I often have red eye when I wake up in the morning and excess of dust in the eyes whole day like layers of dust is formed. I regularly have to clear it. I also consulted the doctors of EYE CARE and the prescribed drops I DEW and MOXSOFT but it did not show any positive result. What should I do?

Dr. Chaitanya ShuklaOphthalmologist5yrs exp

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Hello lybrate-user. Sorry about your eye trouble. If it is just allergy, I do not think you need to use the moxsoft eye drops. Redness of the eye is one of the most prevalent problems observed. Redness of the eyes has multiple causes associated with it. To enumerate a few common causes: (1) allergy of the eye. It is usually caused by improper eye hygiene. It occurs with symptoms of pricking, itching, irritation, watering, foreign body sensation and discomfort. There is a tendency to rub the eyes with fingers, handkerchief, cloth, etc. This is not a good habit because it tends to transmit lots of virus, bacteria and dust into the eye. Allergy usually presents with symptoms of watering (clear water), redness and itching of the eye. Thus, eye hygiene remains the principal modality of treatment along with eye drops as a supplement. (2) infectious conjunctivitis: this is usually associated with white-yellowish discharge. There may occur associated pain and sensation of itching, pricking, watering and discomfort. If so, it would be a good idea to go and show to an eye specialist in person. (3) foreign body lodged in the eye. This is more commonly associated with people who drive 2 wheeler vehicles without protection. It occurs more commonly in one eye. Foreign bodies that commonly get lodged are eyelashes, insect wings, small insects, dust particles, iron particles (more common with people working in the iron industry) the solution for a foreign body lodged in the eye would be better provided by an eye specialist at the clinic because it would require immediate removal from the eye and appropriate therapy. (4) raised eye pressure: this is a condition known as glaucoma. It is not so common as the previous mentioned conditions. There is usually associated pain in the eyes. It is commonly bilateral (occurs in both eyes). There is usually a positive family history of glaucoma associated in a majority of the cases. (5) inflammation of the covering layers of the eyeball. This is known as" uveitis" it is also a relatively less common condition. There is associated pain. It would require a thorough eye checkup including the retina-thus a good idea would be to visit the eye specialist in person. (6) increased blood pressure. This has known to cause redness which is also known as sub-conjunctival hemorrhage. The redness in this case tends to be deep dark and usually occurs only in one portion of the eye. In this regard, a complete ophthalmic evaluation and a systemic evaluation is warranted. (7) injury/ trauma to the eye in any form may cause redness of the eyes. This should be taken seriously and assessed in detail by an eye specialist in person. From the symptoms described by you, it seems more likely to be a case of allergy. Maintaining the precautions and hygiene that I mentioned should probably work well for you. You could also use a lubricant (refresh tears) eye drop along with an anti-histamine (i-kul plus or olopat) eye drop. (3-4 times daily) also, you might require a complete eye evaluation in order to rule out other causes. This would be possible only by examining your eyes in person. Hope my suggestions helped you. Take care, regards. 

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