Acute Bacterial Conjunctivitis

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Non-pharmacological Treatment

  • Cold compress to eyes
  • Good eye hygiene (regular eye wash with clean or normal saline)
  • Limit exposure to contacts if infectious cause suspected

Pharmacological treatment

Adult

Ciprofloxacin 0.3% eye drops

Instil eye drops 4 times daily for 1 week 

OR

Tetracycline eye ointment 1%

Apply ointment two times daily 

Adult with severe pain or photophobia

ADD

Cyclopentolate eye drops

Instil into the eye 3 times daily for 3 days.

PLUS

Paracetamol oral

1g every 6 hours as required

Child

Chloramphenicol 0.5% eye drops, 

Instil eye drops 4 times daily for 1 week. 

OR

Tetracycline eye ointment 1%

Apply ointment two times daily 

Child with severe pain or photophobia

ADD

Cyclopentolate eye drops

Instil eye drops 3 times daily for 3 days. 

PLUS

Paracetamol oral

10-15mg/kg/dose every 6 hours as required

Note: Do not give any eye drops containing a corticosteroid

Referral

  • Refer for specialist care if no improvement in 4 days