top menu action banner

Conjunctivitis (Pink Eye): Causes, Care & Treatments

Date: 08 Jul 2025

Introduction

Conjunctivitis, commonly known as pink eye, is the inflammation of the conjunctiva—the clear, thin tissue that covers the white part of your eye and lines the inside of your eyelids. Although typically mild, conjunctivitis can be very uncomfortable and, in some cases, highly contagious depending on its cause. It is one of the most common eye conditions, affecting people of all ages.

The condition is named "pink eye" due to the red or pink appearance of the eye resulting from inflamed blood vessels. This article will explore the types of conjunctivitis, their causes, how it spreads, diagnosis, home care, and over-the-counter (OTC) treatments, while also advising when medical help is necessary.

 

Causes of Conjunctivitis

Conjunctivitis can arise from four major causes, each with its own set of symptoms and management strategies:

1. Viral Conjunctivitis

This is the most common type, especially among adults, and is usually caused by adenoviruses. It often accompanies cold or flu-like symptoms. Signs include:

  • Watery discharge
     
  • Gritty or burning feeling
     
  • Redness
     
  • Swelling of eyelids
     

Viral conjunctivitis is highly contagious, usually affects one eye first, and often spreads to the other. It’s self-limiting and typically resolves in 7–14 days without specific treatment.

2. Bacterial Conjunctivitis

Caused by bacteria such as Staphylococcus, Streptococcus, and Haemophilus species, this type:

  • Produces thick, yellow or green pus-like discharge
     
  • Often causes eyelids to stick together, especially in the morning
     
  • May affect one or both eyes
     

It can resolve on its own, but antibiotic eye drops can help reduce the duration and spread, especially in severe cases.

3. Allergic Conjunctivitis

Triggered by allergens like pollen, dust, pet dander, or mold, it often affects people with other allergic conditions such as hay fever or eczema. Symptoms include:

  • Intense itching
     
  • Tearing
     
  • Redness
     
  • Puffy eyelids
     

It’s not contagious, and management involves avoiding allergens and using antihistamine eye drops.

4. Chemical/Irritant Conjunctivitis

Exposure to smoke, chlorine, cleaning products, or foreign objects in the eye can lead to this form. Symptoms include redness, tearing, and irritation. It improves quickly once the irritant is removed.

 

How Conjunctivitis Spreads

Conjunctivitis caused by viruses and bacteria is highly contagious. Transmission occurs through:

  • Direct contact with infected hands, towels, or eye drops
     
  • Touching contaminated surfaces
     
  • Respiratory droplets from coughing or sneezing
     

Those in close-contact environments—like schools, daycares, and households—are at higher risk. In contrast, allergic and chemical forms are not contagious but may recur with continued exposure to triggers.

 

Diagnosing Conjunctivitis

Diagnosis is typically clinical, involving:

  • Medical history: A doctor may ask about recent illnesses, exposure to others with red eyes, allergies, or use of contact lenses.
     
  • Eye examination: Using a light and magnifier, the doctor checks for discharge, swelling, and the condition of the conjunctiva.
     
  • Fluorescein dye test: Used if corneal abrasions or ulcers are suspected.
     
  • Laboratory tests: Swabbing the discharge may be done in severe or recurrent cases, or if the cause is unclear.

 

Home & Lifestyle Care

For mild conjunctivitis, home care can ease symptoms and prevent spread:

  1. Warm or cool compresses:
     
    • Warm compresses help dissolve crusts and reduce swelling in bacterial infections.
       
    • Cool compresses soothe itching in allergic cases.
       
  2. Artificial tears (lubricant eye drops): These help flush out irritants and relieve dryness and irritation.
     
  3. Good hygiene:
     
    • Wash hands frequently.
       
    • Avoid touching or rubbing the eyes.
       
    • Use clean towels and pillowcases daily.
       
    • Discard contaminated makeup or contact lenses.
       
  4. Pause contact lens use: Resume use only after the infection resolves.
     
  5. Avoid sharing personal items like eye drops, makeup, towels, and glasses.
     

Over-the-Counter (OTC) Treatments from Pharmily Kenya

Several helpful OTC products can relieve conjunctivitis symptoms. Available at Pharmily.co.ke:

1. Allergan FML Eye Drops (5ml)

A mild corticosteroid (fluorometholone 0.1%) used for severe allergic conjunctivitis. Reduces redness, inflammation, and itching. Use only as advised by a pharmacist or doctor.

2. Chloramphenicol Eye Drops (5ml)

An antibiotic drop effective for treating bacterial conjunctivitis. Helps clear discharge and shortens infection duration.

3. Dura Tears Ointment (5ml)

An overnight lubricating ointment that locks in moisture. Ideal for dry or crusty eyes, especially in viral or irritant cases.

4. Otrivin Allergy Eye Drops

Antihistamine eye drops that relieve itching and redness from allergic conjunctivitis.

5. Refresh Tears Lubricant Drops

Preservative-free artificial tears that relieve dryness and flushing allergens or irritants from the eyes.

 

Frequently Asked Questions (FAQs)

Q1. Is conjunctivitis always contagious?

No. Only viral and bacterial conjunctivitis are contagious. Allergic and chemical conjunctivitis are not and result from non-infectious triggers.

Q2. How long does conjunctivitis last?

  • Viral: 7–14 days (self-limiting)
     
  • Bacterial: 3–10 days with antibiotics, up to 2 weeks without
     
  • Allergic: Lasts as long as exposure continues
     
  • Chemical: Clears once irritant is removed
     

Q3. Can I go to work or school with pink eye?

Avoid public settings if you have contagious conjunctivitis. Return 24–48 hours after starting antibiotics for bacterial cases. For viral cases, stay home until symptoms subside. Allergic cases are non-contagious and don't require isolation.

Q4. Can I treat conjunctivitis at home?

Yes. Most cases can be managed with:

  • Artificial tears
     
  • Warm or cool compresses
     
  • OTC antihistamines for allergies
     

Proper hygiene
 Seek medical advice if symptoms persist or worsen.