How can you tell the difference between viral and bacterial conjunctivitis?

Answered by Douglas Hiatt

When trying to distinguish between viral and bacterial conjunctivitis, there are several key factors to consider. One of the most noticeable differences is the appearance of the eyes. Bacterial pink eye often appears redder than viral pink eye. The redness in bacterial conjunctivitis is typically more intense and may even cause the eyes to appear bloodshot. On the other hand, the redness in viral conjunctivitis is usually milder.

Another distinguishing factor is the presence of discharge. Bacterial pink eye is often accompanied by green or yellow discharge from the eyes. This discharge can be sticky and may cause the eyelids to stick together, especially after sleep. In contrast, viral pink eye may cause your eyes to water, but the discharge is typically clear and watery, rather than thick and colored.

The onset of symptoms can also provide some clues. Viral pink eye often begins with a cold or upper respiratory infection. So if you have recently had a cold and then develop pink eye symptoms, it is more likely to be viral in nature. Bacterial pink eye, on the other hand, is often associated with respiratory infections, such as sinusitis or bronchitis.

It is important to note that these differences are not always definitive and can vary from person to person. In some cases, it may be difficult to determine the exact cause of conjunctivitis without a medical examination.

To further differentiate between viral and bacterial conjunctivitis, a healthcare professional may perform additional tests. These may include taking a sample of the eye discharge for laboratory analysis or using a special dye to examine the eyes under a microscope. These tests can help identify the specific cause of conjunctivitis and guide appropriate treatment.

The main differences between viral and bacterial conjunctivitis lie in the appearance of the eyes, the nature of the discharge, and the presence of other respiratory symptoms. While bacterial conjunctivitis often appears redder and is accompanied by green or yellow discharge, viral conjunctivitis may have milder redness and clear, watery discharge. However, it is always best to consult a healthcare professional for an accurate diagnosis and appropriate treatment.