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How to tell if your bloodshot eye is conjunctivitis or something a whole lot worse?

You could have a highly contagious viral infection – here's when you need to call in sick

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You can infect yourself with adenoviruses by touching infected surfaces and then rubbing your eyes.

Eye infections are quite common in childhood. But now that you’re an adult, what do you do if your eye is red, watery and itchy. It could be classic case of conjunctivitis, or “pink eye”. But, not necessarily. The symptoms may be caused by epidemic keratoconjunctivitis, a highly contagious adenoviral infection of the eye.

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“Only a medical specialist can tell whether you have conjunctivitis or epidemic keratoconjunctivitis,” says Dr Claus Cursiefen, director of the Department of Ophthalmology at Cologne University Hospital in Germany.

Adenoviruses are highly resistant pathogens that can be transmitted by contact with infected objects, including door handles, banisters, grab handles, tables, water taps, computer keyboards, towels, pillows and household appliances. Obviously, you don’t have to put your eye on a doorhandle to get the bug. You can infect yourself if you rub your eye after touching them – or even after shaking someone’s infected hand! This is why God invented fist bumps, right?

“Besides redness, itching and excessive tearing, the lymph nodes in front of the ear become swollen,” says Dr Ludger Wollring, a spokesman for the Professional Association of German Ophthalmologists. 

The infection typically begins in one eye and then spreads to the other, and can impair vision for a considerable period of time.

“That’s because not only the conjunctiva [the mucous membrane that covers the front of the eye and lines the inside of the eyelids] becomes inflamed, but also the cornea, which then clouds,” explains Cursiefen, who says epidemic keratoconjunctivitis generally heals by itself in about two to four weeks.

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Keep your hands away from your eyes to prevent yourself from getting some nasty bugs
Keep your hands away from your eyes to prevent yourself from getting some nasty bugs
To find out whether adenoviruses are present in the watery discharge of the eye, the doctor will do a conjunctival smear test with a cotton swab. The cells of the discharge are examined in a laboratory. “It can take weeks before a result is available, though,” Wollring says.
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