Conjunctivitis Discharge: When to Worry About Color Changes - Ophthalmology

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Conjunctivitis discharge


Hello doctor, I recently experienced sudden redness and swelling in my eyes and went to see an ophthalmologist, who diagnosed me with bacterial conjunctivitis.
For the past few days, I have been experiencing discharge that appears yellow when wiped with tissue, but tonight it appeared pink after wiping.
I am a bit concerned that it might be an indication of intraocular bleeding, as I couldn't find any information on Google.
Is this a normal symptom? Thank you for taking the time to respond.

Ms. Chen, 20~29 year old female. Ask Date: 2024/01/30

Dr. He Jianxian reply Ophthalmology


Hello Ms.
Chen: If there is bleeding, it is likely due to superficial microvascular hemorrhage on the surface of the eyeball, rather than intraocular bleeding.
The cause may be that you wiped too vigorously, resulting in slight rupture of the superficial microvessels, which should not be a major concern.
Dr.
He Jianxian, Ophthalmology Department, Nantou Hospital.

Reply Date: 2024/01/30

More Info


When it comes to conjunctivitis, commonly known as pink eye, the color and consistency of the discharge can provide important clues about the underlying cause and severity of the condition. In your case, you have been diagnosed with bacterial conjunctivitis, which typically presents with a yellow or greenish discharge. This is due to the presence of pus, which is a result of the body's immune response to the bacterial infection.

The fact that you initially observed yellow discharge is consistent with bacterial conjunctivitis. However, the recent change to a pink discharge raises some concerns. Pink discharge could indicate the presence of blood, which may suggest a more serious issue, such as a ruptured blood vessel in the eye or a more severe infection. It is important to note that while some redness and irritation are common with conjunctivitis, any significant change in the color of the discharge, especially to pink or red, should be taken seriously.

In terms of what to do next, it is advisable to contact your eye care provider as soon as possible. They may want to perform a thorough examination to determine the cause of the color change and assess whether there are any complications that need to be addressed. It is also important to monitor for other symptoms, such as increased redness, swelling, pain, or changes in vision, as these could indicate a worsening condition.

In addition to the discharge color, other symptoms of conjunctivitis can include itching, burning, and a gritty sensation in the eye. If you experience any of these symptoms alongside the color change, it further emphasizes the need for a prompt evaluation by a healthcare professional.

As for the management of bacterial conjunctivitis, it typically involves the use of antibiotic eye drops or ointments to eliminate the infection. It is crucial to follow your healthcare provider's instructions regarding the use of these medications and to complete the full course of treatment, even if symptoms improve before finishing the medication.

In summary, while yellow discharge is expected in bacterial conjunctivitis, a sudden change to pink discharge is concerning and warrants immediate medical attention. Your eye care provider will be able to assess your symptoms and determine the appropriate course of action to ensure your eye health is protected. Remember to practice good hygiene, such as washing your hands frequently and avoiding touching your eyes, to prevent the spread of infection.

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