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Conjunctivitis

(Pink Eye)

Definition

Conjunctivitis is swelling and irritation in the eye. It affects the tissue that covers the eye and lines the inner surface of the eyelid. This tissue is called the conjunctiva.

Eye with Conjunctivitis

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Causes    TOP

There are many causes of conjunctivitis including:

  • Viral infection
  • Bacterial infection
  • Allergic reaction, usually related to seasonal allergies
  • Chemical irritation caused by:
    • Air pollutants
    • Soap
    • Smoke
    • Chlorine
    • Make-up
    • Other chemicals

Both viral and bacterial conjunctivitis are highly contagious.

Risk Factors    TOP

This condition is more common in children.

Factors that may increase your risk of conjunctivitis include:

  • Contact with a person who has conjunctivitis
  • Sharing towels, linens, or other objects (even doorknobs) with an infected person
  • Exposure to chemical or environmental irritants
  • Contact lenses, especially if contacts are not cleaned and stored properly
  • Seasonal allergies or contact with known allergens

Symptoms    TOP

Symptoms include:

  • Red, watery eyes
  • Swollen inner eyelids
  • Scratchy feeling in the eyes
  • Itchy eyes
  • Pus-like or watery discharge
  • Swelling of the eyelid

Conjunctivitis will usually clear up within 2-14 days. If conjunctivitis is caused by a seasonal allergy, it may continue throughout the season. If it is caused by a non-seasonal allergy, it may continue to occur year round.

Diagnosis    TOP

You will be asked about your symptoms and medical history. Your eyes will be examined. If there is discharge from your eye, it may be tested. The discharge will help find the cause of the conjunctivitis.

Treatment    TOP

Avoid wearing contact lenses until the conjunctivitis has cleared.

Treatment will depend on the cause of the conjunctivitis:

Bacterial Infection

Antibiotic eye drops and/or ointment may be prescribed. These drops will help shorten the course of the infection. It will also decrease the amount of time it is contagious. Wipe away any discharge with a clean cotton ball before using the drops.

Viral Infection

There is no medication to cure a viral infection. To help relieve discomfort consider:

  • Applying warm compresses
  • Artificial tears (found in pharmacies)

Allergic or Chemical Irritation    TOP

Avoid the cause of the irritation. Apply cool compresses to the affected area. Eye drops may be prescribed to help relieve allergic conjunctivitis.

To Prevent Further Spread of Infection    TOP

If you have a bacterial or viral infection, follow these steps to prevent the spread of infection:

  • Keep hands away from your face and do not rub your eyes.
  • Change pillowcases and towels every night.
  • Do not share pillows or towels.
  • Wash hands frequently.
  • Avoid shaking hands with others.
  • Avoid swimming.
  • Carefully clean away any discharge with warm water and clean cotton (or gauze) and immediately discard.

Prevention    TOP

To decrease your chance of conjunctivitis:

  • Do not share makeup or eye drops with anyone.
  • Avoid sharing towels, washcloths, pillows, and handkerchiefs,
  • Wash your hands frequently. Keep your hands away from your eyes.
  • Clean contact lenses daily. Never sleep while wearing them unless advised to do so by your eye doctor.
  • In case of allergic conjunctivitis, avoid the allergy causing substances and irritants.

Your doctor may recommend other prevention methods, depending on the cause.

RESOURCES:

American Optometric Association
http://www.aoa.org
Family Doctor—American Academy of Family Physicians
http://familydoctor.org

CANADIAN RESOURCES:

Canadian Ophthalmological Society
http://www.cos-sco.ca
The College of Family Physicians of Canada
http://www.cfpc.ca

References:

Infectious conjunctivitis. EBSCO DynaMed Plus website. Available at: http://www.dynamed.... Updated July 15, 2016. Accessed September 1, 2017.
Pinkeye (conjunctivitis). Healthy Children—American Academy of Pediatrics website. Available at:
...(Click grey area to select URL)
Updated November 21, 2015. Accessed September 1, 2017.
Last reviewed September 2017 by EBSCO Medical Review Board James Cornell, MD
Last Updated: 9/15/2014

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This content is reviewed regularly and is updated when new and relevant evidence is made available. This information is neither intended nor implied to be a substitute for professional medical advice. Always seek the advice of your physician or other qualified health provider prior to starting any new treatment or with questions regarding a medical condition.

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