when you address the root cause of dry eye (for example, treating an underlying dry eye condition like MGD, rather than just adding drops).
Allergy-Related Eye Relief Strategies
For allergy-induced eye symptoms, the focus is on avoiding allergens and calming the allergic reaction:
Avoid or reduce exposure to triggers: During peak pollen times (summer grasses, late summer weeds, etc.), try to limit outdoor activities in early morning and afternoon when pollen counts are highest. Keep windows closed and use air conditioning in your home/car to filter the air (make sure your A/C filters are clean). Shower after spending time outside to rinse off pollen, and avoid rubbing your eyes with your hands (which may have allergens on them). Wearing glasses or sunglasses outdoors can block some pollen from getting in your eyes. They are a simple but effective barrier. (Experts at the American College of Allergy recommend using AC and closing windows during high pollen periods, and wearing sunglasses outdoors to keep pollen out of your eyes.)
Cold compresses for quick relief: If your eyes are extremely itchy or puffy, apply a cold compress. Place a clean washcloth soaked in cold water over your closed eyes for a few minutes. The cold will soothe itchiness and reduce swelling. This is a CDC-recommended self-care tip: the CDC notes that using cold compresses and artificial tears at home can help relieve eye inflammation and dryness caused by allergic conjunctivitis (a form of pink eye).
Artificial tear drops (rinse allergens): Just as with dry eye, lubricating eye drops can help allergy eyes too. In this case they serve to flush out allergens. A couple of drops can wash pollen out of your eyes and also add a soothing layer of moisture. Using artificial tears throughout the day can dilute allergens on the eye surface and ease irritation without side effects. Keep some preservative-free tears in the fridge for a cooling, extra-soothing effect when allergy symptoms flare.
Over-the-counter antihistamine eye drops: Several OTC eye drops specifically target allergies. These drops contain antihistamines and/or mast-cell stabilizers that relieve itchiness and redness by calming the allergic reaction in your eyes. Look for active ingredients like ketotifen; popular brands are available without prescription. One dose can provide relief for 8–12 hours. (Avoid “get the red out” drops that just shrink blood vessels. They don’t treat the allergy and can cause rebound redness if used too long.)
Oral allergy medications (with caution): Non-drowsy oral antihistamines can help systemic allergy symptoms and may moderately reduce eye itching for some people. However, be aware that antihistamine pills can dry out your eyes as a side effect. If you only have eye symptoms, an antihistamine eye drop is preferable to minimize this side effect. If you do take an allergy pill, counteract dryness by using artificial tears regularly.
Keep your environment allergen-free: Clean your home to reduce indoor allergens: vacuum frequently (with a HEPA filter vacuum if possible), wash bedding in hot water to kill dust mites, and use a dehumidifier in damp areas to prevent mold. Pet dander is a common trigger. If you’re allergic, try to keep pets out of the bedroom and wash your hands after petting them. These steps will lessen the overall allergen load on your eyes.
When OTC isn’t enough: If allergy eye symptoms are severe or constant despite over-the-counter remedies, see a doctor. You may need prescription-strength allergy eye drops (stronger antihistamine drops, anti-inflammatory eye drops, or mast cell stabilizers), or even allergy shots (immunotherapy) from an allergist if you have year-round severe allergies. Getting proper treatment can greatly improve your comfort and prevent damage from chronic eye rubbing or inflammation.
Quick Self-Check Quiz: Is It Dry Eye or Allergies?
Not sure which condition is causing your eye troubles? Try this quick yes/no quiz as a self-check. Answer these questions to see which way you lean (dry eye or allergies):
Do your eyes itch a lot, with an urge to rub them constantly? Yes ➜ This strongly suggests allergies. (Dry eye usually burns or feels gritty more than truly itchy.)
Are you experiencing sneezing, runny nose, or sinus congestion along with your eye symptoms? Yes ➜ Likely allergies. Dry eye by itself won’t cause general allergy symptoms like sneezing or a stuffy nose.
Do your eyes feel dry, sandy, or tired, especially after working on a computer or being in air conditioning? Yes ➜ Likely dry eye. These are classic dry eye triggers. (Allergy eyes tend to itch even when you’re not focusing on a screen or in AC.)
Have over-the-counter allergy eye drops failed to relieve your symptoms (or even worsened them)? Yes ➜ Could be dry eye. If antihistamine drops don’t help, you might not be dealing with allergies at all. In fact, some allergy meds can dry your eyes more, so the wrong treatment can backfire for dry eye sufferers.
Do lubricating eye drops (artificial tears) provide temporary relief? Yes ➜ Points to dry eye (though tears can soothe allergy eyes too). If you feel immediate comfort from artificial tears but get little effect from allergy pills or drops, dry eye may be the culprit.
Keep in mind: This quiz is just a guide. It’s possible to have both dry eye and allergies at the same time, and some symptoms can overlap. If you’re unsure or your symptoms are severe, the next step is to get a professional eye examination for an accurate diagnosis.
When to See an Eye Doctor in Tuscaloosa
Wondering if it’s time to get medical help for your eye troubles? Here are some signs that you should see an eye doctor rather than just self-treating:
Your symptoms persist for more than a week or two despite using OTC drops or home remedies. (Chronic irritation needs a doctor’s evaluation. You shouldn’t have to suffer long-term.)
You have moderate to severe pain, light sensitivity, or changes in vision (like constant blurriness that doesn’t clear up). These could indicate something more serious or a complication, so don’t wait on these warning signs.
Your eyes are producing thick discharge or you have a lot of crusting on your lashes (this could be an infection or severe allergy that needs prescription treatment).
Over-the-counter allergy medicines or drops aren’t helping, or your dry eye routine isn’t giving relief. If what you’re doing isn’t working, a doctor can identify why and adjust your treatment plan.
You’re unsure if you have dry eye, allergies, or maybe an infection (like pink eye). Getting the right diagnosis is crucial. An eye doctor can perform tests (like examining your tear film or doing allergy tests) to pinpoint the cause of your symptoms.
In Tuscaloosa and West Alabama, summer can be tough on eyes, but you don’t have to tough it out alone. Our caring team at Moore Eye Clinic is here to help determine what’s bothering your eyes and to create a personalized treatment plan. We might find that you have a specific dry eye condition (for example, evaporative dry eye or MGD) that we can treat with advanced therapies, or that you have allergic conjunctivitis that improves with prescription eye drops. Often, patients find the most relief with a combination approach (for instance, treating underlying dry eye and managing allergies together).
Get Relief and Enjoy Clear Vision. We Can Help!
You shouldn’t have to miss out on summer fun because of irritated eyes. If you’re in Tuscaloosa or the surrounding area, help is close by. At Moore Eye Clinic, our Tuscaloosa eye doctors and staff provide expert care for dry eye and eye allergies. We offer advanced, specialized dry eye treatments (including cutting-edge options like light therapy and prescription solutions) to address the root cause of dry eye, rather than just temporarily easing symptoms. For allergy sufferers, we can recommend the safest eye drop options and lifestyle changes to keep your eyes comfortable. Don’t let dry, itchy eyes hold you back. Contact us today to schedule an appointment. We’ll get to the bottom of your symptoms and help you achieve clear, comfortable vision all summer long!
Resources
National Eye Institute: “Dry Eye” condition overview: Explains that dry eye happens when the eyes don’t make enough quality tears, and lists hallmark symptoms (burning, gritty sensation, reflex tearing).
CDC Climate & Health: “Pollen and Your Health”: Supports the discussion of high summer-pollen counts in Alabama and how airborne pollen worsens eye-allergy symptoms.
CDC Climate & Health: “Allergens and Pollen”: Provides the statistic quoted: “Up to 30 % of the general population and up to 70 % of allergic-rhinitis patients experience allergic conjunctivitis.”
CDC: “How to Treat Pink Eye (Conjunctivitis)”: Backs the advice that cold compresses and artificial tears are CDC-recommended home remedies to relieve inflammation and dryness from allergic conjunctivitis.
American College of Allergy, Asthma & Immunology: “Eye Allergy” overview: Confirms typical allergic-eye symptoms (intense itching, redness, watery discharge) and that seasonal allergic conjunctivitis peaks in spring / summer.
American College of Allergy, Asthma & Immunology: “Hay Fever” tips: Source for the practical advice to keep windows closed, use air-conditioning, and wear sunglasses outdoors to block pollen.
American Academy of Ophthalmology: “Dry Eye: Diagnosis & Treatment”: Underpins the dry-eye relief section: use of artificial tears, warm compresses, omega-3 supplementation, and environmental moisture control.
Healthline: “Which Antihistamine Does Not Cause Dry Eyes?”: Supports the statement that many oral antihistamines have a drying side-effect and can worsen dry-eye symptoms.