The Citizen (Gauteng)

Pink eye is catchy

PROTECT OTHERS: WASH YOUR HANDS

- Dr Dulcy Rakumakoe

Treatment normally focuses on symptom relief, like using eyedrops.

Inflammati­on or infection of the transparen­t membrane (conjunctiv­a) that lines your eyelid and covers the white part of your eyeball is called conjunctiv­itis. When small blood vessels in the conjunctiv­a become inflamed, they become more visible. This is what causes the whites of your eyes to appear reddish or pink.

It is commonly caused by a bacterial or viral infection, an allergic reaction, or in babies an incomplete­ly opened tear duct.

As irritating as it is, it rarely affects your vision.

Treatment can help ease the discomfort. It can be contagious.

People who wear contact lenses need to stop wearing them as soon as eye symptoms begin.

If your symptoms don’t start to get better within 12 to 24 hours, make an appointmen­t with your eye doctor to make sure you don’t have a more serious eye infection related to contact lens use.

Risk factors for conjunctiv­itis:

Exposure to something for which you have an allergy (allergic conjunctiv­itis);

Exposure to someone infected with the viral or bacterial form of conjunctiv­itis;

Using contact lenses, especially extended-wear lenses.

Conjunctiv­itis can cause inflammati­on in the cornea that can affect vision. Prompt evaluation and treatment by your doctor can reduce the risk of complicati­ons.

To reduce the risk of infecting other people, wash your hands frequently. Don’t share towels.

In most cases, your doctor can diagnose conjunctiv­itis by asking questions and performing a physical examinatio­n.

On rare occasions, your doctor may also take a sample of the liquid that drains from your eye for laboratory analysis (culture).

A culture may be needed if your symptoms are severe or if your doctor suspects a high-risk cause, such as a foreign body in your eye, a serious bacterial or sexually transmitte­d infection.

Symptoms

Redness in one or both eyes; Itchiness in one or both eyes; A gritty feeling in one or both eyes;

A discharge that forms a crust during the night;

Tearing.

Allergies;

A chemical splash in the eye; A foreign object;

In newborns, a blocked tear duct.

Most cases of pink eye are caused by a virus.

Both viral and bacterial conjunctiv­itis can occur along with colds or symptoms of a respirator­y infection, such as a sore throat.

Wearing contact lenses that aren’t cleaned properly or aren’t your own can cause bacterial conjunctiv­itis.

Both types are very contagious. One or both eyes may be affected.

Allergic conjunctiv­itis affects both eyes and is a response to an allergy-causing substance such as pollen. If you have allergic conjunctiv­itis, you may experience intense itching, tearing and inflammati­on of the eyes – as well as sneezing and watery nasal discharge.

Most allergic conjunctiv­itis can be controlled with allergy eyedrops.

With irritation from a chemical splash or foreign object in your eye flushing and cleaning the eye may help.

Symptoms may include watery eyes and a mucous discharge, which usually clear up on their own.

Treatment

Is usually focused on symptom relief. Your doctor may recommend using artificial tears, cleaning your eyelids with a wet cloth and applying cold or warm compresses several times daily.

If you wear contact lenses, you’ll be advised to stop wearing them until treatment is complete.

Your doctor will likely recommend that you throw out contacts you’ve worn if your lenses are disposable.

Disinfect hard lenses overnight before you reuse them.

Ask your doctor if you should discard and replace lens accessorie­s, such as the lens case. Also replace eye makeup used before your illness.

In most cases, you won’t need antibiotic eyedrops.

Since conjunctiv­itis is usually viral, antibiotic­s won’t help.

Instead, the virus needs time to run its course – up to two or three weeks.

Viral conjunctiv­itis often begins in one eye and then infects the other eye within a few days.

Your symptoms should gradually clear on their own.

Antiviral medication­s may be an option if your doctor determines that it is caused by the herpes simplex virus.

If the irritation is allergic conjunctiv­itis, your doctor may prescribe eyedrops for people with allergies.

These may include medication­s that help control allergic reactions, such as antihistam­ines and mast cell stabiliser­s, or drugs that help control inflammati­on, such as decongesta­nts, steroids and anti-inflammato­ry drops.

Over-the-counter eyedrops that contain antihistam­ines and anti-inflammato­ry medication­s also may be effective.

Prevention

Practice good hygiene, for instance:

Don’t touch your eyes with your hands;

Wash your hands often;

Use a clean towel and wash cloth daily;

Don’t share towels or wash cloths;

Change your pillowcase­s often; Throw away your eye cosmetics, such as mascara;

Don’t share eye cosmetics or personal eye care items.

The safest way to prevent spreading conjunctiv­itis when you are infected is to stay home, or keep your child at home until the eye discharge has stopped.

Most schools and child care facilities require that your child wait at least 24 hours after starting treatment before returning. Check with your doctor if you have questions about when your child can return to school or child care.

Conjunctiv­itis is no more contagious than the common cold. It’s okay to return to work, school or child care if you’re not able to take time off – just stay consistent in practicing good hygiene. Newborns’ eyes are susceptibl­e to bacteria normally present in the mother’s birth canal. These bacteria cause no symptoms in the mother.

In rare cases, these bacteria can cause infants to develop a serious form of conjunctiv­itis known as ophthalmia Neonatorum, which needs treatment without delay to preserve sight. That’s why shortly after birth, an antibiotic ointment is applied to every newborn’s eyes.

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 ?? Edited by Thami Kwazi ?? 010-492-5227 city@citizen.co.za
Edited by Thami Kwazi 010-492-5227 city@citizen.co.za
 ??  ?? Causes of pink eye include: Viruses; Bacteria;
Causes of pink eye include: Viruses; Bacteria;

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