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Red eyes – due to dilated blood vessels on the sclera. [7] Swollen eyelids – due to inflammation. [7] Crusting at the eyelid margins/base of the eyelashes/medial canthus, generally worse on waking – due to excessive bacterial buildup along the lid margins. [4] [5] [7] Eyelid sticking – due to crusting along the eyelid margin. [7]
When an allergen irritates the conjunctiva, common symptoms that occur in the eye include: ocular itching, eyelid swelling, tearing, photophobia, watery discharge, and foreign body sensation (with pain). [1] [3] Itching is the most typical symptom of ocular allergy, and more than 75% of patients report this symptom when seeking treatment. [3]
Eyelid dermatitis is commonly related to atopic dermatitis or allergic contact dermatitis. [1] Volatile substances, tosylamide/formaldehyde resin, epoxy hardeners, insect repellent sprays, and lemon peel oil may be implicated, with many cases of eyelid contact dermatitis being caused by substances transferred by the hands to the eyelids.
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Swelling of the sclera may also occur. [1] Itching is more common in cases due to allergies. [3] Conjunctivitis can affect one or both eyes. [1] The most common infectious causes in adults are viral, whereas in children bacterial causes predominate. [7] [3] The viral infection may occur along with other symptoms of a common cold. [1]
A patch test (contact delayed hypersensitivity allergy test) [17] is a commonly used examination to determine the exact cause of an allergic contact dermatitis. According to the American Academy of Allergy, Asthma, and Immunology, "patch testing is the gold standard for contact allergen identification". [2]
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