Scope
The Bottom Line
- Conjunctivitis may cause irritated red eyes, watery, mucous or purulent discharge and eyelid crusting.
- Viral conjunctivitis is common, can spread from one eye to both and is usually self-limiting.
- Discharge pattern and exposure help the differential, but eye pain, photophobia or reduced vision requires another pathway.
- Antimicrobial eye treatment should be reserved for the chapter-supported bacterial presentation and current local policy.
Practical clinical workflow
Safety boundaries and escalation
- Reduced vision, severe pain, photophobia, corneal opacity, contact-lens-related pain or chemical injury requires urgent ophthalmic assessment.
- Neonatal conjunctivitis and suspected gonococcal or chlamydial disease require age- and infection-specific urgent pathways.
Implementation
Clinical use boundary
This independently written summary is not an official guideline. Check the linked source version, current TGA-approved product information where medicines are involved, and the applicable state, territory and local pathway at the point of care.
Source documents
Use the linked source documents for complete recommendations, evidence grading, exclusions and implementation detail.
- Queensland Health and Royal Flying Doctor Service Queensland SectionPrimary Clinical Care Manual, 12th edition: Conjunctivitis — adult and childISBN 978-1-876560-22-5; Conjunctivitis — adult and child, pp. 278–281 · 12th edition 2025, v1.03 with updates through 21 July 2026; exact chapter at printed pages 278–281 · accessed 2026-08-20view source
From guidance to deliberate practice and evidence
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