How to Tell the Difference Between Bacterial & Viral Conjunctivitis


Conjunctivitis, commonly called "pink eye," is an infectious and contagious eye condition that affects the fluids and moist tissues that cover the eyeball and line the inner eyelid. Whether the condition is bacterial or viral, conjunctivitis does not affect the eye's vital inner structures and therefore does not threaten to damage vision. Since symptoms are so similar, it may be difficult to tell the difference between viral and bacterial pink eye.

Pink eyes
Pink eyes (Image: Hemera Technologies/ Images)

Check both eyes

Step 1

Check both eyes. Bacterial conjunctivitis often spreads to both eyes, while viral conjunctivitis often only affects one eye, according to With strict hygiene (and no touching of the affected eye), the spread of the viral type of conjunctivitis can be easily prevented.

Check both eyes
Check both eyes (Image: Jupiterimages/ Images)

Step 2

Evaluate the discharge. Bacterial conjunctivitis has a heavier discharge than viral conjunctivitis. When the eye is experiencing a bacterial infection, the discharge is often thick and greenish in color, according to Viral conjunctivitis is characterized by excessive watering, rather than heavy discharge.

Evaluate the discharge
Evaluate the discharge (Image: Siri Stafford/Lifesize/Getty Images)

Step 3

Record the eye condition upon waking. Bacterial pink eye often makes opening the eye difficult in the morning because of crusting that has formed overnight (especially for children), according to An eye affected by viral conjunctivitis might be slightly sticky upon waking, but it won't have the crust that makes it difficult to open the eye.

Checking eyes in the mirror
Checking eyes in the mirror (Image: Creatas Images/Creatas/Getty Images)

Step 4

Consider other illnesses. Viral conjunctivitis is the type associated with the common cold and is often accompanied by other symptoms, such as a runny nose and sinus congestion.

Viral conjunctivitis is the type associated with the common cold
Viral conjunctivitis is the type associated with the common cold (Image: Pixland/Pixland/Getty Images)

Step 5

Check the lymph nodes around the ear and neck. Tender lymph nodes are associated with viral conjunctivitis, not bacterial.

Checking glands
Checking glands (Image: Creatas Images/Creatas/Getty Images)

Step 6

Consider duration of the condition. reports that bacterial conjunctivitis will clear up on its own without treatment in 64 percent of cases. Viral conjunctivitis may continue for a prolonged amount of time, depending on hygiene habits, and there is no effective treatment.

Consider duration of the condition
Consider duration of the condition (Image: Thinkstock/Comstock/Getty Images)

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Tips & Warnings

  • Redness, swelling, burning and eye irritation occur in all forms of pink eye. Sensitivity to light and blurry vision due to excess eye fluids also occur in both conditions.
  • Be extra cautious about hygiene. Both viral and bacterial conjunctivitis are highly contagious, but the viral type is even more so, and can spread by a sneeze in the air, according to


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