What causes conjunctivitis?
There are three main types of conjunctivitis: allergic, infectious and chemical. The cause of conjunctivitis varies depending on the type.
How is conjunctivitis diagnosed?
Conjunctivitis can be diagnosed through a comprehensive eye examination. Testing, with special emphasis on the conjunctiva and surrounding tissues, may include:
- Patient history to determine the symptoms, when the symptoms began, and whether any general health or environmental conditions are contributing to the problem.
- Visual acuity measurements to determine whether vision has been affected.
- Evaluation of the conjunctiva and external eye tissue using bright light and magnification.
- Evaluation of the inner structures of the eye to ensure that no other tissues are affected by the condition.
- Supplemental testing, which may include taking cultures or smears of conjunctival tissue. This is particularly important in cases of chronic conjunctivitis or when the condition is not responding to treatment.
Using the information obtained from these tests, your optometrist can determine if you have conjunctivitis and advise you on treatment options.
How is conjunctivitis treated?
Treating conjunctivitis has three main goals:
- Increase patient comfort.
- Reduce or lessen the course of the infection or inflammation.
- Prevent the spread of the infection in contagious forms of conjunctivitis.
The appropriate treatment for conjunctivitis depends on its cause:
- Allergic conjunctivitis. The first step is to remove or avoid the irritant, if possible. Cool compresses and artificial tears sometimes relieve discomfort in mild cases. In more severe cases, nonsteroidal anti-inflammatory medications and antihistamines may be prescribed. People with persistent allergic conjunctivitis may also require topical steroid eye drops.
- Bacterial conjunctivitis. This type of conjunctivitis is usually treated with antibiotic eye drops or ointments. Bacterial conjunctivitis may improve after three or four days of treatment, but patients need to take the entire course of antibiotics to prevent recurrence.
- Viral conjunctivitis. No drops or ointments can treat viral conjunctivitis. Antibiotics will not cure a viral infection. Like a common cold, the virus has to run its course, which may take up to two or three weeks. Symptoms can often be relieved with cool compresses and artificial tear solutions. For the worst cases, topical steroid drops may be prescribed to reduce the discomfort from inflammation. However, these drops will not shorten the infection.
- Chemical conjunctivitis. Careful flushing of the eyes with saline is a standard treatment for chemical conjunctivitis. People with chemical conjunctivitis also may need to use topical steroids. Severe chemical injuries, particularly alkali burns, are medical emergencies and can lead to scarring, damage to the eye or the sight, or even loss of the eye. If a chemical spills in your eye, flush the eye for several minutes with a lot of water before seeing your medical provider.
Contact Lens Wearers
Contact lens wearers may need to temporarily stop wearing their lenses while the condition is active. Your doctor can tell you if this is necessary.
If you developed conjunctivitis due to wearing contact lenses, your eye doctor may recommend that you switch to a different type of contact lens or disinfection solution. Your optometrist might need to change your contact lens prescription to a lens that you replace more frequently. This can help prevent the conjunctivitis from recurring.
Practicing good hygiene is the best way to control the spread of conjunctivitis. Once an infection has been diagnosed, follow these steps:
- Don’t touch your eyes with your hands.
- Wash your hands thoroughly and frequently.
- Change your towel and washcloth daily, and don’t share them with others.
- Discard eye cosmetics, particularly mascara.
- Don’t use anyone else’s eye cosmetics or personal eye-care items.
- Follow your eye doctor’s instructions on proper contact lens care.
You can soothe the discomfort of viral or bacterial conjunctivitis by applying warm compresses to your affected eye or eyes. To make a compress, soak a clean cloth in warm water and wring it out before applying it gently to your closed eyelids.
For allergic conjunctivitis, avoid rubbing your eyes. Instead of warm compresses, use cool compresses to soothe your eyes. Over-the-counter eye drops might also help. Antihistamine eye drops can alleviate the symptoms, and lubricating eye drops can rinse the allergen off the surface of the eye.
See your doctor of optometry if you think you have conjunctivitis. He or she can diagnose the cause and prescribe the proper treatment.
Copyright 2019, American Optometric Association