Pink Eye, Pink Eye!

Pink, itchy eyes? Pink eye, or conjunctivitis, is quite common and spreads very easily. Depending on the cause, pink eye sometimes requires medical treatment. My goal here today is to offer information on the symptoms of pink eye, when/if treatment should be sought, and how to prevent it. After all, if you can avoid pink eye in the first place, well, that's obviously the preferred route! 

Pink Eye Defined

In a nutshell, pink eye is defined as "an inflammation of the conjunctiva, the thin, clear tissue that lines the inside of the eyelid and the white part of the eyeball. This inflammation makes blood vessels more visible and gives the eye a pink or reddish color." (definition courtesy of CDC.gov). Pink eye, as noted, is very common and spreads quickly and easily. Yet it is one of the most easily treated eye conditions in both children and adults.  

Pink Eye Causes

Pink eye can be caused by a variety of different exposures and/or conditions. Listed below are the four primary causes.   Viral Conjunctivitis

Caused by infection of the eye with a virus

Can be caused by a number of different viruses, such as adenoviruses

Very contagious

Sometimes can result in large outbreaks depending on the virus

Bacterial Conjunctivitis

Caused by infection of the eye with certain bacteria

Can be caused by Staphylococcus aureus, Streptococcus pneumoniae, Haemophilus species, or, less commonly, Chlamydia trachomatis

Very contagious

A leading cause of children being absent from daycare or school

More common in kids than adults

Allergic Conjunctivitis

The result of the body's reaction to allergens, such as pollen from trees, plants, grasses, and weeds; dust mites; molds; dander from pets; medicines, or cosmetics

Not contagious

Occurs more frequently among people with other allergic conditions, such as hay fever, asthma, and eczema

Can occur seasonally, when allergens such as pollen counts are high

Can also occur year-round due to indoor allergens, such as dust mites and animal dander

May result, in some people, from exposure to certain drugs and cosmetics

Conjunctivitis Caused by Irritants

Caused by irritation from a foreign body in the eye or contact with chemicals, fumes, smoke, or dust

Not contagious

Can occur when contact lenses are worn too long or not cleaned properly

The Symptoms of Pink Eye

Depending on the type of pink eye occurring in the patient, symptoms can manifest differently.  

Below, courtesy of the CDC.gov, are the common symptoms associated with each version of this malady: [su_spacer size="0"] Symptoms of conjunctivitis (pink eye) can include:

Pink or red color in the white of the eye(s)

Swelling of the conjunctiva (the thin layer that lines the white part of the eye and the inside of the eyelid) and/or eyelids

Increased tear production

Feeling like a foreign body is in the eye(s) or an urge to rub the eye(s)

Itching, irritation, and/or burning

Discharge (pus or mucus)

Crusting of eyelids or lashes, especially in the morning

Contact lenses that do not stay in place on the eye and/or feel uncomfortable

Depending on the cause, other symptoms may occur

Symptoms by Type of Pink Eye: The different types of pink eye and their most common symptoms: [su_spacer size="20"] Viral Conjunctivitis

Can occur with symptoms of a cold, flu, or other respiratory infection

Usually begins in one eye and may spread to the other eye within days

Discharge from the eye is usually watery rather than thick

Bacterial Conjunctivitis

Usually begins in one eye and sometimes spreads to the other eye

More commonly associated with discharge of pus, especially a yellow-green color

Sometimes occurs with an ear infection

Allergic Conjunctivitis

Usually occurs in both eyes

Can produce intense itching, tearing, and swelling in the eyes

May occur with symptoms of allergy, such as an itchy nose, sneezing, a scratchy throat, or asthma

Conjunctivitis Caused by Irritants

Can produce watery eyes and mucus discharge

When to See a Health Care Provider

Aside from the itchy, watery and (sometimes) painful symptoms associated with pink eye, a celebration of sorts can be had over how easy it is to treat. In fact, there even effective home remedies for pink eye, if the individual case is not too advanced. That said, there is a point where one must see a health care provider as, left untreated, pink eye can become quite a serious condition.   See a health care provider for pink eye when:

Moderate to severe pain in your eye(s)

Sensitivity to light or blurred vision

Intense redness in the eye(s)

A weakened immune system, for example from HIV or cancer treatment

Symptoms that get worse or don't improve, including bacterial pink eye that does not improve after 24 hours of antibiotic use

Pre-existing eye conditions that may put you at risk for complications or severe infection

How to Stop Pink Eye from Spreading

Pink eye caused by bacteria or a virus is very contagious and spreads easily and quickly from person-to-person. Pink eye caused by irritants or allergens is not contagious, yet it is possible to develop a secondary infection caused by a virus or bacteria that is contagious (CDC.gov). You can lower the risk of getting or spreading pink eye by following some easy, self-care steps:

Wash your hands

Avoid touching or rubbing your eyes

Avoid sharing eye and face makeup, makeup brushes, contact lenses and containers, and eyeglasses

[su_spacer size="20"] See conjunctivitis prevention for more information  

Pink Eye in Newborns

Newborn babies that develop pink eye should see a healthcare provider in every case. Pink eye in newborns may be resultant of an infection, eye irritant, or a tear duct blockage. Per the CDC: [su_spacer size="20"] [su_quote]Neonatal pink eye caused by sexually transmitted infections, like gonorrhea or chlamydia, can be very serious. If you are pregnant and think you may have a sexually transmitted infection, visit your healthcare provider for testing and treatment. If you don't know whether you have a sexually transmitted infection but have recently given birth and your newborn shows signs of pink eye, visit your child's healthcare provider right away.[/su_quote]

State law requires most hospitals to put ointment or drops into a newborn's eyes to prevent pink eye. For more information on newborn pink eye, see conjunctivitis in newborns.

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Pink Eye in Summary

There are many additional resources to look into when dealing with pink eye. Just remember, this condition is both easily spread and easily treated. There are simple, preventative measures to follow too, but they don't always work. Seek medical treatment if in doubt about the severity of your (or a loved one's) pink eye condition. Always seek medical care for pink eye in newborns or very young children.