Conjunctivitis ('pink eye')

Conjunctivitis is one of the most common eye conditions in Australia. Learn about conjunctivitis symptoms, causes, treatments and more.

What is conjunctivitis?

Conjunctivitis occurs when the conjunctiva (transparent membrane covering the white of the eye and insides of eyelids) is irritated. Your body increases blood flow to it to help heal, expanding its blood vessels, making it look pink. It can be an infectious (highly contagious) or allergic condition.

Conjunctivitis explained

Here's what's happening in your eye when you get conjunctivitis or 'pink eye'.

  1. 1 of 4

    Pink eye

    The tiny veins in the eye expand as they bring more blood to the eye to help fight off infections or allergens.

  2. 2 of 4

    Tears or watering

    Your eye produces more tears to try and flush away microbes or irritants on the surface.

  3. 3 of 4

    Pus on eyelashes

    Depending on the type of conjunctivitis, you might get pus collecting on your eyelashes.

  4. 4 of 4

    Burning sensation

    Your eyes might feel as if they're hot, or there's a burning sensation.

Types of conjunctivitis

There are three main types of conjunctivitis. Knowing the difference between them can help you understand what’s causing your symptoms and how to treat them. 
 
In this section, we’ll cover the three most common types of conjunctivitis. There are also some less common conjunctivitis causes which we'll explore further down the page.

1. Viral conjunctivitis

This is the most common type in adults and is usually caused by adenoviruses (the same viruses that cause colds). You're likely to have cold‑like symptoms, and it’s highly contagious. Viral conjunctivitis tends to clear up on its own within a couple of weeks.

2. Bacterial conjunctivitis

This is more common in kids and usually clears up within 10 days. It’s caused by bacteria in the conjunctiva and often leads to redness, irritation, and a pus‑like discharge that can crust over the eyelashes, especially after sleep.

3. Allergic conjunctivitis

Allergies to things like pollen, pet hair or dust mites can also cause pink eye. If your eye is irritated by an allergen, it releases substances called histamines, which make your eye's tiny blood vessels in the conjunctiva swell. This makes them itchy and watery. 
Learn more about hay fever

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What the experts say about conjunctivitis

In this video, Specsavers optometrist Dr Nigel Best describes some of the most common conjunctivitis symptoms that you might have. Watch the video to find out how to get rid of conjunctivitis with simple home remedies and over the counter treatments.

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Conjunctivitis symptoms

While there are a few different things that can cause conjunctivitis, they all share similar symptoms. 
 
You may only get symptoms in one eye, or you might get them in both (it can also start in one eye then spread to the other). 
 
Here are some of the most common symptoms of conjunctivitis we see at our stores in Australia.

A pink eye

This is the most obvious symptom of conjunctivitis. When your body reacts to an infection or allergen, it sends more blood to the affected area ‑ this is known as inflammation. This increased blood flow causes the tiny blood vessels in your eye to expand, making them more noticeable and giving your eye a red or pink appearance.

A burning sensation

Inflammation can also make your eye feel warmer because more blood is flowing to the eye. Some people find their eye feels physically hotter.

Watering eyes

If you have pink eye, your eyes may produce more tears than normal, and they'll feel especially watery. If the conjunctivitis is caused by an allergy, a chemical or something on the surface of the eye, the extra tears can help to flush it out. 
Learn more about watering eyes

Gritty feeling

You might find that you get a gritty feeling in your eye. This may be caused by the conjunctiva swelling slightly when it becomes inflamed. 
Learn more about the feeling of something in your eye

Eye itching

If the conjunctivitis is caused by an allergy, your eye might feel especially itchy. When you have an allergic reaction, your body releases a chemical called histamine which makes blood vessels expand, meaning they feel itchy. 
Learn more about itchy eyes.

Crusty eyelashes

You might get a sticky or crusty substance (like pus) collecting on your eyelashes. People often find their eyes are stuck together when they wake up. This is particularly common with bacterial conjunctivitis.

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Conjunctivitis is very common

Conjunctivitis is the most common cause of eye‑related visits to the GP and Emergency Departments in Australia. 
 
The big challenge with conjunctivitis is how contagious it is (particularly the viral form). It's common for pink eye to spread in schools, workplaces, clubs and other places people spend time close together.

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A woman holds an object over a young boy's eye as he looks forward and smiles.

Causes of conjunctivitis

There are many things that can irritate your conjunctiva and lead to inflammation. 
 
So, what causes conjunctivitis? Here are the most common reasons we see at our stores.

Viruses

Viruses cause up to 75% of conjunctivitis cases in Australia according to studies. Pink eye is most often caused by adenoviruses, which also cause the common cold (you'll likely get cold‑like symptoms along with pink eye). Other viruses that can cause conjunctivitis include herpes simplex, chicken pox, shingles and COVID‑19.

Bacteria

Some bacteria that normally live on your skin or in your body can grow too much and cause pink eye. It’s more common in children than adults.

Allergens

Pollen, pet hair and dust mites can trigger an allergic reaction that causes pink eye. This often leads to swelling, itching and redness.

Learn more about hay fever

Chemicals

Things like shampoo, cleaning products or eye makeup can irritate your eyes and lead to pink eye.

Fungal infections

Fungal conjunctivitis is rare, but it can happen. It’s usually caused by fungi getting into the eye through damage, dirty contact lenses or plant material.

Autoimmune disorders

An autoimmune disorder is when the immune system mistakenly attacks the body’s own tissues. Autoimmune disorders like lupus and Sjögren’s syndrome can cause pink eye as a symptom.

Blocked tear duct in babies

For some newborn babies, a blocked tear duct can cause pink eye since the eye doesn't get as much lubrication as it needs. It usually clears up by itself, but you should let the midwife, your child's GP or a health visitor know.

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Conjunctivitis diagnosis

Most cases of conjunctivitis clear up on their own within a week or two.

See your optometrist, GP or pharmacist if your eyes aren't getting better after 1‑2 days, or if you notice any of these:

  • Your eyesight (vision) has become noticeably worse

  • Severe pain or sensitivity to light

  • You still feel unwell or have symptoms for longer than 10‑14 days.

They'll ask about your symptoms and check your eyes to see if it's conjunctivitis or something else. Sometimes they might take a swab to send to a lab. They can also recommend ways to ease your symptoms and help your eyes feel better.

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Conjunctivitis treatment

At Specsavers, our optometrists will advise you on how to treat conjunctivitis based on your symptoms, how you're feeling and the underlying cause (if known). 
 
Most of the time, pink eye will just clear up by itself within a couple of weeks, and no special treatment is needed. But if it's not going away on its own, or is causing you a lot of discomfort, there are a few treatment options available.

Conjunctivitis home remedies

Conjunctivitis can often be treated very effectively with some simple home remedies and self‑care.

Don't wear contact lenses

If you wear contact lenses, it’s best not to irritate your eyes any further, so avoid wearing them while you have symptoms and wear your specs instead.

Avoid rubbing your eyes

Conjunctivitis can make your eyes itchy and sore, so it's natural to want to rub them. But this won't resolve the issue, and can cause more damage and irritation to your eyes.

Clean your eyelashes

Use warm water and cotton wool to gently clean sticky eyelids and lashes. Avoid soaps or chemicals – warm water is usually enough.

Avoid allergens

If pollen, pet hair or dust mites trigger your conjunctivitis, try to avoid them. Keep pets out of the bedroom and clean regularly to reduce dust mites.

Over‑the‑counter conjunctivitis treatment

At Specsavers stores and many pharmacies in Australia, you can find a range of over‑the‑counter treatments that will help relieve conjunctivitis symptoms.

Antihistamines

Taken as pills or eye drops, they block histamine and help with allergy‑related pink eye.

Artificial tears

Lubricating eyedrops can relieve the symptoms of inflammation. At Specsavers, we offer a range of preservative‑free eyelid cleansers and optometrist‑approved eyedrops at our stores in Australia.

Eye masks

You can apply both warm and cold eye compresses to relieve conjunctivitis discomfort. You place them over your eyelids, and this can relieve symptoms of itchiness, soreness and inflammation. We offer a range of antibacterial eye compresses and heat masks at Specsavers stores.

Eyelid cleansing

We offer a range of optometrist‑approved wipes and solutions that you apply with a cotton pad. You can use these wipes or solutions to gently remove built‑up pus and crust on your eyelashes.

More medical treatments

Treatment depends on the type of conjunctivitis. Your optometrist or GP may advise using more advanced medical treatment for conjunctivitis.

Antibiotics

If bacteria are behind your pink eye, antibiotics (as pills or eye drops) can help. Always finish the full course, even if you start to feel better.

Antivirals

Most viral pink eye clears up on its own. But if it’s caused by herpes, chickenpox, shingles or an STI, your GP or a therapeutically endorsed optometrist may prescribe antiviral treatment.

Immunosuppressants

If your conjunctivitis is caused by an autoimmune disorder (this is quite rare), then your doctor may prescribe you with immunosuppressants. These stop your body's immune system from attacking itself.

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Conjunctivitis prevention

You can lower your risk of getting conjunctivitis by using a few simple preventive measures. If you already have viral or bacterial conjunctivitis, these steps can also help to stop it from spreading to others.

Consider time off

Viral conjunctivitis and bacterial conjunctivitis spread easily. You will be contagious as long as there is a discharge from your eye (usually 10 ‑14 days after symptoms start). Do not attend work or school until discharge stops.

Good hygiene

Wash your hands often and avoid sharing towels or close contact. This helps stop pink eye spreading, especially during an outbreak.

Allergy management

Antihistamines help, but it’s best to avoid triggers. Keep pets out of the bedroom, clean often, and during pollen season, close windows and stay in on high pollen days.

Avoid eye irritants

Bin old eye makeup, wear eye protection with chemicals, and use mild products in the shower – rinsing suds away quickly.

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Stopping the spread of pink eye among kids

If your child has pink eye, Health Direct says that children should be kept out of school until the discharge (pus) from their eyes has stopped. 
 
Children may not remember to wash their hands as often as adults, or they may not understand why they can't play with their friends. So, it's generally advised to keep them away from other kids until they're better.

A child wearing glasses and a school uniform stands on stairs, smiling, with an adult behind and another child in the foreground.

Your conjunctivitis questions, answered

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Written with care and checked for accuracy

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Amy Giang

B. Optom

Amy Giang graduated from the University of Melbourne in 2011 with a Bachelor of Optometry and is therapeutically endorsed. She brings over a decade of experience across private practice and corporate optometry in both regional and metropolitan settings.

After practising at Specsavers Melbourne CBD West, Amy transitioned into her current role as Clinical Services Development Consultant for Australia and New Zealand. In this role, she collaborates to deliver clinical technology solutions, empowering optometrists and enhancing the patient experience.

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