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Conjunctivitis

Types of Cornea

Pink eye (conjunctivitis) is an inflammation or infection of the transparent membrane (conjunctiva) that lines your eyelid and covers the white part of your eyeball. When small blood vessels in the conjunctiva become inflamed, they’re more visible. This is what causes the whites of your eyes to appear reddish or pink.

Pink eye is commonly caused by a bacterial or viral infection, an allergic reaction, or — in babies — an incompletely opened tear duct.

Though pink eye can be irritating, it rarely affects your vision. Treatments can help ease the discomfort of pink eye. Because some types of pink eye can be contagious, early diagnosis and treatment can help limit its spread

Symptoms:

Redness, itchiness, a gritty feeling in one or both eyes and/or a discharge in one or both eyes that forms a crust during the night that may prevent your eye or eyes from opening in the morning and tearing.

Causes and types:

Viruses, Bacteria, allergies, a chemical splash in the eye, a foreign object in the eye and in Viral and bacterial conjunctivitis.

Viral conjunctivitis and bacterial conjunctivitis

Viral conjunctivitis usually produces a watery discharge. Bacterial conjunctivitis often produces a thicker, yellow-green discharge. Both viral and bacterial conjunctivitis can be associated with colds or with symptoms of a respiratory infection, such as a sore throat.

Both viral and bacterial types are very contagious. They are spread through direct or indirect contact with the eye secretions of someone who’s infected.

Allergic conjunctivitis

Allergic conjunctivitis affects both eyes and is a response to an allergy-causing substance such as pollen. In response to allergens, your body produces an antibody called immunoglobulin E (IgE). This antibody triggers special cells called mast cells in the mucous lining of your eyes and airways to release inflammatory substances, including histamines. Your body’s release of histamine can produce a number of allergy signs and symptoms, including red or pink eyes.

If you have allergic conjunctivitis, you may experience intense itching, tearing and inflammation of the eyes — as well as sneezing and watery nasal discharge. Most allergic conjunctivitis can be controlled with allergy eyedrops.

Conjunctivitis resulting from irritation

Irritation from a chemical splash or foreign object in your eye is also associated with conjunctivitis. Sometimes flushing and cleaning the eye to rid it of the chemical or object causes redness and irritation. Signs and symptoms, which may include watery eyes and a mucous discharge, usually clear up on their own within about a day.

Risk factors for pink eye include

  • Exposure to something for which you have an allergy (allergic conjunctivitis)
  • Exposure to someone infected with the viral or bacterial form of conjunctivitis

  • Using contact lenses, especially extended-wear lenses

Treatment

Treatment for bacterial conjunctivitis

If your infection is bacterial, your doctor may prescribe antibiotic eyedrops as pink eye treatment, and the infection should go away within several days. Antibiotic eye ointment, in place of eyedrops, is sometimes prescribed for treating bacterial pink eye in children. An ointment is often easier to administer to an infant or young child than are eyedrops, though the ointment may blur vision for up to 20 minutes after application. With either form of medication, expect signs and symptoms to start getting better in a few days. Follow your doctor’s instructions and use the antibiotics for the complete period prescribed to prevent recurrence of the infection.

Treatment for viral conjunctivitis

There is no treatment for most cases of viral conjunctivitis. Instead, the virus needs time to run its course — up to two or three weeks. Viral conjunctivitis often begins in one eye and then infects the other eye within a few days. Your signs and symptoms should gradually clear on their own.

Treatment for allergic conjunctivitis

If the irritation is allergic conjunctivitis, your doctor may prescribe one of many different types of eyedrops for people with allergies. These may include medications that help control allergic reactions, such as antihistamines and mast cell stabilizers, or drugs that help control inflammation, such as decongestants, steroids and anti-inflammatory drops. You may also reduce the severity of your allergic conjunctivitis symptoms by avoiding whatever causes your allergies when possible.