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How Long Does Pink Eye Typically Last in Children?

October 9, 2024

Child staring at camera with pink eye in his right eye

As cooler weather rolls in, and it’s too chilly or rainy, a cold day can be a perfect excuse for a day out at an indoor location. When you can’t go play basketball outdoors, maybe it’s the perfect opportunity to go to the High Five Playhouse.

Kids, especially those in daycare or school, are notorious for picking up germs. Communal areas are full of bacteria and viruses, which can lead to illnesses like pink eye.

Visit AFC Monroe Rd if you think your child has pink eye.

Common Pink Eye Symptoms

  • Watery eyes
  • Blurred vision
  • Green or white stringy discharge
  • Increased sensitivity to light
  • Crusting of the eyelids or lashes, especially while sleeping
  • Redness and swelling in the white of your eye or inner eyelid
  • Thick yellow discharge that crusts over your eyelashes, especially after sleep
  • Gritty feeling in one or both eyes

What is Pink Eye?

Pink eye, also known as ‘conjunctivitis,’ occurs when the conjunctiva— the clear tissue that lines the eyelids and covers the outer surface of the eye— becomes inflamed. Its main function is to keep your eyes moist.

Each year in the U.S., more than six million people, both adults and children, are affected by pink eye. In school-age children, it accounts for nearly three million missed days of school. Doctors typically recommend staying home for 24 hours after starting antibiotics to stop the spread of infection.

What Causes Pink Eye?

  • Viruses (very contagious)
  • Bacteria (very contagious)
  • Allergens, like pollen (not contagious)
  • Irritants, like smoke or dust (not contagious)
  • Herpes

Viral conjunctivitis is an eye infection caused by a few different viruses and is very contagious. Sometimes large outbreaks occur. It passes on its own given several days.

Bacterial conjunctivitis is an infection due to bacteria. Some bacteria are common, but others that can lead to pink eye include those related to sexually transmitted diseases such as Chlamydia and Gonorrhea. This type can also spread easily in certain settings and children who are not exhibiting fever or behavioral symptoms can usually continue attending school. This type of infection is more common in children than adults and is more prevalent from December through April.

Allergic conjunctivitis is often itchy and results from a body’s reaction to a specific allergen such as pollens, dust, mites, mold, pet dander, or cosmetics. It is most common among those who have other allergic conditions, such as asthma and isn’t contagious. High pollen counts can contribute, but it can occur at any time of the year depending on environmental factors. Allergy medication and allergy eye drops help.

Conjunctivitis caused by irritants has some overlap with allergic conjunctivitis as environmental chemicals or other airborne irritants may precipitate a non-contagious reaction. This type of conjunctivitis may also be caused by a foreign object in the eye, or in cases where contact lenses have not been cleaned properly. Burning eyes can also occur with this form.

Pink eye will resolve within two days to two weeks depending on the cause and treatment.

How to Avoid Pink Eye

Avoiding pink eye is difficult since it spreads through direct contact with others. Something as simple as a hug can pass the infection along. It can also spread when you touch contaminated objects and then touch your face. Washing hands frequently is key to preventing it. To minimize the risk, make sure your child stays home until their fever and eye discharge have fully resolved.

Recommended Hygiene Practices:

  • Do not touch or rub the infected eye(s)
  • Wash hands often with soap and water, or sanitizer if soap and water are not available
  • Wash any discharge from the eyes twice daily using a fresh cotton ball. Throw away the cotton ball and wash your hands with soap and warm water afterward
  • Wash hands after applying any eye drops or ointment
  • Do not share makeup, contact lenses, towels, or cups

Conjunctivitis in Babies

Conjunctivitis in babies under four weeks old, known as neonatal conjunctivitis, is a cause for concern and should prompt an immediate doctor’s visit. The most frequent types seen are:

Inclusion (chlamydial) conjunctivitis that passes to a baby by a mother with untreated chlamydia during birth. Symptoms typically appear 5-12 days after birth and can pass to the lungs or other parts of the body. Oral antibiotics treat the infection.

Gonococcal conjunctivitis is passed to the baby by a mother with untreated gonorrhea during childbirth. Conjunctivitis typically begins in the baby’s first 2-5 days. Intravenous or intramuscular antibiotics are required to prevent the baby from developing ulcers on the cornea or becoming blind.

Chemical conjunctivitis can result from the antimicrobial drops given to newborns to prevent bacterial infection. Symptoms should abate within 36 hours (or three days).

Some other viruses and bacteria can cause conjunctivitis in newborns such as the ones that can cause genital or oral herpes, which is less common, and even the bacteria that normally lives in a woman’s vagina. Antibiotic ointments or drops treat these cases.

When to Seek Medical Care?

Your child should see their doctor if they have any of the following:

  • Pain in the eye(s)
  • Sensitivity to light or blurred vision that does not improve when discharge is wiped from the eye(s)
  • Intense redness in the eye(s)
  • Worsening or unimproved symptoms, including pink eye thought to be caused by bacteria which does not improve after 24 hours of antibiotic use
  • A weakened immune system, for example from HIV infection, cancer treatment, or other medical conditions or treatments
  • A preexisting eye condition
  • Decrease in vision

Soothing Pink Eye

Cold compresses are effective in soothing the irritation and inflammation caused by conjunctivitis. Make sure to use fresh, clean compresses each time. You can also try artificial tear drops for relief but avoid using red reducing drops as they may worsen the condition. Contact lenses should be cleaned properly and not worn until your eyes have healed to avoid reinfecting them.

If you or your child is experiencing the symptoms of pink eye, visit AFC Urgent Care Chapman Hwy for care.

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