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What Is Commonly Misdiagnosed as Pink Eye?

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A close-up of a person with a red, irritated eye.

When the whites of your eyes become pink or red, one thing is for certain: your eyes feel irritated. Many people refer to any red eye as pink eye, but pink eye is a specific condition that requires its own distinct treatment approach

So, before you assume that pink eye is the culprit, here are several eye conditions that can mimic the condition’s symptoms: 

  • Allergies 
  • Blepharitis
  • Dry eyes 
  • Subconjunctival hemorrhage
  • Styes 
  • Uveitis

While it may be tempting to self-diagnose your symptoms from online searches, doing so can lead to misdiagnosis, inappropriate treatment, and delayed healing, and may even cause the condition to worsen. 

That’s why, at Precision Eye Care, we’re committed to preserving your vision with expert diagnosis and personalized treatment plans. 

Defining Pink Eye

Pink eye, or conjunctivitis, is when the thin, transparent tissue (conjunctiva) that covers the white part of your eye and the inside of your eyelids becomes inflamed. This irritation causes blood vessels to become more visible, giving the eye its characteristic pinkish hue.

While it often affects one eye first, conjunctivitis can easily spread to the other eye without proper management. 

Pink eye can develop from several causes, each leading to slightly different symptoms and treatment approaches, such as: 

  • Viral infections, often from the same viruses responsible for colds. 
  • Bacterial infections that cause thick, yellow-green discharge. 
  • Allergies to pollen, dust, or pet dander.  
  • Irritants, like smoke, chlorine, or foreign objects in the eye. 

Certain types of pink eye, like those caused by viruses or bacteria, can be very contagious. They spread through direct (or indirect) contact with infected fluids from the eye. This means touching your eye or face after coming into contact with a contaminated surface can easily pass the infection on to others.  

An accurate diagnosis is the only way to know for certain whether you have pink eye. However, here are some hallmark symptoms to watch out for:

  • Red eyes 
  • Watery eyes 
  • Itchiness or a burning sensation
  • Crusting around the eyes (especially after sleep)
  • Blurry vision (from discharge and crusting)
  • Sensitivity to light

Leaving pink eye untreated doesn’t just mean enduring irritating symptoms. In some cases, bacterial or viral conjunctivitis can also lead to complications, such as corneal inflammation and scarring.

An accurate diagnosis prevents the condition from worsening by encouraging timely treatment. 

Common Culprits that Resemble Pink Eye

Symptoms like redness, irritation, and watery eyes aren’t exclusive to pink eye. 

An untrained eye can easily confuse these common signs for other conditions, delaying proper treatment, allowing irritation to worsen, and leading to unnecessary discomfort. 

The onset of irritation or discomfort is how your body signals something is off. So visit your optometrist to promote healing without unnecessary suffering.  

Allergies 

Although allergic conjunctivitis is a type of pink eye, it functions differently than infectious varieties. Treating allergies is much more manageable.

Allergic conjunctivitis is often seasonal or triggered by specific allergens, like pollen, pets, or dander. It can also occur alongside other allergic reactions, such as hay fever or asthma. Thankfully, allergies aren’t contagious (unlike bacterial or viral pink eye). They also tend to affect both eyes simultaneously. 

Avoiding allergens is the most effective treatment, but it’s not always possible. Other options might include over-the-counter solutions like oral antihistamines, artificial tears, or a cold compress mask to relieve symptoms. 

A patient discusses their symptoms with their eye doctor.

Blepharitis 

Inflammation along the eyelids, particularly where the lashes grow, is characteristic of blepharitis. This is a condition that shares several symptoms with pink eye, most notably, crusty deposits around the lashes. 

However, blepharitis is chronic–improving with consistent eyelid hygiene–and focuses primarily along the eyelids rather than the eye itself. 

Dry Eyes 

Dry eyes are common in our increasingly high-tech world. This is a condition that’s linked to an improperly functioning tear film. When the tear film becomes unstable, your eyes don’t produce enough quality tears, or your tears evaporate too quickly, leaving your eyes dry, red, and irritated. 

Similar to pink eye, dryness can cause redness and discomfort, In severe cases, can lead to blurry vision. 

However, dry eye has minimal or no discharge, whereas pink eye often does, along with crusting around the eyelids. 

Dry eye can develop in response to environmental factors rather than appearing suddenly like pink eye. Not to mention, it’s a chronic condition that often requires ongoing management to relieve symptoms whereas pink eye is fully treatable. 

Subconjunctival Hemorrhage

Although this eye condition looks and sounds alarming, it’s usually pain-free and doesn’t affect your vision. It occurs when a tiny blood vessel bursts (via sneezing, coughing, laughing, etc.) beneath the conjunctiva, leading to a bright red patch on the eye. 

Subconjunctival hemorrhage usually resolves on its own within a week or two, whereas pink eye treatment might include antibiotics, artificial tears, and a warm compress mask. 

Styes 

A stye (hordeolum) is a small, painful lump that usually forms on the outer edge of the eyelid. It usually develops from a bacterial infection in the eye’s oil glands or hair follicles. Styes can sometimes produce a yellowish pus-filled center.

Similar to blepharitis, a stye localizes on the eyelid, whereas pink eye causes widespread redness across the eye. Not to mention, the hallmark differentiating symptom of a stye is the visible, swollen bump on the eye.

Applying a warm compress several times daily can help promote healing. 

Uveitis 

Uveitis refers to inflammation of the uvea, the eye’s middle layer, which can cause redness, pain, light sensitivity, and possibly blurry vision. 

Uveitis is more painful than pink eye and often requires urgent care to avoid complications such as glaucoma or vision loss. If you suspect serious eye inflammation, an emergency visit to your eye doctor may be necessary. 

See Clearly, Live Comfortably

There’s no substitute for an accurate diagnosis and treatment plan from your eye doctor. Do right by your vision, eye health, and overall comfort, and seek professional care as soon as possible. Our Precision Eye Care team is here to help, no matter the purpose of your visit. 

Written by Dr. Bill Barnes

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