Woman holding tissue to irritated eye
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What Is Pinkeye?

Pinkeye -- also called conjunctivitis -- is redness and inflammation of the clear membranes covering the whites of the eyes and the membranes on the inner part of the eyelids. Pinkeye is most often caused by a virus or by a bacterial infection, although allergies, chemical agents, and underlying diseases can also play a role.

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Is Pinkeye Contagious?

Viral and bacterial pinkeye are extremely contagious. It's easily spread through poor hand washing or by sharing an object (like a towel) with someone who has it. It can also spread through coughing and sneezing. Kids diagnosed with infectious pinkeye should stay out of school or day care for a short period of time. Allergic pinkeye (caused by seasonal pollens, animal dander, cosmetics, and perfumes) and chemical pinkeye (from chemicals or liquids, including bleach and furniture polish) are not contagious.

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Eye redness, symptom of pinkeye
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Symptom: Eye Redness

Redness of the eye is the typical, telltale symptom of pinkeye. Pinkeye is a common condition that is rarely serious and unlikely to cause long-term eye or vision damage if promptly detected and treated.

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Young girl with swollen eyelid from pinkeye
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Symptom: Swollen, Red Eyelids

The symptoms of infectious pinkeye typically begin in one eye and involve the other eye within a few days. Symptoms of allergic pinkeye usually involve both eyes and almost always includes itching. Swelling of the eyelids is more common with bacterial and allergic pinkeye.

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tearing eye
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Symptom: Lots of Tearing

Viral and allergic pinkeye are known for causing more tear production than usual.

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 eye irritation caused by viral conjunctivitis
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Symptom: Itchy or Burning Eyes

You would know it if you felt it -- that overwhelming itchy, burning feeling in the eyes, which is typical of pinkeye.

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Acute bacterial conjunctivitis with pus around eye
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Symptom: Drainage from the Eyes

A clear, watery drainage is common with viral and allergic pinkeye. When the drainage is more greenish-yellow (and there's a lot of it), this is likely bacterial pinkeye.

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crusts on swollen eyelid from viral infection
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Symptom: Crusty Eyelids

If you wake up with your eyes "stuck shut," this may be caused by the discharge that accumulates during sleep from pinkeye.

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Symptom: Sensitivity to Light

Pinkeye can cause mild sensitivity to light. A person who has severe symptoms, such as changes in eyesight, severe light sensitivity, or severe pain may have an infection that has spread beyond the conjunctiva and should be examined by a doctor.

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man rubbing eye
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Symptom: 'Something in the Eye'

You may notice a bothersome feeling like something is stuck in your eye. Or, a child may describe the feeling as sand in the eye. 

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optometrist examining patient
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Pinkeye Diagnosis

A doctor can often diagnose pinkeye just by its distinguishing signs and symptoms. However a slit lamp exam may be required. In some cases, a swab of the discharge from the eye is sent to a lab to determine the cause.

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Boy with Conjunctivitis Takes Eye Exam
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When Pinkeye Means Something More

Persistent pinkeye could be from a severe allergy or infection that needs treatment. Also, the eyelid could be irritated called blepharitis, or the cornea called dry eye.  Rarely, it is a sign of an illness in the body like rheumatoid arthritis, systemic lupus erythematosus (lupus), or inflammatory bowel diseases, such as ulcerative colitis and Crohn's disease.  Pinkeye is also seen in Kawasaki disease - a rare disease associated with fever in infants and young children.

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Treating Pinkeye

Bacterial pinkeye is treated with antibiotic eyedrops, ointment, or pills to clear the infection. Most viral pinkeye cases have no specific treatment -- you just have to let the virus run its course, which is usually four to seven days. Allergic pinkeye symptoms should improve once the allergen source is removed and the allergy itself is treated but can get relief with antihistamines. Chemical pinkeye requires prompt washing of the affected eye(s) for five minutes and an immediate call to the doctor.

 

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Easing Symptoms

To reduce pain and to remove the discharge of bacterial or viral pinkeye, use a cold or warm compress on the eyes. Make sure to use a different washcloth for each eye to prevent spreading any infection. And use clean washcloths each time. Clean the eye from drainage by wiping from the inside to the outside of the eye area. 

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doctor checking young male patient's eye
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How Long Am I Contagious?

With bacterial pinkeye, you can usually return to work or school 24 hours after antibiotics have been started, as long as symptoms have improved. With viral pinkeye, you are contagious as long as the symptoms last. Check with your doctor to be certain.

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Preventing Its Spread

If you or your child has infectious pinkeye, avoid touching the eye area, and wash your hands frequently, particularly after applying medications to the area. Never share towels or handkerchiefs, and throw away tissues after each use. Change linens and towels daily. Disinfect all surfaces, including countertops, sinks, and doorknobs. Throw away any makeup used while infected.

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Sources | Medically Reviewed on 07/03/2017 Reviewed by Alan Kozarsky, MD on July 03, 2017

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REFERENCES:

Cleveland Clinic: "Conjunctivitis."

Nemours Foundation. KidsHealth.org: "Pinkeye (Conjunctivitis)."

Centers for Disease Control and Prevention: "Conjunctivitis. "

American Academy of Ophthalmology “Conjunctivitis: What is Pink Eye?"

Reviewed by Alan Kozarsky, MD on July 03, 2017

This tool does not provide medical advice. See additional information.

THIS TOOL DOES NOT PROVIDE MEDICAL ADVICE. It is intended for general informational purposes only and does not address individual circumstances. It is not a substitute for professional medical advice, diagnosis or treatment and should not be relied on to make decisions about your health. Never ignore professional medical advice in seeking treatment because of something you have read on the WebMD Site. If you think you may have a medical emergency, immediately call your doctor or dial 911.