Conjunctivitis in children
Conjunctivitis ("red eye" or "pink eye") is common eye condition that affects children, especially under 5 years of age. It can either be caused by an infection or by an allergy. Infectious conjunctivitis is contagious and may spread to other household members. Allergic conjunctivitis is more common in children with allergies such as hay fever.
Symptoms of conjunctivitis include:
- a red or pink eye (or both eyes)
- redness behind the eyelid
- swelling of the eyelids, making them appear puffy
- excessive tears
- either a watery discharge or a yellow-green discharge from the eye which dries when your child sleeps, causing crusting around the eyelids
- a dislike of bright lights (photophobia)
- a gritty feeling (like there is sand in the eye)
- itchiness of the eyes and eye rubbing
- children with allergic conjunctivitis almost always rub their eyes excessively. They may also have an itchy or runny nose and sneezing
Sticky eye in a baby/blocked tear duct - no treatment required (green)
Mild conjunctivitis - no treatment required (green)
Peri-orbital cellulitis - needs same day review (amber)
Causes of conjunctivitis
Most cases of conjunctivitis in children are caused by an infection; your child may also have a runny nose, cough or earache.
most children with conjunctivitis do not need treatment with antibiotics - it takes the same amount of time to get better whether an antibiotic is used or not.
If your child has any features of severe infection (amber or red features above), they will need to be urgently seen by a healthcare professional who may decide that your child may benefit from antibiotic treatment. If your child is under 28 days of age and has a red eye(s) or large amounts of pus discharging from their eye(s), they need to be seen by a healthcare professional.
You can help relieve symptoms by gently cleaning the eye(s) with cotton balls soaked in warm water.
- Clean in one direction only, outwards from the inside (nose side) of the eye. This prevents the other eye becoming infected if only one eye is affected.
- Discard the cotton ball each time to prevent reinfection.
- Do not try to clean inside the eyelids as this may cause damage to the inside of the eye. Lubricating eye drops such as 'artificial tears' may give some relief.
- If your child wears contact lenses, make sure they stop using them until their symptoms have completely gone.
It can take up to 2 weeks for a child to fully recover from conjunctivitis . If your child is not improving after 2 weeks, you should take your child to see their GP.
- To avoid conjunctivitis spreading to other family members, make sure all family member (and your children) wash hands regularly with warm soapy water and wash your child's pillows and face cloths in hot water and detergent. Avoid sharing towels and pillows.
Your child does not need to be excluded from school or childcare if they have conjunctivitis.
This guidance is written by healthcare professionals from across Hampshire, Dorset and the Isle of Wight.