Benessere degli occhi: affaticamento, infiammazione e ruolo della medicina integrata
on November 02, 2026

Eye health: fatigue, inflammation and the role of integrative medicine

Eye strain is not always just tiredness

Television, computers, smartphones, prolonged visual activities, inadequate lighting, and incorrect posture can promote the onset of eye strain.

Burning, a gritty sensation in the eyes, dryness, tearing, difficulty focusing, heavy eyelids, and headaches can occur after spending many hours in front of a screen or engaged in activities that require close vision.

However, the symptom should not automatically be attributed to simple tiredness.

An uncorrected visual impairment, an ocular surface dysfunction, or a refractive problem can manifest precisely through a sensation of fatigue. For this reason, when the discomfort is persistent, recurrent, or associated with changes in vision, it is advisable to have an eye examination.

Eyes and environment: a daily relationship

The eye is continuously exposed to the environment.

Smoke, dust, wind, very dry air, air conditioning, allergens, and prolonged screen use can contribute to the onset or worsening of irritation and dryness.

Habits during computer work also play a role. When we are focused on the screen, we tend to reduce our blink rate, leading to increased evaporation of the tear film.

Prevention therefore starts with simple interventions: regular breaks during visual work, proper lighting, an adequate distance from the screen, attention to posture, and proper management of the environment.

However, when symptoms persist, changing habits should not replace investigating the cause.

Conjunctivitis: first understand the cause

Conjunctivitis is an inflammation of the conjunctiva, but it does not represent a single disease.

It can be viral, bacterial, allergic, or irritative in origin. The different forms can present different manifestations: intense itching and tearing are particularly characteristic of allergic forms; thick and purulent secretions may indicate a bacterial form, while viral forms are often associated with more watery discharge.

Distinguishing between them is important because the treatment also changes.

Bacterial conjunctivitis may require specific therapy; allergic conjunctivitis requires control of the allergic component; viral conjunctivitis generally has a different course and does not automatically benefit from antibiotic treatment.

For this reason, a “natural” eye drop should not be used indiscriminately for a red eye.

Safety before phytotherapy

The most important issue, however, when it comes to ocular application, is the sterility of the preparation.

The eye must not be treated like normal skin. Infusions, decoctions, or non-sterile homemade preparations can introduce microorganisms or particles into the eye and turn an attempt at treatment into a problem.

For this reason, if an ophthalmic preparation containing substances of plant origin is recommended, only a product specifically formulated for ocular use and sterile should be used.

The homemade preparation of eye drops or eye washes does not represent a safe practice.

Euphrasia and other plants: tradition and limits of evidence

Euphrasia officinalis is traditionally used in preparations intended for ocular well-being and for external use in cases of irritation and ocular surface conditions, thanks to the presence of iridoids, flavonoids, and tannins.

Chamomile contains components with anti-inflammatory activity that have been studied in various biological models.

The most appropriate integrated approach is therefore one that uses phytotherapy, when appropriate, as possible support and not as an automatic alternative to diagnosis.

Bilberry and visual well-being

Another protagonist of the phytotherapeutic tradition for visual well-being is the bilberry, Vaccinium myrtillus.

The fruits are rich in anthocyanins, polyphenols studied for their antioxidant properties and for possible effects on vascular function thanks to anthocyanins, which also play a role in processes related to retinal microcirculation and visual adaptation.

However, it is important to distinguish the concept of support for visual well-being from the treatment of an eye disease.

Clinical evidence on bilberry and its anthocyanins does not justify, in fact, turning the supplement into a replacement therapy for myopia, cataract, glaucoma, or retinopathies.

The principle of personalization therefore becomes fundamental: a food or plant extract can be part of a well-being journey, but a diagnosed eye disease requires an appropriate specialist pathway.

The ocular surface and nutrition

The eye is not an organ isolated from the rest of the body.

The quality of nutrition, metabolic balance, hydration, and overall inflammatory status can interact with various aspects of ocular health.

This does not mean that a single plant or a single nutrient can “cure” the eye, but that visual health can be part of a broader strategy of personalized lifestyle and nutrition.

A varied diet, rich in plants and foods that are naturally sources of micronutrients and polyphenols, represents a more consistent foundation than searching for a single miracle product.

Blepharitis: when the problem starts with the eyelids

Blepharitis affects the eyelid margin and can manifest with redness, burning, itching, crusting, a heavy sensation, tearing, and photophobia.

The causes are multiple and can include meibomian gland dysfunction, dermatitis, rosacea, ocular surface alterations, and microbial colonization.

In this case, the first strategy is not necessarily pharmacological.

Eyelid hygiene, through proper cleansing, warm compresses, and, when indicated, gentle eyelid massage, represents one of the fundamental elements of management.

The material also emphasizes the importance of addressing lifestyle habits, exposure to smoke and irritants, and the quality of nutrition.

Modern research on blepharitis and meibomian gland dysfunction confirms the importance of ocular surface management and eyelid hygiene, with strategies that must be adapted to the predominant cause.

Chalazion and hordeolum: they are not the same thing

Chalazion and hordeolum are often confused, but they are different conditions.

A chalazion is generally related to the obstruction and inflammation of a meibomian gland and presents as an eyelid swelling, often little or not painful at all.

A hordeolum, on the other hand, is an acute inflammatory process affecting eyelid structures and can be associated with bacterial infection.

The material correctly highlights the usefulness of warm compresses in chalazion, because heat can promote the liquefaction of secretions and the drainage of the obstructed gland.

However, in this case too, the clinical evolution must be monitored. A persistent, recurrent, or atypical nodule requires an ophthalmological evaluation.

Integrated medicine starts with diagnosis

The value of an integrated approach does not consist in indiscriminately adding products and techniques.

On the contrary, it means choosing what is truly useful for that person and that condition.

In the case of eye disorders, this principle is particularly important because a red eye can represent very different situations: from simple irritation to conditions that require timely specialist intervention.

Phytotherapy can have a place in ocular surface well-being and the complementary management of some mild disorders, but it must be part of a strategy that takes into account the diagnosis, the sterility of the preparations, interactions, and the quality of evidence.

The Moltitudo vision: protecting function, not chasing the symptom

In the Moltitudo perspective, even eye health can be understood through a systemic view.

Not just “what to put in the eye,” but why the eye is manifesting that signal.

Visual fatigue, dryness, recurrent irritation, and eyelid disorders may require an analysis of daily habits: hours in front of screens, sleep quality, environment, exposure to smoke and irritants, nutrition, physical activity, and metabolic conditions.

Sign medicine does not mean attributing the ability to solve a complex problem to a single remedy. It means using the body’s signals as a starting point to build a more precise intervention.

For this reason, the journey can include education on proper visual habits, eye hygiene, nutrition, physical activity, and, when appropriate, phytotherapeutic support.

The fundamental rule remains one: first understand the problem, then choose the remedy.

PLEASE NOTE

This article is exclusively for informational and educational purposes and does not replace the evaluation of a doctor or ophthalmologist, nor the diagnosis or prescription of therapies.

A red eye associated with severe pain, visual alteration, marked photophobia, trauma, significant discharge, or rapid worsening requires timely medical evaluation.

Phytotherapeutic preparations for ocular use must be specifically formulated and sterile. Do not use non-sterile infusions, decoctions, or homemade preparations in the eye.

Supplements and phytotherapeutic products are not medicines and are not intended to prevent, diagnose, treat, or alleviate diseases.

Bibliography

1.    American Academy of Ophthalmology. Preferred Practice Pattern: Conjunctivitis. American Academy of Ophthalmology.

2.    American Academy of Ophthalmology. Preferred Practice Pattern: Blepharitis. American Academy of Ophthalmology.

3.    Stapleton F, Alves M, Bunya VY, et al. TFOS DEWS II Epidemiology Report. The Ocular Surface. 2017;15(3):334-365.

4.    Craig JP, Nichols KK, Akpek EK, et al. TFOS DEWS II Definition and Classification Report. The Ocular Surface. 2017;15(3):276-283.

5.    Jones L, Downie LE, Korb D, et al. TFOS DEWS II Management and Therapy Report. The Ocular Surface. 2017;15(3):575-628.

6.    Edwards SE, Rocha IC, Williamson EM, Heinrich M. Phytopharmacy: An Evidence-Based Guide to Herbal Medicinal Products. Wiley-Blackwell; 2015.

7.    Paques M, Simonutti M, Augustin S, et al. Anthocyanins and retinal function: experimental and clinical evidence concerning the potential role of Vaccinium myrtillus constituents.

8.    Mazzanti G, et al. Pharmacognostic and biological studies on the components of Hamamelis virginiana and their antioxidant activities. The source material itself highlights the lack of adequate clinical studies confirming its ocular efficacy.

9.    International guidelines and consensus documents on the management of meibomian gland dysfunction and blepharitis.

Edited by Nico Martini