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Conjunctivitis treatment
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When to consult a doctor for conjunctivitis?
If symptoms worsen or do not improve
if eye redness, swelling, or discharge becomes more severe or does not improve within a few days of home care or over-the-counter treatment, see a doctor.
If you have pain, vision changes, or discharge
If you have significant eye pain, blurred vision, sensitivity to light, or thick yellow or green discharge, which may indicate a bacterial infection. Seek medical attention immediately.
If you are at high risk or its recurrent
Consult a doctor if conjunctivitis keeps returning, you have frequent flare-ups, a weakened immune system, existing eye conditions, or are taking medications that affect immunity.
This guide does not replace professional care. Consult a doctor to manage your symptoms. In emergencies, call 000 or visit a hospital immediately. The content is research-backed & medically reviewed by Dr Vishnu Gopalan, Co-Founder & Chief Medical Officer at Hola.
Causes and symptoms
Conjunctivitis causes
- Viral infections: The most common cause of conjunctivitis. It’s often caused by adenovirus and can be spread through contact with infected respiratory droplets, eye secretions, or surfaces.
- Bacterial infections: Bacterial conjunctivitis is caused by bacteria like Staphylococcus aureus, Streptococcus pneumoniae, and Haemophilus influenzae.
- Allergies: Allergic conjunctivitis occurs when the eyes react to allergens like pollen, dust, pet dander, or mould.
- Irritants: Exposure to irritants like smoke, chemicals, chlorine in swimming pools, or makeup can cause conjunctivitis.
- Foreign bodies or trauma: Any foreign object in the eye or injury to the eye can lead to conjunctivitis.
- Chronic conditions: Conditions like dry eye can increase the likelihood of developing conjunctivitis.
Conjunctivitis symptoms
- Redness: The white part of the eye becomes red or pink due to inflammation of the conjunctiva.
- Swelling: The conjunctiva may appear swollen or puffy, especially around the eyelids.
- Watery discharge: Depending on the cause, the eye may produce a clear, watery discharge (viral or allergic) or a thicker, yellow or green discharge (bacterial).
- Itchiness or irritation: The eye may feel irritated, gritty, or itchy, often leading to rubbing.
- Eye sensitivity: Light sensitivity can occur, making bright lights uncomfortable.
- Swollen eyelids: In some cases, the eyelids themselves may become swollen or tender to the touch, especially with allergic conjunctivitis
How long does the pink eye last?
- Viral conjunctivitis: This type is the most common and often resolves on its own within 1 to 2 weeks. It typically starts with mild redness and watery discharge, improving gradually over several days.
- Bacterial conjunctivitis: Symptoms usually improve within 2 to 5 days with antibiotic treatment, though it may take up to 1-2 weeks to fully resolve without medication.
- Allergic conjunctivitis: This type can last if the person is exposed to the allergen, which could be days to weeks.
- Irritant-induced conjunctivitis: This form of pink eye will usually improve within hours to a day once the irritant (such as smoke, chemicals, or dust) is removed.
Prevention
- Wash your hands regularly, especially after touching your eyes.
- Avoid touching or rubbing your eyes to reduce the risk of infection.
- Clean shared items such as towels, pillowcases, and face cloths frequently.
- If you wear contact lenses, clean them properly and never share them with others.
- Minimise exposure to known allergens if you are prone to allergic conjunctivitis.
- Avoid close contact with infected individuals to prevent the spread of viral or bacterial conjunctivitis.
- Seek immediate medical attention if symptoms persist or worsen over time.
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