Nasal Steroid Sprays Treat Eye Allergies

Getting a nasal steroid spray like Flonase (fluticasone) directly into your eyes can cause side effects and complications, like glaucoma or cataracts.

Using nasal steroid sprays correctly (by spraying them into your nose) can help treat allergic eye symptoms. According to a large study, Veramyst (fluticasone furoate) can treat symptoms of allergic rhinitis as well as allergic conjunctivitis (eye allergies). Nasonex (mometasone furoate) has also been shown to have a beneficial effect on eye allergy symptoms. I believe that all topical nasal steroid sprays can help the symptoms of eye allergies—but not all of them have proven this fact with medical research.

Young Woman Rubbing Eyes While Standing Against Trees In Forest
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Why Do These Sprays Treat Eye Allergies? 

There are several possible mechanisms that may explain why nasal sprays can reduce allergic eye symptoms.

  • They may affect the nasoocular reflex, which is a type of nerve communication between the nasal passages and the eyes.
  • Steroid nasal sprays may also help the tear ducts drain better, which helps the eyes cleanse themselves of allergens.
  • Nasal steroids could have a limited “whole-body effect,” which could also explain why these medications can also help control asthma symptoms.
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  • Bielory L. Ocular Symptom Reduction in Patients with Seasonal Allergic Rhinitis Treated with the Intranasal Corticosteroid Mometasone Furoate. Ann Allergy Asthma Immunol. 2008; 100:272-79.
  • Kaiser HB, Naclerio RM, Given J, Toler TN, Ellsworth A, Philpot EE. Fluticasone furoate nasal spray: a single treatment option for the symptoms of seasonal allergic rhinitis. J Allergy Clin Immunol. 2007;119:1430–1437.
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