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Conjunctivitis

Understanding About Conjunctivitis

Conjunctivitis, commonly known as pink eye, is an inflammation or infection of the conjunctiva, the transparent membrane that covers the white part of the eyeball and lines the inside of the eyelids. This condition can cause redness, swelling, and discomfort in the eye. Conjunctivitis is highly contagious in its infectious forms, especially among children and in group settings like schools.

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Types of Conjunctivitis:

Caused by viruses, often the same viruses that cause the common cold. It spreads easily through direct or indirect contact with an infected person’s eye secretions. Symptoms typically include watery discharge, redness, and irritation in one or both eyes. Viral conjunctivitis usually clears up on its own in 1 to 2 weeks.

Caused by bacteria, such as Staphylococcus or Streptococcus. It is characterized by a thick, yellow or greenish discharge from the eye, often causing the eyelids to stick together, especially in the morning. This type of conjunctivitis can spread quickly, but antibiotic eye drops or ointments can effectively treat the infection.

Triggered by allergens such as pollen, dust, or pet dander. This type is not contagious and is often seasonal. Symptoms include itching, redness, watery eyes, and swelling. Treatment typically involves antihistamine eye drops or oral medications to control allergic reactions.

Caused by exposure to irritants like smoke, chemicals, or chlorine in swimming pools. The symptoms include redness, discomfort, and watering of the eyes. Removing the irritant and using soothing eye drops can help relieve symptoms.

Symptoms:

The white part of the eye (sclera) or the inner eyelid becomes red or pink due to inflammation of the conjunctiva, which is the hallmark symptom of conjunctivitis.

The eyes may produce excess tears or watery discharge, especially in cases of viral or allergic conjunctivitis.

The affected eye may feel itchy or burn, particularly in allergic conjunctivitis, where the immune response to allergens causes discomfort.

Bacterial conjunctivitis typically causes a thick, yellow, or greenish discharge that can crust over, especially after sleeping, making it difficult to open the eyes.

The eyes may feel like they have sand or grit in them, causing irritation, particularly in viral and bacterial conjunctivitis.

Treatment:

This type usually clears on its own. Cool compresses and lubricating eye drops can provide relief from symptoms. In severe cases, antiviral medication may be prescribed.

Antibiotic eye drops or ointments are typically prescribed, and symptoms should improve within a few days of starting treatment.

 

Antihistamine or anti-inflammatory eye drops can help control the allergic reaction. Avoiding allergens and using artificial tears may also ease discomfort.

Rinsing the eyes with water and using lubricating eye drops can alleviate symptoms. In case of chemical exposure, it’s important to flush the eye immediately and seek medical attention if irritation persists.

Precautions:

Wash your hands frequently, avoid touching your eyes, and do not share towels, pillowcases, or cosmetics.

 

Ensure proper cleaning and handling of contact lenses to avoid bacterial infections.

 

Keep windows closed during high pollen seasons, clean indoor environments, and avoid pet dander if you are allergic.

 

Use protective eyewear in environments with smoke, chemicals, or potential eye irritants.

 

Before Surgery

Surgery for conjunctivitis is not a common treatment, as most cases are treated with medication or home care. However, in rare and severe cases, such as chronic conjunctivitis caused by blocked tear ducts or scarring from infection, surgical intervention might be required. Before surgery, your doctor will perform a thorough examination of your eye and discuss treatment options. You may be advised to stop using certain medications, such as blood thinners, prior to surgery. Pre-surgery instructions, including the use of specific eye drops or antibiotics, will be provided to reduce the risk of infection.

During Surgery

If surgery is necessary, it is typically performed on an outpatient basis, meaning you can go home the same day. The surgery will depend on the underlying cause. For example, if the conjunctivitis is caused by a blocked tear duct, a procedure like dacryocystorhinostomy may be performed to create a new drainage passage. The surgery is usually done under local anesthesia, so you’ll be awake but your eye will be numb. The procedure can last between 30 minutes to an hour, depending on its complexity. During the surgery, the doctor will carefully address the issue causing the chronic or severe conjunctivitis.

After Surgery

Post-surgery care is critical to ensure proper healing and prevent complications. You will be given specific instructions on how to care for your eye, which may include using prescribed antibiotic or anti-inflammatory eye drops to prevent infection and reduce inflammation. Your eye may be covered with a patch or shield to protect it during the initial recovery period. It’s important to avoid rubbing the eye, swimming, or doing strenuous activities for several weeks. You will need to attend follow-up appointments with your doctor to monitor healing and ensure that the surgery was successful. Full recovery typically takes several weeks, and during this time, any discomfort or blurred vision should gradually improve.

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Conjunctivitis FAQs

Yes, viral and bacterial conjunctivitis are highly contagious, while allergic and irritant conjunctivitis are not.