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Blepharitis vs. Pink Eye: What’s the Difference?

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2 eyes side-by-side, one has a red cornea, the other is normal.

Blepharitis and pink eye (conjunctivitis) are both eye-related conditions that can lead to discomfort and affect your daily life, but they are distinct conditions with different causes, symptoms, and treatments. 

Pink eye refers to temporary infection or inflammation of the conjunctiva, while blepharitis is usually a chronic condition affecting the eyelids. 

Understanding the difference between blepharitis and pink eye is crucial for proper care and prevention. In this guide, we’ll explore what sets these conditions apart and how you can effectively manage them to keep your eyes healthy and comfortable.

What Is Pink Eye?

Pink eye, or conjunctivitis, is an inflammation or infection of the conjunctiva, the thin, transparent layer that lines the inside of your eyelid and covers the white part of your eye. This condition is highly contagious, especially in its viral and bacterial forms, making it a common issue in schools, workplaces, and other crowded environments. Pink eye can affect people of all ages, but it’s particularly prevalent among children.

There are 3 main types of pink eye: viral, bacterial, and allergic. 

Viral pink eye is often associated with the common cold and is usually spread through direct or indirect contact with the eye discharge of an infected person. Bacterial pink eye, on the other hand, is caused by bacteria and can result in more severe symptoms. Allergic conjunctivitis is triggered by allergens like pollen or pet dander and is not contagious.

Symptoms & Causes

  • Redness: The most noticeable symptom, caused by the inflammation of the conjunctiva.
  • Itching: Common in allergic conjunctivitis, leading to discomfort and frequent rubbing of the eyes.
  • Tearing: Increased tear production, often seen in viral and allergic pink eye.
  • Discharge: Thick, yellow or green discharge in bacterial pink eye, while viral pink eye may cause a watery discharge.
  • Swelling: Mild to moderate swelling of the eyelids, more common in bacterial pink eye.
  • Crusting: Especially in bacterial pink eye, where the discharge may cause crusting around the eyes upon waking.

Treatments for Pink Eye

Treating pink eye depends on the type and severity of the infection. 

For viral conjunctivitis, which is the most common form, treatment mainly involves managing symptoms as the condition often resolves on its own in 1 – 2 weeks. Using warm compresses on the eyes and lubricating eye drops can help alleviate discomfort. It’s also essential to practice good hygiene, such as washing hands frequently and avoiding touching your eyes, to prevent the spread of the infection.

In cases of bacterial pink eye, your eye doctor may prescribe antibiotic eye drops or ointments to clear up the infection. It’s crucial to complete the full course of antibiotics, even if symptoms start to improve, to ensure the infection is fully treated. Avoid sharing personal items like towels or pillows to reduce the risk of spreading the bacteria to others.

Allergic conjunctivitis is typically treated with antihistamine or anti-inflammatory eye drops to reduce the allergic response. Identifying and avoiding the allergens that trigger your symptoms can also help manage this condition. In more severe cases, your doctor might recommend oral antihistamines or a prescription-strength eye drop.

In all cases, it’s important to avoid wearing contact lenses until the pink eye has completely cleared up. Contacts can further irritate the eyes and may contribute to the spread of infection. Once the infection has resolved, be sure to clean or replace your contact lenses and case to prevent re-infection.

What Is Blepharitis?

Blepharitis is an inflammation of the eyelids, particularly where the eyelashes grow. Unlike pink eye, blepharitis is usually a chronic condition that can be managed but not cured. It often occurs when the oil glands near the base of the eyelashes become clogged, leading to irritated and red eyelids. Blepharitis can affect people of all ages and is often associated with other skin conditions like rosacea or dandruff.

While blepharitis is not contagious, it can be uncomfortable and may lead to other eye issues if not properly managed. Symptoms often flare up periodically, making ongoing care important to keep the condition under control.

Symptoms & Causes

  • Red, Swollen Eyelids: Inflammation and swelling of the eyelid margins.
  • Itchy Eyelids: Persistent itching, often accompanied by a gritty or burning sensation.
  • Crusty Eyelashes: Flakes or crusts at the base of the eyelashes, particularly noticeable in the morning.
  • Dry Eyes: A common symptom due to disrupted oil production in the tear film.
  • Excessive Tearing: Paradoxically, dry eyes can lead to reflex tearing as the eyes try to compensate.

Treatments for Blepharitis

A gloved hand gently exposes a patient's inflamed eyelid.

Managing blepharitis requires a consistent eye hygiene routine

Start with warm compresses to soften the crusts and oils on the eyelids. Applying a warm, damp cloth to your closed eyelids for 5+ minutes can help loosen any debris and open clogged oil glands. Follow this by gently cleaning your eyelids with a mild, non-irritating cleanser to remove any residual oil and flakes. This routine should be done daily to keep symptoms under control.

For more severe cases of blepharitis, your eye doctor may recommend medicated eye drops or ointments. Antibiotic ointments can help clear up any underlying bacterial infection, while steroid eye drops may be prescribed to reduce inflammation. It’s important to follow your doctor’s instructions carefully and complete the full course of treatment.

If blepharitis is associated with a skin condition like rosacea or dandruff, treating the underlying condition can also help manage the symptoms. It’s crucial to avoid eye makeup during a blepharitis flare-up, as makeup can further clog the oil glands and worsen the condition. Once symptoms have improved, be sure to use hypoallergenic and non-comedogenic makeup products to reduce the risk of future flare-ups.

Signs You Should Visit Your Eye Doctor

While pink eye and blepharitis can often be managed at home, there are times when professional care is necessary to prevent complications or address more serious issues. If you experience any of the following, it’s time to schedule an appointment with your eye doctor:

  • Severe Pain: Persistent or intense pain in or around your eyes, which could indicate a more serious condition.
  • Vision Changes: Blurred or decreased vision that doesn’t improve with blinking.
  • Persistent Redness: Redness that doesn’t improve after a few days of home treatment.
  • Light Sensitivity: Increased sensitivity to light, which can be a sign of a more serious infection.
  • Thick Discharge: A thick, yellow, or green discharge that suggests a bacterial infection needing medical treatment.

Book Your Next Eye Exam Today

Maintaining good eye health is essential for your overall well-being, and addressing conditions like pink eye or blepharitis promptly can prevent complications down the road. But more importantly, you deserve clear, comfortable vision. 

If you’re experiencing any symptoms or have concerns about your eye health, don’t hesitate to reach out. Schedule an eye appointment with Doctors EyeCare Grande Prairie today, and let our caring team help you keep your eyes in top condition.

Written by Dr. Shonah Finlay

Dr. Finlay grew up by the gold mines in South Africa and knew from a young age she wanted to follow a medically related career. She applied to and was accepted to study optometry at the former Rand Afrikaans University in South Africa. During her last year of studies, Dr. Finlay worked on the Train of Hope: South Africa’s Phelophepa. This custom-built train (now 2) travels throughout rural South Africa to deliver top-quality primary healthcare to disadvantaged communities. It was a wonderful experience to bring sight to so many people that otherwise do without. Those memories always remind her of why she loves practicing optometry.
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