Viral (pink eye)
- Unilateral with 30-50% of cases spreading to the other eye.
- Clear watery discharge, mild foreign-body sensation, burning, red eyelid, preauricular lymphadenopathy and follicular reaction.
- Onset of photophobia and ocular pain after 10-14 days in adults suggests corneal involvement (rare). Visual loss should not be present in conjunctivitis. Slit lamp examination recommended if photophobia or decreased visual acuity present.
- Prevent transmission by counseling on handwashing and avoiding personal contact. Virus viable on dry surfaces for ≥ 2 weeks.
- Typically lasts 2 to 4 weeks; highly contagious for the first 2 weeks.
- Topical corticosteroids are not recommended.
Usual Pathogens
Adenovirus
Enterovirus including Coxsackie virus
| Empiric Therapy | Dose | Duration |
|---|---|---|
| Cold compresses | ||
| +/- | ||
| Decongestants | ||
| +/- | ||
| Lubricants | ||