Conjunctivitis is an infection or inflammation of the conjunctiva. The conjunctiva is a transparent membrane that covers the white part of the eyeball. This condition presents most commonly in emergency departments and primary care centers. It can affect people of any age or region. It is usually self-limiting but should be assessed thoroughly.
Conjunctivitis may be acute (lasts only a week or two) or chronic (lasting more than 4 weeks) depending upon the duration of symptoms. It can lead to irritation but does not commonly affect vision. Early diagnosis and treatment help to limit the transmission of disease.
What Are The Causes And Risk Factors Of Conjunctivitis? 1
Conjunctivitis is the most common cause of redness and discharge from the eyes. It can be categorized into the following depending upon etiology:
Viral conjunctivitis
Most acute conjunctivitis cases are viral.
Bacterial conjunctivitis
It is rare overall but more common in young age groups.
Allergic conjunctivitis
Irritants, drugs, and toxins can lead to noninfectious conjunctivitis.
The common risk factors for developing conjunctivitis are:
Contact with infected persons through their body fluids or eyes
Exposure to someone's bacterial flora
Exposure to chemicals and irritants
Wearing contact lenses for longer durations than suggested
What Are The Signs And Symptoms Of Conjunctivitis? 2
Its signs and symptoms are:
Itching
Associated more with allergic cases
Burning sensation
Foreign body sensation
Redness
Diffuse redness of the conjunctiva
If redness is localized then consider other alternative causes
Swelling or puffiness
Discharge from affected or both eyes
Purulent discharge in bacterial conjunctivitis
Watery discharge in viral and allergic conjunctivitis
Excessive tearing
Blurry vision
Photosensitivity
Diagnosis Of Conjunctivitis
The diagnosis of conjunctivitis is mainly based on history and physical examination by an ophthalmologist. The bacterial, viral, or allergic causes can be ruled out by a systematic approach of history and examination. The following questions may be asked by an ophthalmologist:
Duration of onset of symptoms
Associated signs and symptoms e.g morning matting of eyelids
Involvement of unilateral or bilateral eyes?
History of such symptoms?
Type of discharge
History of recent upper respiratory tract infection?
Previous history of allergy or asthma?
He or she may examine the eyes to rule out other conditions and look at the following:
Visual acuity
Ocular and extraocular movements
Shape and condition of eyelids
Clarity of the cornea
Intraocular pressure
Blood tests and cultures are not usually performed and reserved for severe, recurrent, or treatment-resistant cases.
The treatment of conjunctivitis is targeted at stopping its transmission and patient education.
Conservative management
Cool compresses
Artificial tears as needed
Hand hygiene
Medical management
Bacterial conjunctivitis, although self-limiting, needs antibiotic drops or ointments for a speedy recovery. Antimicrobial drops are usually advised for 5 to 7 days.
Viral conjunctivitis due to adenovirus does not need any treatment. General measures e.g cool compresses and artificial tears prove beneficial for relief of symptoms. Herpes simplex and herpes zoster, which are much less common etiologies, may require antiviral medications and topical steroids.
Topical steroids are not recommended for common viral conjunctivitis. They may prolong the recovery if used.
The treatment of allergic conjunctivitis is the removal of irritants, application of cold compress, and artificial tears. Topical antihistamines or topical steroids are reserved for refractory symptoms.
Conjunctivitis is an easily treatable and preventable disease of the eye. Its complications are rare. Infectious conjunctivitis spreads from person to person and its spread can be reduced by the following measures:
Wash your hands before touching the face and eyes.
Use clean towels and do not share towels if you have symptoms
Do not rub the infected eyes
Follow the recommended guidelines about the use of contact lenses
References
NCBI - WWW Error Blocked Diagnostic. (n.d.-b). NCBI. Retrieved April 7, 2022, from https://www.ncbi.nlm.nih.gov/books/NBK541034/
Conjunctivitis: What Is Pink Eye? (2022, January 6). American Academy of Ophthalmology. Retrieved April 7, 2022, from https://www.aao.org/eye-health/diseases/pink-eye-conjunctivitis
Roth, E. (2022, February 17). What You Need to Know About Conjunctivitis. Healthline. Retrieved April 7, 2022, from https://www.healthline.com/health/conjunctivitis#treatment
Author
Eye Surgeons AssociatesDrs. Zuhair H. Peracha, Manal H. Peracha-Riyaz, Eric Zuckerman, Matthew Pieters, and Leila Siblani are dedicated to excellence in eye care and service. We utilize the latest treatment methods and procedures, including routine eye care, cataract surgery, glaucoma treatment, retinal disease management, diabetic eye treatment, and eyelid surgery.
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