Pinkeye

The technical term for pinkeye and itchy, swollen, runny eyes is conjunctivitis.  The  white of the eye is red and is a symptom common to all forms of conjunctivitis.  The three most common forms of conjunctivitis are viral, bacterial, and allergic.  Allergic conjunctivitis is not contagious and is usually related to exposure to flowers and pollen.  The eye will be watery, itchy, red, and swollen, and both eyes can be affected.  There is usually very little discharge.  

While both are contagious, bacterial conjunctivitis does not spread as easily as viral conjunctivitis.  In viral conjunctivitis there is usually a watery discharge, swelling, and possible light sensitivity. A recent cold or contact with an infected person are common precursors.  The virus can live for several weeks on surfaces touched by an infected person (even computer keyboards).  The discharge of bacterial conjunctivitis is thicker with more mucus.  Often an affected eye is stuck closed with mucous on awakening in the morning. Only bacterial conjunctivitis may require antibiotic eye drops.  The American Academy of Pediatrics suggests that children do not need to stay home for 24 hours after starting antibiotic eye drops, but can return to school.

For any type of conjunctivitis, immediately discard used tissues.  Do not share towels, pillows. or anything coming in contact with the eyes or hands.  Wet washcloth compresses applied to the eyelids every hour can be soothing.  Cold compresses may be used, but for bacterial conjunctivitis, warm compresses may be better.  A heated rice bag can be placed on top of a wet wash cloth.  USE A FRESH WASHCLOTH EACH TIME.  Nonpreserved artificial tears may also be helpful.  Once opened, they should be kept in the refrigerator.  The vial must be discarded after the pinkeye resolves.  Do not use antihistamine eye drops, such as Visine. 

Blurred vision and significant pain are indications for consulting a physician for identification of conjunctivitis type and treatment required.