Itchy, watery eyes are one of the most common reasons children see an eye doctor. Most cases are allergic conjunctivitis, triggered by dust, pollen, pets or pollution.
Spring catarrh (vernal keratoconjunctivitis)
This is a more intense eye allergy, common in boys aged about 5 to 15, especially in warm, dry climates. It tends to flare in certain seasons.
- Intense itching
- Thick, stringy or ropy discharge
- Light sensitivity, with children keeping their eyes half-closed
- Brownish discolouration around the edge of the cornea
Why rubbing is a problem
Constant rubbing can damage the cornea and is linked to keratoconus, a condition where the cornea thins and bulges. Helping your child stop rubbing is very important.
Treatment
- Anti-allergy drops, often used for weeks or months during the season
- Cold compresses and preservative-free lubricating drops
- Washing the face and hands after playing outdoors
- Wraparound sunglasses outdoors
- Stronger drops, including steroids, only under close supervision, as they can raise eye pressure and cause cataract
Most children outgrow spring catarrh after puberty. See our children’s eye care.
Frequently asked questions
Is it contagious?
No. Allergic eye conditions do not spread to others.
Can we use leftover steroid drops?
No. Unsupervised steroid use can cause glaucoma and cataract. Always follow your doctor’s prescription.
Sources
This article is for general information and does not replace an examination by an eye doctor. If you have symptoms, please book a consultation.