As a parent, you never wish for a morning like this: when your child wakes up with a red, itchy, watery eye. (It’s no picnic when it happens to you either.) The fear? It’s conjunctivitis, also known as pink eye, which can be very contagious. However, it’s rarely serious and will clear up without any long-term problems if treated promptly.
Fun fact: “Pink eye” is the most searched urgent care term online. That’s probably because about 6 million people in the United States are affected by it each year, adding up to more than 3 million lost school days annually.
What to Do if You Think You Have Pink Eye
While pink eye is highly common and contagious, the good news is that it’s also highly treatable. You may be wondering what to do if you think you have pink eye. The first thing you’ll want to do is stop wearing your contact lenses right away. This will help to relieve symptoms and help prevent recurrences. Additionally, you’ll want to stop wearing any eye makeup and discard any makeup that might be contaminated to further prevent the spread of pink eye.
You can use over-the-counter lubricating eye drops or “artificial tears” to reduce inflammation and dryness caused by pink eye. You can also use a warm, damp washcloth over your eye for symptom relief. You must use a clean washcloth each time to help prevent the spread of infection.
There is no real “pink eye test,” and many cases of pink eye will clear on its own in a week or two without medication. However, there are times when it may be necessary to call your doctor about pink eye. See your doctor if you are experiencing any of the following symptoms:
- Pain in your eye(s)
- Blurred vision
- Sensitivity to light
- Eye(s) are producing a lot of pus or mucus
- Inability to open the eye(s)
- Intense redness of the eye(s)
- Fever or achiness
- Your symptoms have continued for a week or more
- Your symptoms are getting worse
What is Conjunctivitis?
Conjunctivitis is an inflammation or infection of the conjunctiva, which is the membrane on the outer eyeball and the inner eyelid. Conjunctivitis symptoms include red, itchy eyes with a watery or mucus-like discharge, which can vary in color from yellow to green. Translation: It’s uncomfortable and unattractive.
Most pink eye cases – 70 percent – are caused by a virus. Typical viral conjunctivitis is usually accompanied by a cold. So, it’s not uncommon for someone with a cold to wake up with crusty eyelids from the discharge.
Types of Pink Eye
1. Viral Pink Eye
Viral pink eye can be caused by the common cold, measles, chickenpox, and other viruses. This is the most common type of conjunctivitis. Viral pink eye typically runs its course within 7 to 10 days and does not require treatment by a medical professional. You may be tempted to treat the viral pink eye with antibiotics in hopes of getting rid of your pink eye sooner. However, it’s important to note that antibiotics do not help treat viral pink eye, as these drugs are not effective against viruses.
Viral pink is often seen in both eyes, may be accompanied by cold symptoms, and often presents with increased production of watery tears. What to do about pink eye will depend on whether your pink eye is viral or bacterial.
2. Bacterial Pink Eye
Bacterial pink eye is caused by various types of bacteria and usually involves more significant eye discharge in the form of pus or mucus, which can be yellow or green in color.
Unlike the viral pink eye, bacterial pink eye is often seen in one eye versus both. In some cases, mild bacterial pink eye may get better without antibiotic treatment, however, it is best to speak with your healthcare provider about the best treatment options for you. If you suspect you have bacterial pink eye, seek medical help as you may need an antibiotic to help clear the infection.
Additionally, you should avoid wearing contact lenses, which can complicate the infection. Learn more fun facts about antibiotics and protect yourself against other common infections.
3. Allergic Pink Eye
Allergic pink eye is often caused by seasonal allergies and is often accompanied by swollen glands and other typical allergy symptoms like itchy eyes, runny nose, sneezing, dry scratchy throat, and dark circles under the eyes.
Allergic conjunctivitis can be seasonal and its course is limited. Allergic pink eye can also occur year-round due to indoor allergens, like dust and animal dander.
Simple over-the-counter antihistamines can usually provide relief. There are prescription eye drops that are very effective, but these can be expensive.
Causes of Pink Eye
Conjunctivitis can be caused by a virus, bacteria, or by allergies. Other causes may include a foreign body in the eye like an eyelash, chemical irritants like soap, or indoor and outdoor air pollution such as smoke or dust.
Bacterial and viral conjunctivitis can be easily spread from person to person. Allergic conjunctivitis is not contagious.
Viral conjunctivitis is an eye infection caused by a virus and is highly contagious. The most common cause of viral conjunctivitis is adenoviruses. The adenovirus may also cause the common cold, which is why on top of getting a cold, you might also get viral conjunctivitis.
You can pick up this infection by simply touching an object with the virus and then rubbing your eye. The virus is also airborne, meaning you can get it through droplets in the air.
Bacterial conjunctivitis is an eye infection caused by bacteria, and like viral conjunctivitis, is highly contagious. This infection is typically caused by staphylococcal or streptococcal bacteria from an object or person but is also spread by respiratory droplets. You can pick up bacterial conjunctivitis by touching your eyes, sharing eye makeup, or having contact with someone with the virus.
Unlike viral and bacterial conjunctivitis, allergic conjunctivitis is not contagious but rather the result of your body’s reaction to an allergen. Common allergens that may cause allergic conjunctivitis may include tree pollen, plants, grasses, weeds, molds, dust mites, pet dander, or cosmetics.
If you are experiencing symptoms of allergic conjunctivitis, you may want to speak with your healthcare provider, as allergy medications and specific eye drops may provide relief.
Symptoms of Pink Eye
Regardless of the cause of pink eye, symptoms will be similar.
The most common pink eye symptoms include:
- Pinkness or redness in one or both eyes
- Itchiness in one or both eyes
- Swelling of the conjunctiva (the thin layer that lines the white part of the eye and the inside of the eyelid)
- Swelling of the eyelid(s)
- Increased tear production
- Irritation and burning in one or both eyes
- Discharge from pus or mucus in one or both eyes
- Crusting of eyelids or lashes, especially in the morning
What to Know About Pink Eye in Children
If your infant has symptoms of pink eye, they should see a doctor immediately. Pink eye in infants can be caused by an infection, irritation, or a blocked tear duct. When caused by an infection, pink eye in infants can be very serious and will require treatment to prevent any complications.
Pink eye is one of the most common infections kids pick up at school. The symptoms of pink eye in children are similar to those in adults. If you notice that your child’s eyes are pink, red, irritated, teary, have discharge, or are burning, it’s essential to get your child’s symptoms diagnosed as soon as possible. This will ensure that your child gets adequately treated and can help prevent the spread of pink eye to other children and family members.
Understanding how to take care of pink eye begins with understanding the cause of pink eye. For example, if your doctor suspects your child has viral pink eye, they are not likely to receive an antibiotic. However, if a bacterial infection causes your child’s pink eye, they may be treated with antibiotic eye drops or an antibiotic ointment.
Allergic pink eye in children may be treated with eye drops or oral allergy medications.
If you’re caring for a child with viral or bacterial pink eye, you’ll want to wash your hands often to help prevent spreading it to yourself or other family members.
How to Prevent Conjunctivitis
We know that pink eye can spread quickly, but you can significantly reduce the risk of getting conjunctivitis or spreading it to someone else by following these simple steps:
- Wash your hands often with soap and warm water for at least 20 seconds.
- If you don’t have access to soap and water, use an alcohol-based hand sanitizer that contains at least 60% alcohol to clean your hands.
- Don’t touch or rub your eyes with your hands.
- Wash any discharge from around your eye(s) several times a day using a clean, wet washcloth.
- Don’t share towels or washcloths.
- Wash pillowcases, sheets, washcloths, and towels often in hot water and detergent.
- Throw away and replace any eye and face makeup or cosmetic brushes you used while infected.
- Throw away any disposable contact lenses and cases you used while your eyes were infected.
How Contagious Is Pink Eye?
Pink eye is very contagious and is spread to others in the same way other viruses like the cold and flu are spread.
If you touch an object or surface with the pink eye virus or bacteria on it and then touch your eyes, you can easily be infected by it. It is important to note that the pink eye virus can survive on surfaces for up to two weeks. Just like with a cold, you can also get pink eye through close contacts, like hugging or shaking hands with an infected individual.
Additionally, people who use extended-wear contact lenses have an increased risk for pink eye as the bacteria can live and grow on these lenses.
Pink Eye Treatment
Good news: Relief from pink eye is within your control. Start by following these simple steps:
- Use a warm compress (with a dab of baby shampoo) to gently remove the crust from the eyes.
- Be sure to wipe starting at the inside of the eye and moving outward.
- Wash your hands before and after wiping your eyes.
- Avoid using contact lenses and eye makeup (discard any that might be contaminated)
- Help prevent the spread of pink eye by sanitizing surfaces like countertops, doorknobs, bedding, and towels.
What you should do if you have pink eye will depend on your symptoms. For example, you should need to seek medical care for any of the following:
- You think your infant has pink eye, as the infection could harm the baby’s vision.
- You have heavy yellow or green eye discharge.
- You wake up with your eyelids sticking together.
- You have eye pain, blurred vision, high fever, or chills.
If you need help assessing and treating pink eye, come see the experts at GoHealth Urgent Care. You can walk in without an appointment, or you can check in online. We’ll have you back to feeling better in no time.
GoHealth Urgent Care partners with these regional healthcare providers:
- Northwell Health-GoHealth Urgent Care in New York
- Dignity Health-GoHealth Urgent Care in San Francisco
- Legacy-GoHealth Urgent Care in Portland & Vancouver
- Hartford HealthCare-GoHealth Urgent Care in Connecticut
- Mercy-GoHealth Urgent Care in Arkansas, Springfield, St. Louis & Oklahoma
- Novant Health-GoHealth Urgent Care in North Carolina
- Henry Ford -GoHealth Urgent Care in Michigan
- Memorial Hermann -GoHealth Urgent Care inTexas
Written by Sarah Thebarge, Physician Assistant