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What Is Commonly Misdiagnosed as Pink Eye?

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A child with pink eye is assisted by an adult with eye drops.

Pink eye, also known as conjunctivitis, is a prevalent condition that causes inflammation, itching, discomfort, and redness in the conjunctiva—the thin membrane lining the inside of your eyelids and the whites of your eyes. 

While it can be uncomfortable, it is typically harmless and often resolves without medical treatment. However, because its symptoms resemble those of other conditions, it’s important to get an accurate diagnosis from your eye doctor. 

Some common conditions often mistaken for pink eye include: 

  • Allergies
  • Dry eye
  • Styes
  • Blepharitis
  • Corneal abrasions
  • Foreign objects in the eye

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Each of the above symptoms are described in additional detail: 

Allergies

Allergies are a frequent cause of red or itchy eyes. Unlike conjunctivitis, allergies result from reactions to allergens like pollen, dust mites, or pet dander. They often come with sneezing, a runny nose, and itchy, watery eyes. If you have a history of seasonal allergies or other allergy symptoms, your eye redness and discomfort might be due to allergies rather than pink eye.

Dry Eye

Dry eye occurs when your eyes don’t produce enough tears or when the tears evaporate too quickly, leading to insufficient hydration and nourishment of your eyes. Unlike pink eye, which typically presents with redness and discharge, dry eye is more likely to cause stinging, burning, and blurry vision. This condition can significantly impact your daily life, making tasks like reading, using a computer, or even driving uncomfortable and challenging.

Styes

A stye is a small bump on the eyelid near the eye’s edge, caused by an infection of an oil gland. Styes can lead to redness, swelling, and tenderness, which might be confused with pink eye symptoms. However, styes usually don’t cause the eye discharge or itching associated with pink eye.

Blepharitis

Blepharitis is an inflammation of the eyelids that can lead to redness, itching, and swelling. It’s often mistaken for pink eye, but it usually causes flaking around the eyebrows and eyelashes. Although both conditions share symptoms like redness and irritation, the key difference is the location of the inflammation. Blepharitis mainly impacts the eyelids, whereas pink eye affects the conjunctiva.

Corneal Abrasion

A corneal abrasion is a scratch or injury on the cornea, the eye’s clear front surface, causing redness, pain, and light sensitivity. Unlike pink eye, these abrasions usually result from trauma and tend to be more painful. If you suspect a scratched cornea, contact your optometrist immediately to avoid further damage.

Foreign Body in the Eye

When a foreign object, such as an eyelash, dust particle, or small debris, enters your eye, it can lead to discomfort characterized by pain, redness, and tearing, which may resemble the symptoms of pink eye. However, the distinctive sensation of something in the eye sets it apart from pink eye, and the discomfort is often alleviated by removing the object.

A young woman gently pulls down on her face, exposing her pink eye.

Types of Pink Eye

Conjunctivitis is classified into three types: allergic, infectious, and chemical.

1. Allergic Conjunctivitis

This type is triggered by allergens such as pollen, dust, or pet dander, leading to redness, itching, and tearing. It is not contagious. If you experience more sneezing during certain seasons or notice worsening eye symptoms in specific environments, you might have allergic conjunctivitis.

2. Infectious Conjunctivitis

Caused by bacteria or viruses, infectious conjunctivitis is highly contagious and spreads through direct contact, contaminated objects, or airborne droplets.

  • Bacterial Conjunctivitis: Typically caused by Staphylococcus, it results in a thick, yellow, or greenish discharge, and you might wake up with your eyes stuck together. It can affect one or both eyes and is usually accompanied by redness, swelling, and a gritty sensation.
  • Viral Conjunctivitis: Often caused by viruses responsible for the common cold, it produces a watery, clear, or slightly white discharge. It also causes redness, itchiness, and light sensitivity. Unlike bacterial conjunctivitis, it often starts in one eye and spreads to the other after a few days. It’s crucial to differentiate between the two, as bacterial conjunctivitis may require antibiotics, while viral conjunctivitis typically resolves on its own within a few days to a week.

3. Chemical Conjunctivitis

This type is caused by irritants like airborne contaminants, chlorine in swimming pools, and exposure to chemicals.

Receive an Accurate Diagnosis at Our Eyecare Center

While pink eye is a common cause of eye redness and discomfort, it’s not the only condition that can lead to these symptoms. If you’re experiencing eye redness or irritation, reach out to your eye doctor. 

At Insight Eyecare, our team is ready to provide a precise diagnosis and effective treatment. Avoid self-diagnosing and using over-the-counter remedies without a proper evaluation, as this can lead to ineffective or unsuitable care. Identifying the exact cause of your symptoms can help accelerate your recovery. Contact us to book your next eye exam.

Written by Dr. Karen Sahota

Dr. Karen Sahota is originally from Maple Ridge, BC. She received her undergraduate degree in Biology from the University of British Columbia. She then went to Pacific University of College of Optometry, where she received her Doctor of Optometry degree (with distinction) in 2008. She and her husband, Dr. Avi Sahota, started Insight Eyecare – Doctors of Optometry in 2010. Dr. Sahota is a member of the Beta Sigma Kappa International Optometric Honour Society, BC Doctors of Optometry, and the Canadian Association of Optometrists. Besides giving exceptional optometric exams for general eye health and vision correction, Dr. Sahota also specializes in contact lens fittings and diagnosis of early glaucoma, cataracts, and retinal pathologies. She is very experienced in pediatrics, infant vision, and pre- and post-operative LASIK and cataract surgery through her training in the United States at the Spokane VA Eye Clinic, Eugene Oregon Eye Care Centre, and the Oak Harbor Naval Hospital. Dr. Sahota is also fluent in Punjabi. She is dedicated to educating her patients and increasing public awareness about the importance of regular eye health check-ups and providing her patients with the utmost best care possible. Currently, Dr. Sahota resides in South Surrey with her husband, Dr. Avi Sahota and her two sons, Kai and Luka. In her free time, she enjoys spending time with her family, travelling, and reading.
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