Bacterial conjunctivitis is recognised by its yellowish purulent discharge and eyelids stuck together on waking. Less frequent than the viral form in adults, it clears up quickly with appropriate treatment.
The signs
Red eye with thick yellowish discharge that quickly reappears after cleaning, lashes stuck together on waking. It often starts on one side.
Treatment
Saline rinses several times a day to remove discharge. An antibiotic eye drop may be prescribed after examination, especially in marked forms; improvement is then rapid, within 2 to 3 days.
The special case of contact lenses
In contact lens wearers, a red eye with discharge requires removing the lenses and consulting promptly: a corneal abscess (corneal infection), which can be serious, must be ruled out.
Frequently asked questions
Is it contagious?
Yes, through contact with the discharge: frequent hand washing and a personal towel are recommended until recovery.
Is an antibiotic always necessary?
No: many bacterial conjunctivitis cases clear up spontaneously with rinsing alone. An antibiotic is justified after examination, depending on the intensity of the signs and the patient's background.
See also: conjunctivitis in general, viral conjunctivitis and allergic conjunctivitis.
Book an appointment
Consultations in Boulogne-Billancourt (Ophtalife) and Saint-Maur-des-Fossés (Beaurepaire).