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Ocular surface | Acute conjunctivitis

Acute conjunctivitis, also called pink eye, can be caused by viral or bacterial infections and is highly contagious.

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Overview

Acute conjunctivitis (adenoviral conjunctivitis or pink eye) is an inflammation that can be caused by infections from bacteria or viruses. Pink eye can also be caused by allergy, eye injury or reaction to medication.

Pink eye affects nearly six million people in the U.S. every year.1 Anyone at any age can get conjunctivitis, although it is more common in children. It has been observed that pink eye is little more common in the spring and summer months and less common in the winter.

Acute conjunctivitis is highly contagious with intra-familial attack rates of up to 50 percent2-3 and 35 to 50 percent of patients develop complications.4,5 Unfortunately, many healthcare professionals believe that they can easily and accurately diagnose and treat pink eye patients based on clinical symptoms and signs, however, one simple misdiagnosis can lead to mistreatment driving the spread of disease.

Unlike bacterial conjunctivitis, which is usually self-limiting, acute conjunctivitis is associated with significant morbidity such as:

  • Decreased visual acuity or light sensitivity from persistent subepithelial infiltrates (inflammatory corneal deposits)6
  • Chronic epiphora (excessive tearing) from lacrimal drainage problems7
  • Visual loss from conjunctival foreshortening and symblepharon (conjunctival scarring) formation8

Symptoms of acute conjunctivitis include:

  • Eye redness
  • Swollen, red eyelids
  • Itching
  • Burning
  • Tearing
  • Eyelash matting or crusting
  • Foreign body sensation (feeling as if something is in the eye)

Pink eye can be highly contagious and may easily spread through many daily activities as well as close contact with others who are infected. Acute conjunctivitis can be spread by:

  • Shaking hands or touching an infected person and touching your eye 
  • Touching an object or surface with the infection and touching your eye
  • Breathing in the air after an infected person sneezes or coughs

Depending on the type of pink eye, isolation may be necessary to stop the spread of infection to others.

Viral conjunctivitis typically lasts from 7 to 21 days. The viral form of pink eye remains contagious until the eye is no longer red or producing excess tears.

Bacterial conjunctivitis is the contagious phase of bacterial pink eye and lasts from the time symptoms appear until there is no more discharge from the eye. Usually, this is just a few days, or until 24 hours after taking a prescription antibiotic.

Allergic conjunctivitis is the type of pink eye that is not contagious.

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QuickVue® Adenoviral Conjunctivitis Test