06/11/2025
๐น 1. Viral Conjunctivitis
Cause: Viruses (commonly adenovirus)
Onset: Sudden, often after a cold or sore throat
Discharge: Watery or thin mucus
Symptoms:
Redness (especially on the inner side of eyelids)
Watery eyes
Burning or gritty sensation
Often starts in one eye โ spreads to the other
Associated with preauricular lymph node swelling (small tender node near the ear)
Contagious: โ
Highly contagious
Treatment: Supportive โ artificial tears, cold compress, hygiene. (No antibiotics needed)
๐น 2. Bacterial Conjunctivitis
Cause: Bacteria (Staphylococcus, Streptococcus, Haemophilus, etc.)
Onset: Rapid
Discharge: Thick yellow or green pus, causing eyelids to stick together (especially in the morning)
Symptoms:
Red eyes
Swollen eyelids
Crusting and sticky lashes
Usually starts in one eye but may spread to the other
Contagious: โ
Contagious
Treatment: Topical antibiotic drops or ointment (e.g., Tobramycin, Chloramphenicol)
๐น 3. Allergic Conjunctivitis
Cause: Allergy (pollen, dust, animal dander, etc.)
Onset: Seasonal or after allergen exposure
Discharge: Watery or stringy mucus
Symptoms:
Severe itching (main symptom)
Redness and swelling (especially of eyelids)
Both eyes affected simultaneously
May occur with sneezing or nasal allergy
Contagious: โ Not contagious
Treatment: Antihistamine or mast cell stabilizer eye drops (e.g., Olopatadine), cold compress, avoid allergens
๐ง Quick Summary Table
Feature Viral Bacterial Allergic
Discharge Watery Thick, purulent Watery/stringy
Itching Mild None Severe
Laterality One โ both One โ both Both
Contagious Yes Yes No
Treatment Supportive Antibiotic drops Antihistamine drops