What are the treatment options for conjunctivitis (pink eye)?

Photo of a woman using eye drops

Simple cases of conjunctivitis often clear up without any treatment. While you are waiting for it to go away, it’s important to pay attention to good hygiene so that you don’t infect others. Eye drops or creams with the right active ingredients can help if the conjunctivitis is caused by or an .

You can usually wait for conjunctivitis to clear up on its own. That typically happens within one or two weeks. Treatment is usually not needed.

While you are waiting for it to go away you can try to rest your eyes. That means spending less time in front of a screen, for instance, or closing your eyes for a while now and then. There are also other ways of supporting the healing process, including paying attention to good hygiene and sometimes taking medicine, too.

Why is hygiene important?

Conjunctivitis is often caused by germs. To prevent them from infecting the other, healthy eye or from passing on to other people, you should pay attention to good hygiene. But it is also important if an is the cause. Then you can also keep the germs from getting into the other eye and possibly making the inflammation worse.

Paying attention to hygiene means:

  • Regularly washing your hands thoroughly with soap – and again whenever you have touched your face and may have touched the inflamed eye.
  • Only use your own towels and don't share them with others.
  • If you usually wear contact lenses, it's better to wear glasses while you still have conjunctivitis. That puts less strain on your eyes and minimizes direct contact. Reusable lenses that you have already had in your eye should be cleaned especially carefully. The same is true for contact lens cases. This can prevent you from getting conjunctivitis again.

How can you relieve the symptoms?

Conjunctivitis makes your eyes red and watery. Sometimes they also burn, hurt or itch. Various medications and other measures can also be tried out to relieve these symptoms: Some people use cool compresses to reduce the pain. Others prefer compresses that have a warming effect. Eye drops to add moisture to your eyes can also have a soothing effect.

There is hardly any research on whether these kinds of things can help the healing process, though.

When are medications a good idea?

Medication in the form of eye drops or creams can be used to treat conjunctivitis. The cause of the will determine whether it is useful and which kind is needed. So you should get advice from a doctor on that before using any drops or creams.

Eye drops with medication like antihistamines can be used if the cause is an .

If bacteria are causing the conjunctivitis, then antibiotic eye drops or creams can be used. Studies have shown that these can help speed up recovery from uncomplicated conjunctivitis somewhat, compared to drops and creams that don't have any .

In these studies, the medicine caused mild side effects like eye irritation or headaches in only a few people. No serious side effects were observed.

Antibiotics do not help if are the cause. Then, only the symptoms of conjunctivitis can be treated.

Azari AA, Arabi A. Conjunctivitis: A Systematic Review. J Ophthalmic Vis Res 2020; 15(3): 372-395.

Berufsverband der Augenärzte Deutschlands (BVA), Deutsche Ophthalmologische Gesellschaft (DOG). Leitlinie Nr. 12: Bakterielle Konjunktivitis. 2011.

Castillo M, Scott NW, Mustafa MZ et al. Topical antihistamines and mast cell stabilisers for treating seasonal and perennial allergic conjunctivitis. 2015; (6): CD009566.

Chen YY, Liu SH, Nurmatov U et al. Antibiotics versus placebo for acute bacterial conjunctivitis. Cochrane Database Syst Rev 2023; (3): CD001211.

Epling J. Bacterial conjunctivitis. BMJ Clin Evid 2012; 20: 0704.

Lang GK. Augenheilkunde. Stuttgart: Thieme; 2014.

Liu SH, Hawkins BS, Ng SM et al. Topical pharmacologic interventions versus placebo for epidemic keratoconjunctivitis. Cochrane Database Syst Rev 2022; (3): CD013520.

IQWiG health information is written with the aim of helping people understand the advantages and disadvantages of the main treatment options and health care services.

Because IQWiG is a German institute, some of the information provided here is specific to the German health care system. The suitability of any of the described options in an individual case can be determined by talking to a doctor. informedhealth.org can provide support for talks with doctors and other medical professionals, but cannot replace them. We do not offer individual consultations.

Our information is based on the results of good-quality studies. It is written by a team of health care professionals, scientists and editors, and reviewed by external experts. You can find a detailed description of how our health information is produced and updated in our methods.

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Created on December 4, 2024

Next planned update: 2027

Publisher:

Institute for Quality and Efficiency in Health Care (IQWiG, Germany)

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