Itching or burning eyes: Causes, diagnosis and treatment

Itchy or burning eyes are one of the most common symptoms seen in ophthalmology consultations. Although in many cases it is related to environmental factors or allergies, it can also be a sign of eye diseases that require specific treatment.

At Clínica Nivaria , we have a team of ophthalmologists specializing in ocular surface diseases, prepared to identify the cause of discomfort and apply the most appropriate treatment in each case. Below, we explain everything you need to know about this symptom: from its most common causes to how to prevent it.

What does it mean to have itchy or burning eyes?

Itching is described as a constant urge to scratch the eyes , while stinging is a burning or stinging sensation on the surface of the eye. Both symptoms often appear together and can affect one or both eyes, occasionally or persistently.

They are often accompanied by other signs, such as:

  • Eye redness
  • Tearing
  • Sensation of a foreign body
  • Inflammation of the eyelids
  • Photophobia (sensitivity to light)
  • Eye secretion
  • Blurred vision

Identifying the source of these problems is essential to resolving them effectively.

Most frequent causes of itchy or burning eyes

1. Eye allergies

Allergic conjunctivitis is the most common cause of itchy eyes. It occurs when the eye comes into contact with allergens such as:

  • Pollen (seasonal allergy)
  • Dust mites
  • Animal dander
  • Mold
  • Cosmetics or chemical products

It is characterized by:

  • Intense itching
  • Tearing
  • Redness
  • Inflammation of the eyelids
  • Affects both eyes

It is more common in patients with a history of asthma, rhinitis, or atopic dermatitis.

2. Dry eye syndrome

When the surface of the eye is not properly lubricated, constant friction occurs, causing stinging, irritation, and a gritty sensation . Although it may seem contradictory, many people with dry eye also experience reflex tearing .

It is more common in:

  • Older people
  • Postmenopausal women
  • Screen users
  • People who wear contact lenses
  • Rooms with air conditioning or heating

3. Blepharitis

Chronic inflammation of the eyelid margins. It is often associated with Meibomian gland dysfunction. It causes:

  • Itching and burning in the eyes
  • Dried secretions on the eyelashes
  • Sensation of a foreign body
  • Eye strain

It is a common cause of persistent discomfort.

4. Irritative or infectious conjunctivitis

Viral or bacterial infections can cause mild itching, although stinging or burning is more common. In these cases, it is accompanied by:

  • Redness
  • Secretion (watery or purulent)
  • Discomfort when blinking
  • Sensitivity to light

Chemical or irritant conjunctivitis (caused by smoke, chlorine, cosmetics, or pollution) can also produce these symptoms.

5. Prolonged use of screens

The continuous use of computers, mobile phones or tablets causes a reduction in blinking, which promotes dry eye and eye irritation .

6. Contact lenses

Prolonged or incorrect use of contact lenses can cause:

  • Dryness
  • Stinging
  • Sensation of a foreign body
  • Increased susceptibility to infections

7. Environmental factors

Wind, smoke, dust, pollution, or excessive air conditioning can irritate the surface of the eye, especially in people with sensitive eyes.

When is it necessary to see an ophthalmologist?

Although itching or burning may seem like mild symptoms, it is important to consult a specialist if:

  • They persist for more than 2-3 days
  • They are accompanied by eye pain, thick discharge, or decreased vision.
  • They affect quality of life or work performance
  • Do you have a history of allergies, dry eye, or autoimmune diseases?
  • You wear contact lenses and notice persistent discomfort.
  • Self -treatment doesn't work or the symptoms get worse

At Clínica Nivaria , we perform a precise evaluation to identify the cause and apply the most appropriate treatment.

How is it diagnosed?

The diagnosis is based on a complete ophthalmological examination , which includes:

1. Medical history

The following are analyzed:

  • Onset and evolution of symptoms
  • Triggering factors (allergens, screen use, cosmetics)
  • Use of contact lenses
  • Medical history (allergies, autoimmune diseases)

2. Slit-lamp examination

It allows you to observe:

  • Condition of the conjunctiva and cornea
  • Signs of inflammation, redness, or discharge
  • Eyelid abnormalities or affected eyelashes
  • Tear film quality

3. Specific tests

  • Tear test (Break-up time and Schirmer test)
  • Fluorescein or rose bengal staining
  • Meibography (to study the Meibomian glands)
  • Allergy testing if chronic eye allergy is suspected

Treatments available at Clínica Nivaria

Treatment depends on the identified cause. At Clínica Nivaria , we offer personalized solutions that may include:

1. For allergic conjunctivitis

  • Antihistamine eye drops
  • Mast cell stabilizing eye drops
  • Preservative-free artificial tears
  • Avoid exposure to the allergen
  • Cold compresses to relieve itching

2. For dry eye

  • Artificial tears for regular use
  • Omega-3 supplements
  • Eyelid hygiene
  • Advanced treatments:
    • Intense pulsed light (IPL)
    • Autologous serum
    • Punctal plugs

3. For blepharitis

  • Daily eyelid cleansing with specific products
  • Hot compresses
  • Eyelid massage
  • Topical or oral antibiotics in severe cases

4. For irritation from screens or environmental factors

  • Improve visual ergonomics
  • Take breaks (20-20-20 rule)
  • Eye hydration
  • Protection against dry environments

5. In case of eye infection

  • Antibiotic or antiviral eye drops
  • Hygiene measures
  • Temporary suspension of contact lens use

⚠️ Important : Do not self-medicate with eye drops without a doctor's prescription, especially corticosteroids. Improper use can worsen infections or cause serious side effects.

Is itchy or burning eyes prevented?

Yes. Many of the factors that cause these problems can be prevented with healthy habits:

  • Avoid rubbing your eyes , especially if they are itchy.
  • Wash your hands frequently
  • Reduce excessive screen time and blink consciously
  • Use artificial tears if you work in dry environments
  • Maintain proper eyelid hygiene
  • Wear sunglasses to protect yourself from dust, wind, and allergens.
  • Choose hypoallergenic makeup and remove it properly
  • Get regular eye exams , especially if you have persistent symptoms or underlying health conditions.

Why choose Clínica Nivaria?

At Clínica Nivaria , located in Santa Cruz de Tenerife, we offer a comprehensive and personalized approach to the symptoms of itchy or burning eyes , thanks to:

  • Specialists in ocular surface, blepharitis, dry eye and eye allergies.
  • Advanced diagnostic technology (meibography, OCT, tear test).
  • Innovative treatments such as IPL or autologous serum.
  • Continuous monitoring adapted to each patient.
  • Personalized, effective, and evidence-based care.
  • Your eye health is our priority. Trust a team committed to your visual well-being.

Itchy or burning eyes can be much more than a temporary annoyance. In many cases, it's a symptom of an eye condition that requires proper diagnosis and treatment.

At Clínica Nivaria , we analyze your case individually to relieve your symptoms, improve your quality of life, and prevent complications.

Do you have itchy or burning eyes? Don't ignore it.

📍 Visit us in Santa Cruz de Tenerife
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🕒 Specialized care in ocular surface and associated pathologies.
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