Allergic conjunctivitis in children
What is conjunctivitis in children?Conjunctivitis is a common medical name for all eye conjunctival inflammation which is inside the eyelids and on the eye surface, but does not affect the visual portion (cornea). Conjunctivitis in children is one of the most common problems that takes a family to a doctor. While everyone knows what the pink eye is, there are so many other reasons for your child to have eye inflammation. Some of them are benign and can be treated at home, while other issues are reason for significant concern and needs to be seen in the doctor’s office right away.
Types of newborn conjunctivitisEyes are a very sensitive zone for a newborn. While all the skin is fragile, the eyes are still undergoing an adaptation to an open state, so the conjunctiva is extremely sensitive to all mechanical and chemical irritation, as well as other environmental dangers. Chemical conjunctivitis Chemical irritation is one of the most common reasons why newborn may have red and teary eyes. What can cause irritational conjunctivitis? Here are the most common chemical irritants:
- Any cosmetic product on mom’s skin
- Baby wipes
- Baby powder
- use the most hypoallergenic products
- do not use adult products for babies
- try to avoid using cosmetic products and scented creams for your care (for Mom)
- use only scent-free organic products in the baby’s environment, which means laundry, car seat, baby toys, bassinet etc.
- use mostly water for the baby wash, do not use wipes to wipe eyes
- use only baby body wash that is trusted by all – Johnson&Johnson
- Staphylococcus aureus,
- Pseudomonas aeruginosa,
- Herpes simplex,
- premature rupture of membranes,
- prolonged delivery,
- poor prenatal care,
- maternal STI, HIV-infected mother
- mechanical ventilation,
- poor hygiene conditions.
What causes conjunctivitis in a child?Allergy, blocked tear duct, bacteria and viruses are the most common causes of conjunctivitis in a child.
Is pink eye contagious?Pink eye is transmitted by the unwashed hands when a person sick with infection rubs the eyes and touches something else. A very strict hygiene is required in the classroom, childcare or at home when the child gets sick with pink eye.
Which children are at risk for conjunctivitis?Any child who is exposed to other kids can get a pink eye. children with allergies who tend to rub their eyes due to itching are at risk for contagious eye infections.
What are the symptoms of conjunctivitis in a child?You may first see goopy eyes – increased mucus or pus discharge on the ridges of the eyelids and on the eyelashes. Symptoms of bacterial pink eye roll out within hours. Child might first complain of the irritation in the eye (“sand”). Pretty fast the swelling and pain develop. There might be also systemic symptoms of illness – a headache, fatigue and sleepiness. Pink eye is extremely painful and usually comes with photophobia – inability to open eye in the bright eye. the child might be holding the eye shut and not even letting you look inside. If it is an allergic conjunctivitis, symptoms in the child might be very similar to an infection, only there is no pain and symptoms are symmetrical. One of the first symptoms is itching. Children may rub their eyes so badly to develop abrasions and scratches. Allergic eye can present within few minutes of rolling on the grass or petting a cat. They tend to self-resolve if the allergen is not present.
How is conjunctivitis diagnosed in a child?Taking a very good and detailed history helps a doctor to set the diagnosis right. For a primary care pediatrician conjunctivitis is one of the very frequent diagnoses, so it is easy to recognize the symptoms and prescribe an appropriate care. If the symptoms did not resolve, you might want to see a specialist. A pediatric allergist can help you determine if your child’s red eyes are because of some indoor or seasonal allergy. Most of the time, an allergy test that takes 30 min can give you precise result and save a poor cat who might not be responsible.
How is conjunctivitis treated in a child?Viral conjunctivitis is self-resolving and need only support measures to help with pain and discomfort. If symptoms are very bothersome, an eye compress can help with pain. Bacterial infections are treated with topical antibiotic ointment or drops. A child with the eye that hurts is a challenge even for experienced nurse to apply eye drops. So, an ointment sometimes is much easy to apply while the eye is closed. In rare occasions children need to be hospitalized for intravenous antibiotics and rehydration. Children are significantly affected by the allergy. They may have also other “hidden” symptoms of the allergy – inability to concentrate, poor night sleep, headaches and hyperactivity. Eyes can be just the first sign of a bigger problem, so symptoms should be addressed and the cause of allergy must be figured out.
What are possible complications of conjunctivitis in a child?In rare situations when symptoms were not treated on time, an ulcer of the cornea can develop. This is one of the most common preventable causes of blindness.
Key points about conjunctivitis in childrenAs a parent you should remember the key facts about red eye in children:
- Conjunctivitis in children is very common
- The most frequent cause of conjunctivitis in babies and children are: infection (pink eye), allergy, contact irritation.
- If you know for sure that a contact with substance caused the eye inflammation, the first action should be to wash thoroughly the face and the eyes with warm water.
- If the problem did not resolve within 1-2 days, the next action should be to call your pediatric clinic
Next stepsIt is not normal to have daily goopy eyes or red eyes for a child or a baby. If the initial treatment of the conjunctivitis is not successful, it is reasonable to see a specialist – an ophthalmologist or allergist. Pediatric ophthalmologist can help you figure out if there is a real eye problem, such as a blocked tear duct, a foreign body or an eye scratch that needs treatment. A pediatric allergist can help you figure out the environmental allergens and give you a specific recommendation that will stop the problem all together. Your child eyes are beautiful, and the problem will be resolved – just find the best doctors whom you can trust!