Launching September 2027

Pink Eye (Conjunctivitis)

Pink Eye At A Glance

  • Pink eye, or conjunctivitis, is inflammation or infection of the thin clear tissue covering the white part of the eye and lining the eyelids.
  • Symptoms may include red or pink eyes, watering, itching, burning, swelling, a gritty sensation, discharge, or crusting around the eyelashes.
  • Common types include viral, bacterial, allergic, and irritant conjunctivitis.
  • Viral and bacterial pink eye can spread from person to person, while allergic and irritant conjunctivitis are not contagious.
  • Most cases are diagnosed through symptoms and an eye examination without laboratory testing.
  • Treatment depends on the cause and may include supportive care, artificial tears, compresses, allergy drops, antibiotics for selected bacterial cases, and avoiding contact lenses until the eye has recovered.

Table of Contents

Table of Contents

What Is Pink Eye?

Pink eye, medically called conjunctivitis, is inflammation or infection of the conjunctiva, the thin, clear tissue that lines the inside of the eyelids and covers the white part of the eye. When the conjunctiva becomes irritated or inflamed, the eye may appear pink or red and may become watery, itchy, swollen, or produce discharge.

Common types of conjunctivitis include:

  • Viral Conjunctivitis: Usually caused by a respiratory virus and often occurs with a cold, sore throat, or other respiratory symptoms.
  • Bacterial Conjunctivitis: Caused by bacteria and may produce thick yellow, white, or green discharge.
  • Allergic Conjunctivitis: Caused by allergens such as pollen, dust, mold, or pet dander and usually causes significant itching and watery eyes.
  • Irritant Conjunctivitis: Caused by smoke, chemicals, contact lens products, air pollution, or another substance that irritates the eye.

Viral and bacterial conjunctivitis can spread easily from person to person. Allergic and irritant conjunctivitis are not contagious.

Learn More

Pink Eye – NIH MedlinePlus
https://medlineplus.gov/pinkeye.html

Provides easy-to-understand information about conjunctivitis, including symptoms, causes, treatment, and prevention.

Pink Eye – National Eye Institute (NEI)
https://www.nei.nih.gov/eye-health-information/eye-conditions-and-diseases/pink-eye

Provides information about the different types of pink eye, symptoms, treatment, and preventing its spread.

How Common Is Pink Eye?

Pink eye is one of the most common and treatable eye conditions. It can affect people of all ages, although infectious conjunctivitis is especially common among children because viruses and bacteria spread easily in schools, daycare centers, households, and other close-contact environments.

Most cases are mild, but symptoms that include significant pain, light sensitivity, vision changes, or intense redness require prompt medical evaluation because they may indicate a more serious eye condition.

Learn More

Conjunctivitis (Pink Eye) – Centers for Disease Control and Prevention (CDC)
https://www.cdc.gov/conjunctivitis/

Provides information about pink eye, symptoms, causes, treatment, and prevention.

What Symptoms Might You Notice?

Symptoms may affect one or both eyes and vary depending on the cause.

Common symptoms may include:

  • Pink or red appearance of the white part of the eye
  • Swelling of the conjunctiva or eyelids
  • Watery eyes
  • Increased tear production
  • Itching
  • Burning or irritation
  • Gritty or sandy sensation
  • Eye discharge
  • Crusting of the eyelashes or eyelids, especially after sleeping
  • Eyelids that are stuck together upon waking
  • Mild sensitivity to light
  • Discomfort when wearing contact lenses

Symptoms may differ by type:

  • Viral conjunctivitis: Often causes watery discharge, burning, and symptoms that begin in one eye before spreading to the other.
  • Bacterial conjunctivitis: Often causes thicker discharge that may make the eyelids stick together.
  • Allergic conjunctivitis: Usually affects both eyes and commonly causes intense itching, tearing, and swelling.

How Is Pink Eye Diagnosed?

A healthcare provider usually diagnoses pink eye by reviewing your symptoms and examining your eyes and eyelids. They may ask about:

  • When symptoms began
  • Whether one or both eyes are affected
  • The appearance and amount of discharge
  • Recent cold or respiratory symptoms
  • Allergy history
  • Contact lens use
  • Exposure to someone with pink eye
  • Recent eye injury or chemical exposure
  • Eye pain, light sensitivity, or vision changes

Because viral, bacterial, allergic, and other eye conditions can have similar symptoms, an eye examination may be needed to identify the cause and rule out more serious conditions.

Learn More

Conjunctivitis: What Is Pink Eye? – American Academy of Ophthalmology (AAO)
https://www.aao.org/eye-health/diseases/pink-eye-conjunctivitis

Provides information about the causes, symptoms, and evaluation of conjunctivitis.

Pink Eye (Conjunctivitis) infographic – click to enlarge

What Causes Pink Eye?

Pink eye can have infectious and noninfectious causes.

Common causes include:

  • Viruses
  • Bacteria
  • Seasonal or environmental allergies
  • Smoke
  • Air pollution
  • Chemical exposure
  • Contact lens products
  • Eye drops or ointments
  • Foreign objects in the eye
  • Blocked tear ducts in infants
  • Sexually transmitted infections in certain cases

Viral conjunctivitis is often associated with the same viruses that cause respiratory infections. Bacterial conjunctivitis may be caused by several different bacteria. Allergic conjunctivitis develops when the immune system reacts to an allergen.

Learn More

Pink Eye: Causes and How It Spreads – CDC
https://www.cdc.gov/conjunctivitis/causes/

Explains the infectious and noninfectious causes of conjunctivitis and how contagious forms spread.

What Can Make Pink Eye Worse?

Several factors may worsen irritation, delay recovery, or increase the spread of infectious conjunctivitis.

Common factors include:

  • Rubbing or touching the eyes
  • Wearing contact lenses during symptoms
  • Sharing towels, washcloths, pillows, makeup, or eye drops
  • Using contaminated eye makeup
  • Poor hand hygiene
  • Exposure to smoke or other irritants
  • Continued exposure to allergens
  • Using antibiotic eye drops when they are not needed
  • Using steroid eye drops without an eye specialist’s supervision
  • Delaying medical care when pain or vision changes are present

Contact lens wearers with eye redness should remove their lenses and seek medical advice because contact lens-related infections can sometimes affect the cornea and threaten vision.

Learn More

How to Prevent Pink Eye – CDC
https://www.cdc.gov/conjunctivitis/prevention/

Provides practical guidance for preventing the spread of infectious conjunctivitis.

Prevention

Good hygiene can reduce the risk of catching or spreading viral and bacterial conjunctivitis.

Helpful prevention tips include:

  • Wash your hands frequently with soap and water.
  • Avoid touching or rubbing your eyes.
  • Do not share towels, washcloths, pillows, makeup, eye drops, or contact lens supplies.
  • Wash linens and towels in hot water and detergent when possible.
  • Clean eyeglasses carefully.
  • Follow proper contact lens cleaning and replacement instructions.
  • Do not wear another person’s contact lenses.
  • Discard contaminated disposable lenses and eye makeup as directed.
  • Avoid close contact with others when you have active infectious symptoms.
  • Clean frequently touched surfaces.

Learn More

How to Prevent Pink Eye – CDC
https://www.cdc.gov/conjunctivitis/prevention/

Provides detailed recommendations for preventing infectious conjunctivitis and reducing its spread.

Learn More About Pink Eye

The following video content is provided to help you better understand this condition. These resources are intended for educational purposes and should not replace personalized medical advice from your healthcare provider.

Labs

Most cases of pink eye do not require laboratory testing.

Laboratory tests may be recommended when symptoms are severe, recurrent, unusual, or do not improve with standard treatment.

Possible laboratory tests include:

  • Conjunctival Swab or Culture: Collects discharge from the eye to identify bacteria.
  • Polymerase Chain Reaction (PCR) Testing: May identify certain viral or bacterial causes.
  • Testing for Gonorrhea or Chlamydia: May be needed if a sexually transmitted infection is suspected.
  • Allergy Testing: May be recommended for recurrent or severe allergic conjunctivitis.

Newborns with eye redness, swollen eyelids, or discharge require prompt medical evaluation because neonatal conjunctivitis can cause serious complications.

Learn More

Pink Eye in Newborns – CDC
https://www.cdc.gov/conjunctivitis/newborns/

Provides information about newborn conjunctivitis, warning signs, causes, and treatment.

Diagnostics

Most people do not require imaging or extensive diagnostic testing.

Common evaluations may include:

  • Visual Acuity Test: Checks whether vision has been affected.
  • Slit-Lamp Examination: Uses a specialized microscope to examine the eyelids, conjunctiva, cornea, and other eye structures.
  • Fluorescein Eye Staining: Uses a special dye to identify scratches, ulcers, or damage to the cornea.
  • Eyelid Examination: Evaluates for swelling, foreign objects, blocked glands, or other eyelid conditions.
  • Contact Lens Evaluation: May be performed if contact lens use contributed to symptoms.

Eye pain, reduced vision, significant light sensitivity, or severe redness may suggest corneal involvement or another serious condition rather than uncomplicated conjunctivitis.

Learn More

Pink Eye – National Eye Institute (NEI)
https://www.nei.nih.gov/eye-health-information/eye-conditions-and-diseases/pink-eye

Provides information about how pink eye is evaluated and when specialist care may be needed.

Treatment & Management

Treatment Options

Treatment depends on the cause of conjunctivitis.

Treatment options may include:

  • Supportive care for viral conjunctivitis
  • Antibiotic eye drops or ointment for selected bacterial infections
  • Antihistamine or allergy eye drops for allergic conjunctivitis
  • Artificial tears
  • Cool or warm compresses
  • Avoiding allergens or irritants
  • Removing contact lenses until symptoms resolve
  • Treatment of an underlying condition

Most viral cases improve without prescription treatment. Antibiotics do not treat viral or allergic conjunctivitis. Many mild bacterial cases also improve without antibiotics, although antibiotic eye medication may shorten the illness and may be recommended in certain situations.

Learn More

How to Treat Pink Eye – CDC
https://www.cdc.gov/conjunctivitis/treatment/

Provides information about treatment for viral, bacterial, and allergic conjunctivitis.

Lifestyle Changes

Healthy habits can relieve symptoms and reduce the spread of contagious pink eye.

Helpful lifestyle changes include:

  • Wash your hands frequently with soap and water.
  • Avoid touching or rubbing your eyes.
  • Use a clean towel or tissue to wipe discharge.
  • Wash pillowcases, sheets, towels, and washcloths regularly.
  • Do not share towels, pillows, eye drops, makeup, or contact lens equipment.
  • Stop wearing contact lenses until your healthcare provider says it is safe to resume.
  • Discard disposable contact lenses and contaminated lens cases as directed.
  • Avoid eye makeup until symptoms have resolved.
  • Replace eye makeup that may have become contaminated.
  • Use cool compresses for itching and swelling.
  • Use warm compresses when crusting or thick discharge is present.

Learn More

How to Prevent Pink Eye – CDC
https://www.cdc.gov/conjunctivitis/prevention/

Provides recommendations for preventing pink eye and reducing its spread.

Medications

Medication depends on the cause of your symptoms.

Common medications may include:

  • Artificial Tears: Help relieve dryness, burning, and irritation.
  • Antihistamine Eye Drops: Help reduce itching and watering caused by allergies.
  • Mast Cell Stabilizer Eye Drops: May help prevent recurring allergic eye symptoms.
  • Antibiotic Eye Drops or Ointments: May be prescribed for bacterial conjunctivitis.
  • Oral Antihistamines: May help when seasonal or environmental allergies are causing symptoms.
  • Antiviral Medication: Rarely required but may be prescribed for certain viral infections, such as herpes-related eye disease.

Do not use someone else’s eye medication or leftover antibiotic drops. Steroid-containing eye drops should only be used under the supervision of an eye-care professional because they can worsen certain infections and cause serious complications.

Learn More

Antibiotic Eye Drops – American Academy of Ophthalmology
https://www.aao.org/eye-health/treatments/antibiotic-eye-drops

Provides information about when antibiotic eye drops are used and why they require medical guidance.

Procedures

Most people with pink eye do not require surgery or invasive procedures. Treatment usually involves supportive care, eye drops, medication when appropriate, and prevention of further irritation or transmission.

Possible procedures or office-based treatments may include:

  • Eye Irrigation: Flushes chemicals, debris, or irritants from the eye.
  • Removal of a Foreign Object: May be required if something is trapped under the eyelid or on the eye’s surface.
  • Conjunctival Swab: Collects discharge for laboratory testing in severe or unusual cases.
  • Slit-Lamp Examination: Allows an eye-care professional to closely examine the conjunctiva and cornea.
  • Corneal Staining: Helps detect scratches, ulcers, or other corneal damage.

Chemical exposure to the eye requires immediate irrigation with clean water or saline and urgent medical guidance.

Learn More

Pink Eye – National Eye Institute (NEI)
https://www.nei.nih.gov/eye-health-information/eye-conditions-and-diseases/pink-eye

Learn about pink eye evaluation, treatment, and when urgent eye care is needed.

What Should You Expect Long-Term?

Most cases of conjunctivitis resolve without permanent eye damage.

  • Viral conjunctivitis commonly improves within one to two weeks, although some cases may last longer.
  • Bacterial conjunctivitis often improves within several days, with or without antibiotic treatment depending on the cause.
  • Allergic conjunctivitis may continue or return while exposure to the allergen continues.
  • Irritant conjunctivitis usually improves after the irritating substance is removed.

Repeated, severe, or untreated infections can occasionally involve the cornea and affect vision. Contact lens wearers, newborns, and people with weakened immune systems have a higher risk of serious complications.

What Can You Do At Home?

Home care may relieve mild symptoms and reduce transmission.

Helpful tips include:

  • Apply a clean, cool compress to closed eyes for itching or swelling.
  • Use a warm compress to loosen dried discharge.
  • Use artificial tears if recommended.
  • Gently clean crusting from the eyelids using clean water and a fresh cloth or cotton pad.
  • Use a different cloth or cotton pad for each eye.
  • Wash your hands before and after touching your face or applying eye drops.
  • Avoid sharing personal items.
  • Do not wear contact lenses until symptoms have resolved and your healthcare provider approves.
  • Avoid swimming while you have infectious conjunctivitis.
  • Follow medication instructions carefully.

Learn More

Treatment for Pink Eye – National Eye Institute (NEI)
https://www.nei.nih.gov/eye-health-information/eye-conditions-and-diseases/pink-eye/treatment-pink-eye

Provides practical recommendations for relieving symptoms and preventing the spread of pink eye.

Frequently Asked Questions

Is pink eye contagious?

Viral and bacterial pink eye can be highly contagious. Allergic and irritant conjunctivitis are not contagious.

Do I always need antibiotic eye drops?

No. Antibiotics do not treat viral or allergic conjunctivitis. They may be prescribed for bacterial conjunctivitis depending on your symptoms, risk factors, and examination.

Can I go to work or school with pink eye?

Policies vary. Your healthcare provider can advise you based on the cause, severity, ability to avoid close contact, and local workplace, school, or daycare requirements.

Can I wear contact lenses with pink eye?

No. Remove your contact lenses when symptoms begin and do not resume wearing them until symptoms have resolved and your healthcare provider says it is safe.

Can pink eye affect my vision?

Uncomplicated pink eye usually does not cause lasting vision problems. Blurred vision that does not clear after wiping away discharge, significant light sensitivity, or reduced vision requires prompt medical evaluation.

Questions To Ask Your Provider

Consider asking your healthcare provider:

  • What type of conjunctivitis do I have?
  • Is my pink eye contagious?
  • Do I need antibiotic eye drops?
  • When can I return to work, school, or daycare?
  • When can I safely wear contact lenses again?
  • Should I throw away my contact lenses, lens case, or eye makeup?
  • What symptoms should prompt urgent eye care?
  • Do I need to see an ophthalmologist?

Specialist Referrals

Many cases of pink eye are treated by a primary care provider, urgent care provider, pediatrician, optometrist, or ophthalmologist.

You may be referred to:

  • Optometrist: Evaluates common eye conditions and vision concerns.
  • Ophthalmologist: Diagnoses and treats severe, persistent, recurrent, or vision-threatening eye conditions.
  • Allergist/Immunologist: Evaluates recurrent allergic conjunctivitis or difficult-to-control allergies.
  • Infectious Disease Specialist: May assist with unusual or severe infections.
  • Pediatrician: Evaluates conjunctivitis in infants and children.

Learn More

American Academy of Ophthalmology – Eye Health
https://www.aao.org/eye-health

Provides patient education about conjunctivitis, eye infections, and specialist eye care.

Is Pink Eye Curable?

Most cases of pink eye are temporary and completely treatable.

Viral conjunctivitis usually clears as the immune system eliminates the virus. Bacterial conjunctivitis often resolves on its own or with antibiotic treatment when indicated. Allergic conjunctivitis improves when allergen exposure is reduced and allergy symptoms are treated.

Chronic or recurrent conjunctivitis may continue until the underlying cause, such as allergies, eyelid inflammation, dry eye, or repeated exposure to an irritant, is properly managed.

Emergency Symptoms / When To Seek Immediate Help

Call 911 or seek emergency medical care immediately if you experience:

  • A serious chemical exposure to the eye
  • Major eye trauma
  • Sudden loss of vision
  • Severe eye pain with nausea, vomiting, or a severe headache

Seek urgent medical evaluation if you notice:

  • Eye pain
  • Significant sensitivity to light
  • Blurred or decreased vision that does not improve after discharge is wiped away
  • Intense eye redness
  • Severe swelling
  • A large amount of thick discharge
  • Symptoms that worsen or do not improve
  • Bacterial conjunctivitis that does not improve after approximately 24 hours of antibiotic treatment
  • Eye redness or discharge while wearing contact lenses
  • Pink eye symptoms in a newborn
  • A weakened immune system with new eye symptoms

Learn More

How to Treat Pink Eye – CDC
https://www.cdc.gov/conjunctivitis/treatment/

Explains warning signs that require medical evaluation and when specialist care may be needed.

CALL 911

APNS does not provide emergency medical services. If you believe you are experiencing a medical emergency, including (but not limited to) chest pain, difficulty breathing, stroke symptoms, severe allergic reactions, anaphylaxis, uncontrolled bleeding, seizures, loss of consciousness, or any other potentially life-threatening condition, you are instructed to call 911 immediately or go immediately to the nearest emergency department.

Official Resources / External Links

Pink Eye – NIH MedlinePlus
https://medlineplus.gov/pinkeye.html

Easy-to-understand information about conjunctivitis, including symptoms, causes, treatment, and prevention.

Conjunctivitis (Pink Eye) – Centers for Disease Control and Prevention (CDC)
https://www.cdc.gov/conjunctivitis/

Comprehensive information about pink eye symptoms, causes, treatment, prevention, and contagiousness.

Pink Eye – National Eye Institute (NEI)
https://www.nei.nih.gov/eye-health-information/eye-conditions-and-diseases/pink-eye

Reliable patient education about the types of pink eye, home care, treatment, and warning signs.

American Academy of Ophthalmology – Conjunctivitis
https://www.aao.org/eye-health/diseases/pink-eye-conjunctivitis

Patient education about conjunctivitis, eye symptoms, treatment, and eye specialist care.

This guide is intended for educational purposes only and should not replace medical advice, diagnosis, or treatment from your healthcare provider or eye-care professional. Always follow the recommendations of your healthcare team regarding your individual health needs. Contact a healthcare provider promptly if symptoms worsen, do not improve as expected, or are accompanied by pain, light sensitivity, contact lens use, or vision changes. Seek immediate medical care for sudden vision loss, major eye trauma, serious chemical exposure, severe eye pain, or another medical emergency.

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