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Why is My Pink Eye Not Going Away?

Published in Eye Health 3 mins read

Pink eye, also known as conjunctivitis, can linger for various reasons. Here's a breakdown of potential causes and what you can do:

Possible Reasons Your Pink Eye Persists:

  • Incorrect Diagnosis: What you believe is pink eye might be something else entirely, such as allergies, a foreign object in the eye, or a more serious eye infection.
  • Type of Infection:
    • Bacterial Conjunctivitis: Typically lasts up to 10 days, but antibiotic treatment can shorten the duration. If it's not responding to antibiotics, the bacteria may be resistant, or the diagnosis might be incorrect.
    • Viral Conjunctivitis: Can last up to two weeks, sometimes longer. Antibiotics won't work on viral infections; treatment focuses on symptom relief.
    • Allergic Conjunctivitis: Triggered by allergens like pollen or pet dander. It will persist as long as you're exposed to the allergen.
  • Resistance to Antibiotics: In the case of bacterial pink eye, the bacteria causing the infection might be resistant to the prescribed antibiotic.
  • Poor Hygiene: Touching your eyes frequently, not washing your hands regularly, or sharing personal items (like towels or makeup) can reintroduce the infection.
  • Underlying Conditions: In rare cases, a persistent infection could be related to an underlying health condition affecting your immune system.
  • Complications: Untreated or improperly treated pink eye can sometimes lead to complications, prolonging the symptoms.

What to Do:

  1. Confirm the Diagnosis: See a doctor (primary care provider or urgent care) or ophthalmologist. They can properly diagnose the cause of your eye irritation and rule out other conditions.
  2. Follow Treatment Instructions Carefully: If prescribed antibiotics, complete the entire course, even if your symptoms improve.
  3. Practice Good Hygiene:
    • Wash your hands frequently with soap and water.
    • Avoid touching your eyes.
    • Use clean towels and washcloths daily.
    • Don't share towels, makeup, or eye drops with others.
  4. Address Allergies: If allergies are suspected, identify and avoid allergens. Antihistamine eye drops or oral medications can help.
  5. Consider a Second Opinion: If your pink eye isn't improving with the current treatment, seek a second opinion from another doctor.

Typical Duration of Pink Eye

Type of Pink Eye Typical Duration Treatment
Bacterial Up to 10 days (shorter with antibiotics) Antibiotic eye drops or ointment
Viral Up to 2 weeks (sometimes longer) Supportive care (cool compresses, artificial tears)
Allergic As long as exposure to the allergen continues Avoid allergens, antihistamine eye drops or oral medications

It is important to consult with a healthcare professional to get a proper diagnosis and treatment plan if your pink eye is not improving.

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