What is the first treatment tried for conjunctivitis?

Conjunctivitis is inflammation of the clear surface covering the white of the eye and inner eyelids. Viral conjunctivitis may cause watery discharge and spread easily. Bacterial infection may produce thicker discharge, while allergy often causes marked itching and affects both eyes. Irritation, contact lenses or a different eye condition can look similar.

Treatment therefore varies. Lubricating drops or a cool clean compress may soothe irritation. Antibiotic treatment may be prescribed after a GP consultation when bacterial infection is considered likely; antibiotics do not help viral or allergic conjunctivitis.

Wash your hands before and after touching the eye, gently clean discharge with clean water, and avoid rubbing. Do not share towels, pillows, eye makeup or eye drops. Stop wearing contact lenses until symptoms have cleared and a clinician or optometrist says they are safe to restart.

Discard eye makeup used during the episode and use medicines only as directed. Do not use another person’s drops or leftover antibiotics. Arrange an assessment if discharge persists, symptoms affect daily activities or the diagnosis is uncertain.

Seek urgent eye care for significant eye pain, light sensitivity, blurred or reduced vision, severe swelling, an injury, or a red eye while wearing contact lenses. Prompt assessment is also needed for a newborn with eye discharge or for symptoms that are rapidly worsening.

Ask what cause is most consistent with your discharge and other symptoms, whether you should use lubricating drops, and whether antibiotic treatment is appropriate. Ask when contact lenses and eye makeup can be used again and which changes need urgent review.