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Conjunctivitis Treatment in Singapore

Pink eye is three different conditions wearing one face. Which one you have decides whether it is contagious, whether drops help, and how long it lasts.

  • Assessed over video or in clinic
  • Everyday eye care, adults and children
  • Seven clinics at six locations

Camden (Orchard)Joo ChiatClementiBedokToa PayohJurong

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$29 nett

A video consultation with an eye doctor can start treatment the same day. A teleconsultation is with The Straits Eye Community Clinic.

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What conjunctivitis is

Conjunctivitis is inflammation of the clear skin over the white of the eye, the conjunctiva. Pink eye is the same thing in everyday words.

Three things cause it, and they want three different answers. A virus, a bacterium, or an allergy.

It is a surface condition, miserable without being dangerous, which is why a painful red eye is a different matter.

Conjunctivitis symptoms: what you may notice

Redness

The white of the eye turns pink or red across the whole surface, rather than in one patch.

Lids stuck together on waking

Discharge dries overnight and glues the lashes. The strongest pointer to the bacterial kind.

Watering

A thin, clear discharge that keeps coming, often with a cold at the same time.

Grittiness

Sand rather than pain. Deep ache is a different problem and should be examined.

Swollen lids

Puffy rather than tender. Both lids of both eyes points at allergy.

One eye, then the other

The viral and bacterial kinds may start on one side and reach the other. Allergy affects both from the start.

Viral, bacterial or allergic?

One red eye, three causes, three different answers. The discharge is what tells them apart.

  • Watery, and a cold with it. Viral, the common one. Catching, and antibiotic drops do nothing for it.
  • Sticky, yellow or green, lids glued by morning. Bacterial. Catching, and the one a prescription drop may genuinely answer.
  • Itchy, both eyes, puffy lids. Allergic, a reaction rather than an infection. Nobody catches it from you.

Itch belongs to allergy, discharge to infection, and those two words do most of the sorting. A long or unusual episode is worth examining: a slit lamp shows the underside of the lids, where the two look quite different.

Is conjunctivitis contagious, and when can you go back?

The practical question behind most of these searches, and the one with a clear answer.

Viral and bacterial conjunctivitis spread easily; allergic conjunctivitis does not spread at all. The infectious kinds travel on hands, towels, pillowcases and anything else a rubbed eye has touched.

  • Wash your hands, and stop rubbing. Rubbing is what moves it to the other eye and on to everyone else.
  • Your own towel and pillowcase, changed daily. Eye make-up goes in the bin.
  • Glasses, not contact lenses, until it has settled, and throw away the pair and the case you were wearing.
  • Stay away while the eye is still discharging. Home until it is no longer red with discharge, and an allergic one is safe to carry on with as normal.

Your workplace or school may set its own rule, and theirs is the one to follow.

  • Dr Seow Wei Hong
  • Dr Brendan Chin

Red, sticky eye? Talk to our friendly staff, or see an eye doctor over video the same day.

Some eye conditions can be reviewed over video by our Primary Eye Care Physicians.

What actually treats it

Most conjunctivitis is viral, and antibiotic drops do not treat a viral or an allergic conjunctivitis. They are for the bacterial kind, the sticky one, and where that is what you have, we can prescribe antibiotic eye drops. Working out which of the three you have is what the consultation is for.

  1. 1 A cool compress. A clean cloth, cool water, a few minutes on closed lids. It settles the heat and the swelling, and a fresh cloth each time keeps it from travelling. Cool, not warm — the warm compress belongs to dry eye.
  2. 2 Lubricating drops. They do not shorten a viral conjunctivitis, but they make the days it lasts a good deal more comfortable, and they rinse the surface.
  3. 3 Clean the lids. Cooled boiled water on clean cotton wool, wiped once from the inner corner outwards and then thrown away. It is the thing that unsticks a morning eye.

What a consultation adds

Red eyes and the haze

Haze irritates the eyes, nose and throat, and it settles on its own. It is not conjunctivitis, though red, watery eyes on both sides look much like the viral kind.

The difference is whether it follows you. Haze irritation clears within hours of clean air. An infection does not, and it produces discharge rather than only tears.

Windows shut, glasses rather than lenses, and no rubbing, which is worth doing either way.

When to see an eye doctor

Most conjunctivitis clears on its own. See an eye doctor if any of these apply.

  • Real pain rather than grittiness, or an eye that cannot bear light.
  • Vision that has dropped and does not clear when you blink the discharge away.
  • You wear contact lenses. A red eye in a lens wearer is assessed sooner, not later.
  • It is still getting worse after a week, rather than slowly turning the corner.
  • A newborn or a very young baby with a red, sticky eye.
  • It keeps coming back, or it followed an injury or something splashing in the eye.

Any of these is a reason to be examined rather than to try the next drop. If you are unsure, start with a teleconsultation with one of our eye doctors.

What it costs

Conjunctivitis is seen at any of our clinics. These are the fees at the community clinics, where a video consultation is also available.

Service Price
With a Primary Eye Care Doctor — Bedok, Clementi, Toa Payoh and Jurong
Teleconsultation $29
First consultation $76.30
Follow-up consultation $54.50
With a Senior Eye Specialist — Bedok, Clementi, Toa Payoh and Jurong
First consultation $130.80
Follow-up consultation $98.10
Drops and medication
Medicine and delivery Please enquire

All fees shown are nett, with GST included. Medicine and delivery are charged separately, only where they are needed, and are quoted at your consultation. Fees at Camden (Orchard) and Parkway East (Joo Chiat) differ, and are in our list of consultation fees.

Common questions

Is conjunctivitis contagious?

Viral and bacterial conjunctivitis are, and easily. They pass on hands, towels, pillowcases and anything else a rubbed eye has touched, which is why it moves through a household or a classroom. Allergic conjunctivitis is not. It is a reaction to something you are around, and nobody catches it from you. Which one you have is the first thing to settle, and it is usually readable from how the eye behaves.

Do I need antibiotic eye drops for pink eye?

Usually not. Most conjunctivitis is viral, and antibiotic drops do not treat a viral or an allergic conjunctivitis. They are for the bacterial kind, which is the sticky one, and even then they are not always needed. Taking drops you do not need costs you money, irritates the surface and does nothing for the eye, so the useful step is finding out which of the three it is first.

How long does conjunctivitis last?

A viral one usually gets worse for a few days before it turns the corner, and settles over a week or two. The second eye often joins in partway through. A bacterial one tends to improve faster once it is being treated. An allergic one lasts as long as whatever is setting it off is still around. An eye that is still getting worse after a week, rather than slowly better, is worth having looked at.

Can I go to work, or send my child to school?

Not while it is contagious. With a bacterial or viral conjunctivitis the advice is to stay home until the eye is no longer red with discharge; an allergic one is safe to carry on with as normal.

Is it conjunctivitis or dry eye?

Discharge is the divider. Conjunctivitis produces something: watery, or sticky enough to glue the lids by morning. The infectious kinds may start in one eye. Dry eye is gritty and burning, affects both eyes fairly evenly, is worse by evening and on screens, and the vision softens between blinks. A dry eye can look pink by the end of the day without being infected at all.

How do you get conjunctivitis?

The viral and bacterial kinds come from contact: a hand, a towel, a shared pillow, a lens case. A cold going round often brings the viral one with it. The allergic kind is not caught: it is a reaction to dust mites, pets, pollen or an irritant in the air. Rubbing is how a one-eye problem becomes a two-eye problem, and how it reaches the people you live with.

Can conjunctivitis damage my sight?

Lasting damage is uncommon. The great majority of conjunctivitis is a surface problem that clears without leaving anything behind, and blurring that comes and goes with the discharge is the discharge, not the eye. The uncommon exception is an infection that reaches the cornea rather than staying on the surface, which is why real pain, a dislike of light or vision that has genuinely dropped is examined rather than waited out.

Can I wear contact lenses with conjunctivitis?

No — stop until the eye is completely settled. A lens holds whatever is on the surface against the eye, slows the healing and can turn a surface infection into something deeper. Throw away the lenses you were wearing when it started and the case with them, and start the new pair only when the redness and discharge have gone. If you wear monthlies, your optician can usually advise on replacing the pair.

What are the symptoms of conjunctivitis?

Redness across the white of the eye, discharge of some kind, and a gritty feeling rather than a deep ache. Lids stuck together on waking point at the bacterial kind, watering and a recent cold at the viral one, and itch with puffy lids at allergy. The viral and bacterial kinds may start in one eye and reach the other a few days later; allergy affects both from the start.

Can conjunctivitis be assessed over video?

Often, yes, and it is one of the better uses of a video call. How it started, what the discharge looks like, whether one eye or both, whether anyone around you has it and whether you wear lenses is most of what decides the answer, and the eye itself is visible on camera in a way a deeper problem is not. A video consultation can start treatment the same day and says whether you need to be seen in person.

Find out which one it is

Tell us how it started and what the discharge looks like, and we will tell you whether a video consultation can settle it or whether you need to be seen.

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