Conjunctivitis

What is conjunctivitis?

Also known as ‘pink eye’, conjunctivitis is inflammation or infection of the conjunctiva (the thin clear outer layer of the eye) and the eyelid. This causes the white part of the eye to look pink or red.

Conjunctivitis is the most common eye infection.1It can affect anyone but it’s especially common in children under 5 years of age. This infection can be extremely contagious if it’s caused by bacterial or viral infections. As it has the potential to affect vision it’s important to visit your doctor or Pharmacist for advice if you suspect you, or your child has conjunctivitis.

Symptoms of conjunctivitis

There are different kinds of conjunctivitis that may present differently. However, the typical signs and symptoms include:

  • red or pink eyes (one or both eyes may be affected)

  • redness behind the eyelid

  • swollen or puffy eyelids

  • excessive tears

  • yellow-green pus which dries when sleeping, causing a crust around the eyelids

  • sensitivity to bright lights

  • gritty feeling in the eyes

  • itchy or irritated eyes

Symptoms usually develop within 24 to 72 hours of being infected. They may last from two days to three weeks.

What causes conjunctivitis?

There are three types of conjunctivitis, each caused by different factors5:

  • Infectious — Caused by bacterial or viral infections, this type of conjunctivitis can be passed on to other people.

  • Allergic — This type is not contagious as it’s caused by allergens such as pollens. Allergic conjunctivitis is often accompanied by symptoms of hay fever.

  • Chemical or irritant — Caused by irritants such as chlorine, dust or other chemicals, or even abrasions or trauma to the eye, this type is not contagious.

Babies can also develop conjunctivitis if one of their tear ducts becomes blocked.

Treatment for conjunctivitis

Treatment will depend upon the type of conjunctivitis you have.

Infectious conjunctivitis

Viral conjunctivitis is often caused by the same virus that causes the common cold. As antibiotics can’t treat viruses, treatment is usually home remedies such as:

  • gently cleaning the affected eye with cotton balls soaked in warm water

  • discarding the used cotton ball to prevent recontamination

  • applying a warm compress

Bacterial conjunctivitis usually requires treatment with antibiotics, either in the form of eye drops or ointment. While symptoms usually disappear within a few days, it’s important you finish the full course of your treatment.

You should avoid sharing eye drops, tissues, make-up, towels or pillowcases with people who have infectious conjunctivitis. If you’re looking after your child who has pink eye, be sure to wash your hands thoroughly after touching their eyes.

Allergic conjunctivitis

As allergic conjunctivitis isn’t contagious, treatment won’t require antibiotics. Instead, your doctor or pharmacist may recommend antihistamine drops or tablets to help manage the allergic reaction. Avoiding the allergens you’re allergic to will also help reduce the severity of your symptoms.

Chemical or irritant conjunctivitis

If a chemical has entered your eye, carefully flush your eye with saline solution for several minutes and seek immediate medical attention to prevent damage to your eye. For conjunctivitis caused by an irritant, treatment involves relieving symptoms. You can do this by applying a warm compress. Artificial tears may also help relieve discomfort.

When should you see a doctor?

Many eye conditions can cause inflammation or redness in the eyes, so it’s always a good idea to see your doctor or eye specialist to ensure you get the right treatment.

Conjunctivitis can cause the cornea of your eye to become inflamed which can lead to vision problems. This is why it’s important to visit your doctor (or optometrist) if you experience any of the symptoms of conjunctivitis. You should also see a doctor or eye specialist if:

  • home remedies have not alleviated your symptoms

  • you experience vision problems or light sensitivity

  • you feel like something is stuck in your eye.

Can you prevent conjunctivitis?

If you have infectious conjunctivitis, you should take the following steps to reduce the risk of it being passed on to other people:

  • avoid touching your eyes

  • wash your hands regularly

  • use a clean washcloth and towel daily

  • avoid sharing washcloths and towels

  • change your pillowcase often

  • avoid sharing makeup items

  • throw away your eye makeup to avoid being re-infected

You can also reduce the risk of developing conjunctivitis by:

  • changing contact lenses regularly

  • wear eye protection if you work with irritants or in a dusty environment

  • wearing goggles when swimming

  • avoiding allergens and other triggers, if known.

Your local MediADVICE Pharmacist is available to help you manage your health. Speak to your MediADVICE Pharmacist about your symptoms so we can recommend products and medications that may be suitable for you, or refer you to a doctor if necessary.

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General advice only – this information should not replace the information provided to you by your health care professional. If symptoms are severe or persist, please speak to your health care professional. Information current as of date of publishing.
[1] NPS Medicinewise, Common eye infections, https://www.nps.org.au/australian-prescriber/articles/common-eye-infections
[2] The Royal Children’s Hospital Melbourne, Conjunctivitis, https://www.rch.org.au/kidsinfo/fact_sheets/Conjunctivitis/
[3] Better Health Channel, Conjunctivitis, https://www.betterhealth.vic.gov.au/health/conditionsandtreatments/conjunctivitis
[4] The Royal Children’s Hospital Melbourne, Conjunctivitis, https://www.rch.org.au/kidsinfo/fact_sheets/Conjunctivitis/
[5] Healthline, What You Need to Know About Conjunctivitis, https://www.healthline.com/health/conjunctivitis
[6] DermNet NZ, Irritant or traumatic conjunctivitis, https://dermnetnz.org/topics/irritant-or-traumatic-conjunctivitis
[7] Healthline, What You Need to Know About Conjunctivitis, https://www.healthline.com/health/conjunctivitis
[8] The Royal Children’s Hospital Melbourne, Conjunctivitis, https://www.rch.org.au/kidsinfo/fact_sheets/Conjunctivitis/
[9] Healthdirect, Conjunctivitis, https://www.healthdirect.gov.au/conjunctivitis
[10] Healthdirect, Conjunctivitis, https://www.healthdirect.gov.au/conjunctivitis
[11] Mayo Clinic, Pink eye (conjunctivitis), https://www.mayoclinic.org/diseases-conditions/pink-eye/symptoms-causes/syc-20376355
[12] Healthdirect, Conjunctivitis, https://www.healthdirect.gov.au/conjunctivitis