Skip to main content

Conjunctivitis, Acute

Frances Yung-tao Wu, MD Reviewed 06/2018
 


BASICS

DESCRIPTION

  • Inflammation of the bulbar and/or palpebral conjunctiva of <4 weeks’ duration

  • System(s) affected: nervous, skin/exocrine

  • Synonym(s): pink eye

Geriatric Considerations

  • Suspect autoimmu...

DIAGNOSIS

HISTORY

ALERT

Red flag: Any decrease in visual acuity is not consistent with conjunctivitis alone; must document normal vision for diagnosis of isolated conjunctivitis

 
  • Viral: contact or travel...

TREATMENT

GENERAL MEASURES

  • Viral conjunctivitis does not require antibiotics and resolves spontaneously.

  • Clean eyelid with wet cloth up to QID.

  • Stop use of contact lenses while eye is red.

  • Patching of eye...

ONGOING CARE

FOLLOW UP RECOMMENDATIONS

  • If not resolved within 5 to 7 days, alternate diagnoses should be considered or consultation obtained, although some epidemic keratoconjunctivitis and other adeno...

REFERENCES

1
1 Steeples L, Mercieca K. Acute conjunctivitis in primary care: antibiotics and placebo associated with small increase in the proportion cured by 7 days compared with no treatment. Evid Ba...

ADDITIONAL READING

Berger WE, Granet DB, Kabat AG. Diagnosis and management of allergic conjunctivitis in pediatric patients. Allergy Asthma Proc.  2017;38(1):16–27. {L-End} {L-End} [View Abst...

SEE ALSO

  • Rhinitis, Allergic

  • Algorithm: Eye Pain

CODES

ICD10

  • H10.30 Unspecified acute conjunctivitis, unspecified eye

  • H10.33 Unspecified acute conjunctivitis, bilateral

  • H10.32 Unspecified acute conjunctivitis, left eye

  • H10.31 Unspecified acute conjuncti...

CLINICAL PEARLS

  • Conjunctivitis does not alter visual acuity; decreased acuity or photophobia should prompt consideration of more serious ophthalmic disorders.

  • Culture the discharge in all contact lens ...

Subscribe to Access Full Content

Sign Up for a 10-Day Free Trial

Sign up for a 10-day FREE Trial now and receive full access to all content.

 
×