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Conjunctivitis (Pink Eye)

Pink eye is redness and swelling of the eye surface and the conjunctiva (the lining of the eyelid and the covering of the white part of the eye). Pink eye is also called conjunctivitis. Pink eye is often caused by infection with bacteria or a virus. Dry air, allergies, smoke, and chemicals are other common causes.

Pink eye often gets better on its own in 7 to 10 days. Antibiotics only help if the pink eye is caused by bacteria. Pink eye caused by infection spreads easily. If an allergy or chemical is causing pink eye, it will not go away unless you can avoid whatever is causing it.

What are the symptoms of pink eye?

Symptoms of pink eye include:

  • Redness.
  • Itchy or burning eyes.
  • More tears than usual. The eye may drain a clear or slightly thick, whitish liquid.
  • Gray or yellow drainage from the eye. Waking up with the eyelashes of one or both eyes stuck together from this dried drainage is a common symptom of pinkeye.
  • Mild sensitivity to light (photophobia).

You may have symptoms in one eye, both eyes, or the symptoms may spread from one eye to the other eye. When pink eye is caused by a virus, symptoms usually start in one eye and may then spread to the other eye.

If you think you have pink eye, call your doctor to find out the best way to treat it. And if you are wearing contact lenses, be sure to take them out right away. Certain health risks may increase the seriousness of your symptoms.

If you have other symptoms like eye pain or a change in your vision, if you wear contact lenses, or if you have other medical problems, you may have a more serious eye problem. In these cases it is especially important to see a doctor. Young children with pink eye may also have an ear infection, so they may need to see a doctor.

What causes pink eye?

Pink eye is most often caused by a virus. It usually occurs at the same time as or right after you have had a cold. Less commonly, pink eye can be caused by infection with bacteria. Dry air, allergies, smoke and chemicals can also cause pink eye.

How can you prevent the spread of pink eye?

Pink eye caused by a virus or bacteria is spread through contact with the eye drainage. Touching an infected eye leaves drainage on your hand. If you touch your other eye or an object when you have drainage on your hand, you can spread the virus or bacteria.

Follow these tips to help prevent the spread of pink eye:

  • Wash your hands before and after you touch your eyes or face or use medicine in your eyes.
  • Do not share eye makeup.
  • Do not share contact lens equipment, containers or solutions.
  • Do not share eye medicine.
  • Do not share towels, bed linens, pillows or handkerchiefs. Use clean linens, towels and washcloths each day.

Some schools ask that children with pink eye be kept at home until they are better or have started antibiotic treatment.

How is pink eye diagnosed?

A doctor can usually diagnose pink eye with an eye exam and by asking questions about your symptoms. Sometimes the doctor will use a cotton swab to take some fluid from around your eye so it can be tested for bacteria or other infection.

How is pink eye treated?

If your doctor thinks the pink eye is caused by bacteria, your doctor may prescribe antibiotic eyedrops or eye ointment to kill the bacteria. With antibiotic treatment, symptoms usually go away in 2 to 3 days. But antibiotics only work for bacterial pinkeye, not for the more common viral pinkeye. Viral pink eye often improves on its own in 7 to 10 days. But it can last longer. If your symptoms last longer, call your doctor.

If the pink eye is caused by an allergy or chemical, it won't go away until you avoid what's causing it.

Home treatment of pink eye symptoms can help you feel more comfortable while the infection goes away. Try using a clean, moist cloth to remove crust. Use allergy eyedrops and medicines to reduce symptoms of pink eye caused by allergies. You may also close your eye and use warm, wet cloths on it a few times a day if it hurts.

How do you care for yourself when you have pink eye?
  • Wash your hands often. Always wash them before and after you treat pink eye or touch your eyes or face.
  • Use moist cotton or a clean, wet cloth to remove crust. Wipe from the inside corner of the eye to the outside. Use a clean part of the cloth for each wipe.
  • Put cold or warm wet cloths on your eye a few times a day if the eye hurts.
  • Do not wear contact lenses or eye makeup until the pinkeye is gone. Throw away any eye makeup you were using when you got pink eye. Clean your contacts and storage case. If you wear disposable contacts, use a new pair when your eye has cleared and it is safe to wear contacts again.
  • If the doctor gave you antibiotic ointment or eyedrops, use them as directed. Use the medicine for as long as instructed, even if your eye starts looking better soon. Keep the bottle tip clean, and do not let it touch the eye area.
  • To put in eyedrops or ointment:
    • Tilt your head back, and pull your lower eyelid down with one finger.
    • Drop or squirt the medicine inside the lower lid.
    • Close your eye for 30 to 60 seconds to let the drops or ointment move around.
    • Do not touch the ointment or dropper tip to your eyelashes or any other surface.
  • Do not share towels, pillows, or washcloths while you have pink eye.

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