February 25, 2005

Don’t Assume Red Eyes are ‘Pink Eye’

By Norma J. Levingston, O.D.
Special to the Times

People who wake up one morning to red, swollen eyes should not automatically assume it is conjunctivitis, commonly known as “pink eye,” says the American Optometric Association.

Instead, they should consult the optometrist for a thorough eye health evaluation and a diagnosis, as there are numerous culprits of red, irritated and swollen eyes.

One of the most common causes of redness and swelling of the lids is blepharitis, which occurs when the natural flora, common bacteria, that we all carry on our skin multiply too rapidly in the eyelashes for our immune systems to contain. Blepharitis is not contagious.

A stye, which is an infection of the gland along the eyelid, and allergic reactions, can also cause symptoms which often lead someone to self-diagnose conjunctivitis.

Allergies are frequently the reason for itchy, red eyes. Whether it’s seasonal, or something the person came in contact with, the optometrist can help the patient find relief from the ocular symptoms.

Although people may associate “critters and bugs” with uncleanliness, that is not really the case. Microscopic mites are everywhere and are only a problem when our immune systems are overwhelmed. These mites often multiply in the lashes and cause redness and irritation.

Head lice turn up frequently in schools and day care centers, and can cause inflammation and redness around the eye if they spread to that area.

A proper diagnosis of the “red eye” is important so patients can follow the appropriate treatment plan. An antibiotic is not always the right course of action. In some cases, warm compresses and topical steroid ointments may alleviate the symptoms and clear up the problem.

You should see an optometrist before making any assumptions about the cause of red eyes, to ensure that antibiotics are not used inappropriately and treatment is started quickly.

Dr. Norma J. Levingston has been practicing Optometry in Evergreen for more than 20 years. A past president of the National Optometric Association, she is available for consultation at Evergreen Valley Optometry, 3257 South White Road (at Aborn); San Jose, CA 95148 or phone (408) 238-9696, FAX (408) 238-4067 or e-mail eyedoc1@direcway.com. This article was developed using information from the American Optometric Association.