Eye flu, commonly known as viral conjunctivitis, is an inflammation of the conjunctiva, the thin, clear tissue covering the white part of the eye and the inside of the eyelids.
Frequently Asked Questions
What causes eye flu, and why does it spike during monsoon?
‘Eye flu’ in India commonly refers to viral conjunctivitis — inflammation of the eye’s outer membrane (conjunctiva) caused by viruses. Common causes: (1) Adenovirus — most common; causes typical eye flu outbreaks; highly contagious; can spread rapidly through households, offices, schools; (2) Enterovirus — occasional outbreaks; sometimes with more severe eye pain; (3) Herpes simplex virus — usually one eye; more serious; needs specific antiviral treatment; (4) COVID-19 — some cases have conjunctivitis component. Monsoon (July-September) surge in India due to: (1) High humidity favours viral survival on surfaces; (2) Waterlogging and unhygienic conditions increase exposure; (3) People spending more time indoors in close contact; (4) Sharing towels/pillows more common during illness season; (5) Water contamination from bathing in flooded streets. Non-viral conjunctivitis (also common in India): bacterial (with thick yellow-green discharge), allergic (both eyes itchy + watery + swollen; not contagious; seasonal), chemical (from swimming pool chlorine, industrial exposure). Diagnosis usually clinical; culture rarely needed. Rule out serious causes if severe pain, vision loss, one-sided severe swelling — may not be simple conjunctivitis.
How is eye flu treated at home, and when does it need a doctor visit?
Most viral conjunctivitis is self-limiting (7-14 days) and treatment is supportive: cold compress 3-4 times daily reduces swelling and discomfort; frequent handwashing with soap; do NOT rub your eyes; use a separate towel, pillowcase, and cosmetics (wash daily); discard current eye makeup (contaminated); avoid contact lenses until fully recovered; preservative-free artificial tears (Systane, Refresh, Tears Naturale style) instilled frequently for comfort. Antibiotic drops (moxifloxacin, ciprofloxacin, tobramycin) DO NOT work against viral conjunctivitis — they're commonly over-prescribed and contribute to antibiotic resistance; only useful if bacterial superinfection is suspected. Antihistamine drops (olopatadine, ketotifen) help if there's an allergic component. NEVER use steroid drops without ophthalmologist supervision — they can dramatically worsen herpes conjunctivitis. See an ophthalmologist within 24 hours if: severe eye pain (not just discomfort); vision loss or blurring not from discharge; severe light sensitivity; one-sided severe symptoms with facial pain; contact lens wearer with any eye redness (higher risk of serious keratitis); symptoms lasting more than 2 weeks; or a baby/newborn with red eye and discharge. Government eye hospitals and NGO-run eye care provide low-cost consultations.
How do I prevent spreading eye flu to family and colleagues?
Eye flu is highly contagious through: touching infected eye then surfaces (doorknobs, phones, keyboards, towels, pillowcases); direct contact; occasionally droplets. Prevention while infected: (1) Isolate — avoid work, school, public gatherings for 7-10 days from symptom onset; many Indian offices grant sick leave for eye flu; (2) Handwash frequently with soap for 20 seconds — before touching face, after touching eye area, after wiping discharge; (3) Use separate towel, washcloth, pillowcase — wash daily in hot water; (4) Discard used tissues immediately in closed bin; (5) Do not share cosmetics, sunglasses, contact lens case, eye drops; (6) Sanitise commonly touched surfaces (phone, keyboard, doorknobs, taps) with alcohol wipes daily; (7) Sleep in separate bed if possible; (8) Wear dark glasses reduces spread (less rubbing, less light sensitivity); (9) Notify recent contacts (family, close colleagues) so they monitor for symptoms; (10) Restart normal activities only after eye white is fully non-red and discharge stopped completely — usually 7-14 days. During India’s monsoon epidemics, additional community measures: avoid swimming pools during outbreaks; avoid touching public surfaces; hand sanitiser after using public transport; children with symptoms should stay home from school. Most eye flu resolves without complications; small percentage may develop punctate corneal spots (visible with fluorescein staining) requiring lubricants for weeks; rarely, chronic dry eye follows. Overall prognosis excellent.
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