Eye discharge in older adults: what to know

With age, dry eyes, slower tear drainage, eyelid irritation, or difficulty cleaning around the eyes may lead to crusting. Itching and watery discharge can accompany Allergic Conjunctivitis. Redness with sticky or thick discharge can accompany Conjunctivitis. Medicines, reduced blinking, and conditions affecting movement or sensation can also change the eye surface. These clues do not establish a diagnosis on their own.

A family member or carer can help with handwashing and gentle eyelid cleaning using a clean cloth and lukewarm water. Wipe outward without pressing on the eye, and use separate cloths for separate eyes. Keep prescribed eye drops on their stated schedule and avoid adding non-prescribed products. Check that glasses, hearing aids, and lighting are not making eye care difficult. Do not share towels, drops, or cosmetics.

Arrange prompt medical review if discharge keeps returning, the eyelids become increasingly swollen, or redness and discomfort are increasing. Seek urgent care for sudden vision change, severe pain, strong light sensitivity, a chemical splash, an injury, or fever with swelling around the eye. An older person who is confused, unusually drowsy, or unable to describe symptoms also needs timely help.

Ask whether dry eye, tear-duct blockage, eyelid inflammation, allergy, or infection is most likely, and whether any current medicine or eye drop should be reviewed.