HomeAnswersOphthalmology (Eye Care)redness in eyesI am having symptoms of viral conjunctivitis. Kindly help.

Is worsening eye redness for ten days a sign of viral conjunctivitis?

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The following is an actual conversation between an iCliniq user and a doctor that has been reviewed and published as a Premium Q&A.

Medically reviewed by

iCliniq medical review team

Published At September 9, 2022
Reviewed AtOctober 17, 2023

Patient's Query

Hi doctor,

I think I have viral conjunctivitis. My eyes have been red for ten days and have worsened. I also had flu or cold. I consulted a general physician online and got prescribed antibiotic eyedrops, but they are not working. I also take a few medications for my autoimmune conditions. I take tablet Methotrexate and Benepali (Etanercept). What should I do?

Hello,

Welcome to icliniq.com.

I understand your concern. I would like to know a few details about your symptoms. Are there any itching or burning sensations? Do you experience blurred vision? Is your pain radiating to the back of the head? What kind of auto-immune condition do you have? Is there a swelling (enlarged painful lymph nodes in front of your ear or any pre-auricular lymph nodes)? Flu-like symptoms may indicate an adenovirus infection, which can occasionally cause viral conjunctivitis. However, it could take up to 15 days for symptoms to disappear. Therefore, consult an ophthalmologist (a specialist who diagnoses and treats all eye diseases) for a thorough examination of your eyes. After 10 to 12 days of initial symptoms, an adenoviral infection (a group of common viruses that infect the lining of the eyes) can cause corneal lesions that must be treated with various medications. Use a lubricating eye drop. I suggest you use Refresh Liquigel (Carboxymethylcellulose) eye drops 5 to 6 times daily for ten days. Since you have already used antibiotics, there is no need to retake them because they only prevent secondary bacterial infections which you have already treated. Visine (Tetrahydrozoline Ophthalmic) eye drops can be used daily to relieve congestion. Please answer all these questions for better evaluation and assessment of the condition. We need to rule out acute anterior uveitis, which can sometimes manifest as pain and blurry vision in people with auto-immune diseases.

Probable diagnosis

Viral conjunctivitis.

Preventive measures

Wash your eyes frequently. Please do not share your things, as it is likely contagious.

Regarding follow up

Please answer all the questions asked.

Patient's Query

Hi doctor,

Thank you for the reply.

I have slight itching and watering of the eyes. I have no blurred vision, burning sensations, or swelling. There is no radiating pain. I have juvenile chronic arthritis, an auto-immune condition.

Hello,

Welcome back to icliniq.com.

I understand your concern.

I recommend you use the lubricating and decongestant eye drops as soon as possible. Unfortunately, we cannot rule out anterior uveitis for the time being. However, watch for visual deterioration, pain, or light intolerance (photophobia). Consult an ophthalmologist if you have any of these symptoms as soon as possible. To check for corneal lesions caused by viral conjunctivitis, use a mirror and look closely at the center of the eye (cornea). If you notice multiple tiny spots on it, you will need to use a different eye drop, which an ophthalmologist can only prescribe. The eye drops I mentioned earlier are readily available at all pharmacies. Please do not be too concerned about it. You will be fine.

Probable diagnosis

Viral conjunctivitis.

Same symptoms don't mean you have the same problem. Consult a doctor now!

Dr. Asha Juliet Barboza
Dr. Asha Juliet Barboza

Ophthalmology (Eye Care)

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