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What Is Commonly Misdiagnosed as Pink Eye? in London, ON

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A person outdoors rubbing their eyes from eye allergies.

Pink eye is one of the most well-known eye conditions. Its common symptoms include redness, irritation, and sometimes a sticky discharge. At first glance, this might seem like a straightforward diagnosis during an eye exam.

However, many other eye issues share similar symptoms. Common eye conditions misdiagnosed as pink eye include allergic reactions, dry eye, corneal abrasions, and having a foreign body in the eye. That’s why, if you’re experiencing vision changes or eye discomfort, you should seek help from your eye doctor to address them.

What Is Pink Eye?

Pink eye, clinically called conjunctivitis, is an inflammation or infection of the conjunctiva, the thin, transparent layer of tissue covering the white part of your eye and the inside of your eyelid.

Symptoms of pink eye include:

  • Red or pink appearance in the whites of the eye
  • Increased tearing or watery eyes
  • Itchiness or irritation in one or both eyes
  • A gritty feeling or discomfort
  • Discharge that causes crusting around the eyes

When the blood vessels in the conjunctiva become irritated, they dilate, causing the eyes to appear red or pink. Common causes of pink eye are:

  • Viral infection: The most common cause of pink eye is triggered by the same virus responsible for the common cold. Viral conjunctivitis is highly contagious and can spread from one eye to another.
  • Bacterial infection: Characterized by yellow-green discharge and often requires antibiotic eye drops for treatment.
  • Allergic reaction: Caused by allergens such as pollen, dust, or pet dander.
  • Chemicals: Caused by exposure to air pollution, noxious chemicals, or chlorine.

Conditions Often Misdiagnosed for Pink Eye

Sometimes, what seems like pink eye may be something entirely different. Misdiagnoses happen often because many other eye conditions present with similar symptoms. Here are some conditions commonly misdiagnosed as pink eye.

Allergic Reactions

Although allergic conjunctivitis is considered a type of pink eye, it’s often mistaken for the viral or bacterial version. Allergic reactions to substances like pollen, cosmetics, or certain chemicals can trigger redness, swelling, and itchiness.

Unlike infectious pink eye, allergic reactions don’t involve contagious factors and typically resolve when the allergen is removed. Allergies also present with symptoms like sneezing and a runny nose, which can distinguish them from viral or bacterial pink eye.

Dry Eye

Dry eye occurs when the eyes don’t produce enough tears or when tears evaporate too quickly. Redness, irritation, and a gritty sensation often overlap with pink eye symptoms. However, dry eye is a chronic condition that requires long-term management, including treatments prescribed by your eye doctor.

Corneal Abrasions

A scratch or injury to your cornea can mimic the redness and irritation seen in pink eye. Corneal abrasions can result from rubbing your eye, wearing contact lenses improperly, or getting poked in the eye. Unlike with pink eye, these injuries can cause sharp pain, light sensitivity, or blurred vision, and require immediate medical attention.

Foreign Body in the Eye

A speck of dust, dirt, or another object trapped under the eyelid can also lead to redness, tearing, and irritation. While this may look like pink eye, flushing out the foreign particle and allowing the eye to heal will alleviate symptoms.

Blepharitis

Blepharitis is an inflammation of the eyelid margins. It’s often attributed to bacteria or skin conditions like dandruff. Blepharitis can cause red, irritated eyelids and watery eyes, which are easy to mistake for pink eye.

An eye doctor putting eye drops in a patient's eye to treat pink eye.

Why Seek Professional Diagnosis & Treatment

Although Google searches and over-the-counter remedies may seem convenient, diagnosing eye conditions without professional help can be risky. Pink eye symptoms overlap with many other eye conditions, some of which can have serious, long-term consequences if left untreated.

For instance, untreated corneal abrasions can lead to infections that impair vision, and chronic dry eyes can exacerbate other eye conditions.

Your eye doctor has the tools and expertise to pinpoint the exact cause of your symptoms. We can recommend tailored treatments to resolve the issue quickly and effectively.

Tips to Prevent Eye Infections & Promote Healthy Vision

Maintaining good eye health is key to preventing pink eye and other conditions. Follow these tips to keep your eyes healthy and infection-free:

  • Practice good hygiene: Wash your hands frequently and avoid touching your eyes.
  • Avoid sharing personal items: Never share towels, pillowcases, or makeup, as they can spread bacteria and viruses.
  • Change contact lenses regularly: Follow your eye doctor’s guidelines for wearing and replacing your lenses, and always clean them properly.
  • Protect your eyes: Wear sunglasses to shield your eyes from UV rays and safety goggles during activities that involve exposure to chemicals or airborne particles.
  • Avoid rubbing your eyes: Especially when you have a cold or flu.
  • Stay hydrated: Drink plenty of water to keep your eyes and body well-hydrated.

Professional Diagnosis to Protect Your Vision

While pink eye is common, it’s not always the cause of red, itchy, or watery eyes. Allergic reactions, dry eye, corneal abrasions, and even foreign objects can present similar symptoms, making it important to get a professional diagnosis.

Don’t leave your eye health to chance. If you or your child experience persistent redness, discomfort, or vision changes, schedule an appointment with White Oaks Optometry to identify the problem and find the right solution to protect your vision.

Written by White Oaks Optometry

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