By Roy Benaroch, MD
As printed in Around Town Publishing, June 2007
What should I do about a painful or pink eye?
Irritated, painful, and runny pink eyes can quickly spread through a
school or home. Though usually caused by infections, there are a few
other triggers of pink eye that parents should also think about.
If your child has a pink eye following a mild injury, there
may be a scratch on the surface of the eye. If the child reports a
feeling that there's something in the eye, or if the scratch was caused
by sand or other small debris, try to flush the eye out with water or a
contact lens soaking solution. A soaking solution or contact lens
saline will be more comfortable to use as a flush solution than tap
water, but never use a contact lens cleaning solution directly in the
eye.
If you can't flush out the debris, or if your child continues to
complain, see your pediatrician. Your child will be more comfortable if
you keep the room dark or offer a pair of sunglasses.
Following a more serious injury, such as an eye hit by a hit
baseball or poked hard with a stick, don't try to flush the eye
yourself. Cover the area with a cup for protection, and contact your
pediatrician, optometrist, or ophthalmologist for instructions.
Most common pink eyes occur without any injury, and are
triggered by infection. Often, the eye is gooey and red. You can help
your child feel more comfortable with a cool wet compress or artificial
tear drops. Contact your pediatrician to help determine if a
prescription drop is necessary. Though some cases of "pink eye" are
caused by viruses that won't improve with eye drops, bacterial pink
eyes will improve faster with antibiotic treatment. Both bacterial and
viral pink eyes are very contagious, so try to keep hands clean and
avoid sharing towels and linens. Viral pink eyes remain contagious even
when they're treated with prescription drops.
Eyes can also become pink and irritated from allergies.
Usually, the child will complain of an itchy feeling, and the eyes will
be watery rather than gooey. Over-the-counter drops such as Zaditor
offer good relief for allergic pink eyes.
Dr. Roy Benaroch practices general pediatrics with Pediatric
Physicians, PC of Roswell and Windward. This article is based on
material from his book, Solving Health and Behavior Problems from Birth through Preschool.
If you have a pediatric question of general interest, please submit it to advice@PediatricPhysiciansPC.com.
One of the board certified pediatricians from Pediatric Physicians, PC
will answer a selected question in this column each month.
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