Conjunctivitis in soft contact lens wearers. Viral. Red Book: 2018 Report of the Committee on Infectious Diseases. If conjunctivitis has been caused by a sexually transmitted infection (STI), particularly chlamydia, the infection may last several months, rather than weeks. Symptoms include an irritated red eye with a watery or purulent discharge. Elk Grove Village, IL: American Academy of Pediatrics. Varying causes may or may not be contagious. Infective conjunctivitis. Conjunctivitis resolves in 65% of cases without treatment, within 2–5 days. Viral conjunctivitis usually resolves on its own and does not require any specific treatment. The prescription of antibiotics is not necessary in most cases. It may resolve by itself or progress to involve coarse epithelial keratitis, pseudomembranous conjunctivitis and bilateral hemorrhagic, pseudomembranous conjunctivitis or pseudodendritic keratitis. The conjunctiva is the thin clear tissue that lies over the white part of the eye and lines the inside of the eyelid. Conjunctivitis, or pinkeye, irritates the clear layer that covers the front of the eye called the conjunctiva, causing inflammation or swelling in that mucus membrane. Bacterial conjunctivitis generally last 1-2 weeks and is usually self-limiting. Uncomplicated cases of blepharitis, conjunctivitis, foreign bodies, corneal abrasion, and subconjunctival hemorrhage may be managed by the primary care physician. The recommendations on management of conjunctivitis in contact lens wearers are largely based on the guideline from the Royal College of General Practitioners , the College of Optometrists [College of Optometrists, 2014c] and expert opinion in a … ; Azari AA, Barney NP. 31st ed. Conjunctivitis, also known as pinkeye, is an inflammation of the conjunctiva. Conjunctivitis refers to any inflammatory condition of the membrane that lines the eyelids and covers the exposed surface of the sclera. Management and prevention of infectious diseases: Exclusion and return to care. External In: Kimberlin DW, Brady MT, Jackson MA, Long SS, eds. 2018;125–36. Ideally, the antibiotic should be specific for the causative organism. Allergic conjunctivitis is usually bilateral with watery discharge and itching. Management. It is the most common cause of “red eye.” COVID-19 conjunctivitis starts as unilateral redness of eye with follicular reaction (inferior palpebral) like any other viral conjunctivitis. The key to management is making the correct diagnosis in a timely fashion. Complications of conjunctivitis depend on whether the condition is an infection (infective conjunctivitis) or an allergic reaction (allergic conjunctivitis). Conjunctivitis, casually referred to as “pink eye”, is a swelling or inflammation of the conjunctiva, the thick, transparent layer of tissue that lines the inner surface of the eyelid and covers the white part of the eye. American Academy of Pediatrics. The mainstay of treatment for bacterial conjunctivitis is topical antibiotic therapy, with the intent of significantly reducing the duration of symptoms and likelihood of contagion.