🦠 Viral Conjunctivitis (Eye Flu) – Causes, Symptoms & Treatment Guide

📌 What is Viral Conjunctivitis?

Viral conjunctivitis, commonly known as “Eye Flu” or “Pink Eye”, conjunctiva (आंख की झिल्ली) का एक infection है, जो ज़्यादातर Adenovirus के कारण होता है। यह सबसे common type of conjunctivitis है और बहुत तेजी से फैलता है।

⚠️ Types of Viral Conjunctivitis

Non-specific acute follicular conjunctivitis (सबसे common)

Epidemic keratoconjunctivitis (EKC)👉 Severe form, highly contagious, outbreaks (epidemics) में फैलता है

🔬 Causes (Etiology)

मुख्य कारण: for viral conjunctivitis

Adenovirus (most common)

HSV (Herpes Simplex Virus)

VZV (Varicella Zoster Virus)

Measles, Zika, HIV (rare cases)

🔄 Transmission (कैसे फैलता है?) For viral conjunctivitis

Direct contact (हाथ मिलाना)

Contaminated water (swimming pools)

Infected person की चीजें (towel, pillow)

Feco-oral route

Symptoms

Burning or foreign body sensation

Watery dischargeUsually starts in one eye, then spreads to the other

Mild discomfort (severe pain is uncommon)

Clinical Signs

Conjunctival congestion (redness)

Chemosis (swelling)

Subconjunctival hemorrhage (sometimes)

Preauricular lymphadenopathy

Diagnosis

Mostly clinical diagnosis

Slit lamp exam shows follicles

Fluorescein staining for keratitisPCR / viral testing in recurrent or severe cases

Treatment of Viral Conjunctivitis

General PrecautionsWash hands frequently (at least 20 seconds)

Avoid touching or rubbing eyes

Do not share personal items

Stop contact lens use temporarily

Use sunglasses for comfort

Symptomatic Relief

Cold compress 2–3 times daily

Artificial tears for dryness

Medications for viral conjunctivitis

1. Antihistamine / Decongestant Drops

Naphazoline + Pheniramine

1–2 drops, 3–4 times daily

2. Artificial Tears

Tear Plus / Systane

1 drop, 5–6 times daily

3. If Secondary Bacterial Infection Suspected

Tobramycin 0.3% eye drops

1–2 drops every 4–6 hours

OR

Moxifloxacin 0.5% eye drops

1 drop 2–3 times daily

Important Points

Viral conjunctivitis is self-limiting (1–3 weeks)

Antibiotics are not routinely required

Steroid eye drops should be avoided unless prescribed by an ophthalmologist

Prevention of Viral Conjunctivitis

Viral conjunctivitis spreads very quickly, especially in schools, hospitals, offices and crowded places. Patients should avoid close contact with others during the active phase of infection. Hand hygiene is the most important preventive measure. Wash hands with soap and water for at least 20 seconds after touching the face or eyes.

Do not share towels, handkerchiefs, pillows, eye cosmetics, spectacles or contact lenses. Used tissues should be disposed of properly.

Children with active eye discharge should avoid school until symptoms improve.

Home Care

AdviceApply cold compress gently over closed eyelids for 5–10 minutes, 2–3 times daily. Artificial tears can be used to reduce dryness, irritation and foreign body sensation. Avoid rubbing the eyes because rubbing increases irritation and may spread infection to the other eye.

Patients using contact lenses should stop using them until complete recovery. Old contact lenses and lens solution should be discarded to prevent reinfection.Warning SignsConsult an eye specialist immediately if there is severe eye pain, decreased vision, marked photophobia, corneal opacity, trauma history, contact lens-related infection or symptoms persisting beyond 2–3 weeks.

Medical Disclaimer

This article is for health awareness and educational purpose only. Treatment should be taken after consultation with a qualified doctor or ophthalmologist.

When to Consult a Doctor

Severe eye pain

Decreased vision

Photophobia

Symptoms not improving

Conclusion

Viral conjunctivitis is a common but highly contagious eye infection. Proper hygiene and supportive treatment help in faster recovery and prevent spread.

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