It is very common for eye infections to spread from one eye to the other, especially in infants who frequently touch their faces. The redness and itching in her right eye are likely from this cross-contamination. While tobramycin is highly effective for bacterial eye infections, please consult her pediatrician before applying the drops to her right eye. Using the same bottle can sometimes spread bacteria, and her doctor will want to confirm the diagnosis and provide the safest treatment plan.

Since moxifloxacin and Refresh Tears haven't helped, the redness is likely not a bacterial infection. Increased screen time often causes significant strain and dryness. I recommend stopping the antibiotic drops to avoid unnecessary irritation and encouraging him to follow the 20-20-20 rule (looking 20 feet away for 20 seconds every 20 minutes) during screen use. Please have an eye specialist examine his eye to determine the exact cause, such as localized inflammation or strain. He will be just fine, but a professional evaluation is the safest next step.

Frequent itching and watery eyes are typically caused by allergies, dry eyes, or irritation rather than adjustments to your prescription glasses. It is possible to determine the cause and administer appropriate treatment by using lubricating eye drops and speaking with an ophthalmologist.

Refresh Tears (carboxymethylcellulose) is generally safe for long-term use to soothe dryness. Acupat (olopatadine) is highly effective for allergies, but using it daily over many months should be supervised by an eye doctor. Potential side effects include mild stinging, dry eyes, or a headache. For managing long-term allergies safely, it is best to identify and avoid your specific triggers. Utilizing cool compresses can also provide soothing relief. I highly recommend visiting an eye specialist.

These symptoms often point to a viral infection, which typically takes 7 to 10 days to resolve. Your medications, including Levoday (levofloxacin), Lotepred (loteprednol), and Refresh Tears, help manage symptoms, but viral infections simply need time to clear. A fever returning every 10 hours is common during the first few days as your body fights the virus. Please continue resting and staying hydrated. However, since you are using Lotepred, please consult your doctor if your eyes or fever do not improve within the next 48 hours.

Using Refresh Tears and olopatadine daily for over a year is generally safe and highly effective for managing allergies and dry eyes. Since olopatadine is an antihistamine, it is well-tolerated long-term, but it is always best to have periodic eye exams to ensure your eyes remain healthy. For artificial tears like Refresh Tears, switching to preservative-free lubricating drops is gentler on the eyes for extended use. If you need alternative allergy eye drops, generic options like ketotifen are excellent, safe, and widely used for long-term relief. Please consult your eye care specialist to tailor the best routine for you.