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Eye Infections

 , Bacterial ("Pink Eye")



Definition:  A bacterial eye infection causes redness of the sclera (the white part of the eyeball) plus a yellow discharge.  Frequently the child wakes up in the morning with her eyelashes matted together with dried pus.  The infection is caused by bacteria, is a common complication of a cold, is not harmful to the eye, and will clear up with treatment.  The yellow discharge should resolve in about 3 days.  The red eyes may persist for several more days.

Contagious:  Eye infections such as this are very contagious if the pus from the infected child is transferred to another person.  The sick child should not share her washcloth or towel with another family member.  Your child should be encouraged to keep his hands away from his eyes.  Frequent hand washing for every family member is especially important, and each person should use their own towel to dry hands; do not use a common hand towel.  

Your child is no longer contagious and may return to school or day care after using eye drops for 24 hours if the pus is minimal.

Treatment:  Your child’s doctor may call in a prescription for antibiotic eye drops.  Administer the drops as directed on the prescription label.  You should continue giving your child the eye drops until he has awakened for 2 mornings without any dried matter in the eyes.  If the medication is stopped too soon, the infection will likely come back.  

To administer the drops, pull down the lower lid of the eye and place the appropriate number of drops (as directed on the prescription) in the lower lid.  

Home Care:
  1. Remove the dried and liquid pus (yellow discharge) from the eye with warm water and wet cotton balls.  If this is not done before administering the antibiotic eye drops, the eye drops will not work. You should do this as often as pus is seen in the eye, sometimes as often as every hour.
  2. Children who wear contact lenses will need to switch to glasses temporarily to prevent damage to the cornea (the clear part of the eye).
Call our office during regular office hours if:
  1. Your child experiences changes in her vision (persistent blurriness).
  2. Your child develops an elevated temperature.
  3. You observe any sores on the eyeball.
  4. Your child blinks or tears up continuously.
  5. The infection has not begun to improve by 72 hours (3 days).
Call our office urgently if:
  1. Your child develops a fever over 104°F and/or redness spreads onto the skin surrounding the eyeball (onto the cheek and eyebrow).
Another condition similar to eye infection:
One fairly common condition in newborns that can be confused with pink eye is a plugged tear duct in the eye (“lacrimal duct stenosis”).  This condition generally starts in the first month of life and may continue for up to a year.  The white part of the eyeball (the sclera) is not red, but there may be a lot of watery or mucousy drainage from the eye, usually only on one side.   

This condition should be treated by massaging the skin along the side of the nose, starting from the eye down, with a warm washcloth.  You can obtain more information about this condition by calling our triage nurse during regular office hours.  

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