Conjunctivitis, casually referred to as “pink eye”, is a swelling or inflammation of the conjunctiva, the thick, transparent layer of tissue that lines the inner surface of the eyelid and covers the white part of the eye. There are different causes and treatments for each group. 2008 Nov-Dec. 45(6):374-6. Usher P, Keefe J, Crock C, Chan E. Appropriate prescribing for viral conjunctivitis. Viral conjunctivitis, unlike bacterial infections, cannot be … Viral conjunctivitis will not respond to anti-bacterial agents, and mild bacterial conjunctivitis is likely to be self-limited. [Medline]. Indiscriminate use of topical antibiotics or corticosteroids should be avoided. Infective conjunctivitis rarely requires medical treatment. https://profreg.medscape.com/px/getpracticeprofile.do?method=getProfessionalProfile&urlCache=aHR0cHM6Ly9lbWVkaWNpbmUubWVkc2NhcGUuY29tL2FydGljbGUvMTE5MTM3MC1ndWlkZWxpbmVz. Accessed: January 23, 2013. If you did not need to see a doctor, do not wear your contacts until you no longer have symptoms of pink eye. [Medline]. Allergic conjunctivitis is treated with antihistamine drops or tablets, and conjunctivitis due to irritants may be helped by anti-inflammatory drops. http://www.medscape.com/resource/cornea-external-disease, 2001 Learn about its symptoms and treatment options. 43(3):1069-71. It is highly infectious and care needs to be taken to prevent others from becoming infected, for example by not sharing towels. Patients with conjunctivitis frequently present to eye clinics or emergency departments; therefore, ophthalmologists may be the first clinicians to examine patients who could have COVID-19. It can be difficult to tell them apart. Share cases and questions with Physicians on Medscape consult. Viral infections improve without treatment, but bacterial infections require antibiotic eye drops. Treatment will depend on the cause of your conjunctivitis. Varying causes may or may not be contagious. The Centers for Disease Control and Prevention (CDC) cannot attest to the accuracy of a non-federal website. Reassure the person that most cases of acute, infectious conjunctivitis are self-limiting and do not require antimicrobial treatment — viral (non-herpetic) conjunctivitis usually resolves within one to two weeks without treatment. It is spread by direct contact with discharge from the eyes, nose or throat of someone with the infection, or by contact with contaminated fingers or objects. March 22, 2020; Accessed: March 23, 2020. A randomised placebo-controlled trial of topical steroid in presumed viral conjunctivitis. To help you cope with the signs and symptoms of pink eye until it goes away, try to: 1. [Medline]. Please confirm that you would like to log out of Medscape. 1 Azari AA, Barney NP. Ophthalmologists must take necessary safety precautions while caring for patients who may have COVID-19. Advise the person that symptoms may be eased with self-care measures such as: [Medline]. Kuo SC, Shen SC, Chang SW, Huang SC, Hsiao CH. The condition is not normally serious and in most cases clears up without treatment. For viral conjunctivitis, often the best treatment is no eye drops at all. Findings: Viral conjunctivitis is the most common overall cause of infectious conjunctivitis and usually does not require treatment; the signs and symptoms at presentation are variable. Streptococcus pneumoniae 3. JAMA. In the case of a viral infection, antibiotics will not work. Rapid identification of the coxsackievirus A24 variant by molecular serotyping in an outbreak of acute hemorrhagic conjunctivitis. You should also stop wearing contact lenses until your eye doctor says it’s okay to start wearing them again. – Apply local antibiotics if there is a (risk of) secondary bacterial infection (see above). Conjunctivitis: A systematic review of diagnosis and treatmentExternal. 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