Management of acute conjunctivitis

This algorithm is intended for use in patients with suspected conjunctivitis, along with additional UpToDate content on allergic and infectious conjunctivitis.

Preventing transmission: Transmission is limited by avoiding direct contact with secretions or contaminated objects (eg, makeup, contact lenses, handkerchiefs, tissues, towels, cosmetics, linens, eating utensils).

• Patients with viral conjunctivitis may remain infectious for a variable period related to the underlying viral syndrome; return to activities is individualized.
• Patients with bacterial conjunctivitis should not be routinely excluded from childcare or school unless systemic symptoms, such as fever, are present that would otherwise warrant exclusion.

Ophthalmic corticosteroids have no role in the management of acute conjunctivitis by primary care clinicians. Corticosteroids can cause sight-threatening complications (eg, corneal scarring, melting, and perforation) when used inappropriately.