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Is it Pink Eye? Common Conditions Mistaken for Conjunctivitis

For over five decades, Rivertown Eye Care has been a cornerstone of the Hastings and Twin Cities communities, offering expert eye care and advice. One common issue we encounter is patients suspecting they have pink eye, a term commonly used to describe conjunctivitis. However, several other eye conditions mimic its symptoms. Understanding these conditions can help in seeking appropriate treatment.


a closeup of two eyes
Rivertown Eye Care can help you if you are experiencing symptoms of pink eye or conjunctivitis.

Introduction: Understanding Conjunctivitis/Pink Eye

Conjunctivitis, widely known as pink eye, is an inflammation or infection of the transparent membrane (conjunctiva) that lines your eyelid and covers the white part of your eyeball. When small blood vessels in the conjunctiva become inflamed, they're more visible. This is what causes the whites of your eyes to appear reddish or pink.


Symptoms of pink eye may include:

  • Redness in one or both eyes

  • Itchiness in one or both eyes

  • A gritty feeling in one or both eyes

  • Discharge that forms a crust during the night that may prevent your eye or eyes from opening in the morning


Distinguishing Between Conjunctivitis and Other Eye Conditions

While these symptoms can strongly indicate conjunctivitis, several other eye conditions present similar symptoms. Here’s how you can differentiate pink eye from other common eye issues.


1. Dry Eye Syndrome

Dry eye syndrome often causes discomfort that can mimic conjunctivitis but is due to inadequate or poor-quality tears. Unlike conjunctivitis, which can cause watery eyes and discharge, dry eye syndrome may lead to:

  • Stinging or burning sensation

  • Stringy mucus in or around the eyes

  • Sensitivity to light

  • Redness

  • A sensation of having something in your eyes


2. Allergies

Allergic reactions are commonly mistaken for infectious conjunctivitis. However, allergies affect both eyes and are accompanied by sneezing and nasal congestion. Allergic conjunctivitis symptoms include:

  • Intense itching

  • Tearing

  • Swollen eyelids

  • Flare-ups coinciding with allergy season or exposure to allergens


3. Blepharitis

Blepharitis, an inflammation of the eyelids, causes red, swollen eyes, and crusty eyelashes. This condition results from various issues, including bacterial eyelid infection, dry eyes, and meibomian gland dysfunction (MGD). Key symptoms include:

  • Eyelid sticking

  • Frequent blinking

  • Sensitivity to light

  • Blurred vision

  • Swollen and red eyelids


4. Corneal Ulcers

A corneal ulcer typically appears as a painful, red eye with symptoms like severe pain, pus or thick discharge, tearing, and reduced vision. It is often caused by a bacterial or fungal infection following an eye injury or the misuse of contact lenses. Unlike conjunctivitis, the pain is generally more intense, and vision may be significantly affected.


5. Subconjunctival Hemorrhage

This condition occurs when a tiny blood vessel breaks just underneath the surface of the eye, leading to a bright red patch on the sclera (white of the eye). It’s usually harmless and resolves within two weeks without treatment. It’s often painless, and unlike conjunctivitis, there’s no discharge or severe itching.


6. Uveitis

Uveitis is the inflammation of the middle layer of the eye and can cause symptoms similar to pink eye. However, uveitis may cause more severe symptoms, including:

  • Decreased vision

  • Pain in the eye

  • Light sensitivity

  • Floating spots within the vision


When to Seek Medical Advice

If you experience any of the above symptoms, it's essential to consult with an eye care professional who can diagnose the specific condition and recommend appropriate treatment. Early diagnosis and treatment are crucial to prevent the progression of any serious eye condition.


a man covering his eyes
Consult an eye care professional if you are experiencing symptoms of conjunctivitis or pink eye.

Prevention Tips

Preventive measures can reduce your risk of developing eye conditions that are often mistaken for conjunctivitis:

  • Maintain good hygiene, such as washing hands thoroughly and often.

  • Avoid touching or rubbing your eyes.

  • If you wear contact lenses, follow your eye care specialist’s instructions for lens care and replacement.

  • Protect your eyes from chemicals and foreign objects.


Distinguishing between pink eye and other eye conditions is crucial for effective treatment. At Rivertown Eye Care, we are dedicated to providing our community with accurate diagnoses and personalized eye care treatments whether it's managing an eye infection or treating chronic eye conditions. 


Are you concerned about any of the symptoms or conditions discussed in this article? Give us a call, and let’s put you on the schedule for an exam and consultation!



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