Eye - Pus or Discharge

Symptoms

DEFINITION

  • Yellow or green discharge (pus) in one or both eyes
  • Dried pus on the eyelids and eyelashes. The eyelashes are especially likely to be matted together following sleep
  • May involve one or both eyes

General Information

  • Conjunctivitis is a medical term that means there is irritation or infection involving the white parts of the outer eye and the area under the eyelids.
  • Caution: Individuals with blurred vision or significant eye pain need to be seen by a physician urgently, as significant eye pain and blurred vision do not generally occur in people with conjunctivitis.

Types of Conjunctivitis:

  • Bacterial conjunctivitis (typically, thick white-yellow or green discharge) requires prescription antibiotic eye drops.
  • Viral conjunctivitis (thin, clear-white discharge) is often difficult to distinguish from bacterial conjunctivitis, thus antibiotic eye drops are often prescribed.
  • Allergic conjunctivitis (itching, clear-white discharge)
  • Chemical conjunctivitis from exposure to chemicals, fumes (eye irritation, tearing)

"Pink-Eye" is the term used when either a bacterial or a viral infection is causing the conjunctivitis. Depending on the severity, symptoms can include:

  • Mild discomfort, burning or irritation of the eye(s)
  • White portions of the eye(s) may or may not be pink or red
  • Eyelids may be puffy due to irritation
  • Tearing

See More Appropriate Topic (instead of this one) If

Should I Call?

WHEN TO CALL YOUR DOCTOR

Call Your Doctor Now (night or day) If

  • You feel weak or very sick
  • Eyelid is very red or very swollen
  • Blurred vision
  • Eye pain or discomfort is more than mild
  • Cloudy spot or sore seen on the cornea (clear center part of the eye)
  • Fever of 103° F (39.4° C) or higher

Call Your Doctor Within 24 Hours (between 9 am and 4 pm) If

  • You think you need to be seen
  • Yellow or green discharge or pus in the eye (Reason: probably needs prescription antibiotic eye drops to treat it)

Care at Home

HOME CARE ADVICE FOR PUS OR DRAINAGE FROM EYE (Pending Talking With Your Doctor)

  1. Reassurance: Pink Eye is a common complication of a cold or it can be acquired from exposure to a child or adult who has had it recently. Pink Eye responds to treatment with antibiotic eye drops and is not harmful to vision.
  2. Eyelid Cleansing:
    • Gently wash eyelids and lashes with warm water and wet cotton balls (or cotton gauze). Remove all the dried and liquid pus.
    • Do this as often as needed.
  3. Contacts:
    • Individuals with contact lenses need to switch to glasses temporarily (Reason: to prevent damage to the cornea).
    • Disinfect the contacts before wearing them again (or discard them if disposable).
  4. Expected Course: With treatment, the yellow discharge should clear up in 3 days. The red eyes may persist for several more days.
  5. Contagiousness: Pink Eye is extremely contagious. Try not to touch your eyes. Wash your hands frequently. Do not share towels.
  6. Call Your Doctor If:
    • You become worse

And remember, contact your doctor if you develop any of the "Call Your Doctor" symptoms.

Photo Example

Conjunctivitis - Viral (Pink Eye)

This patient had viral conjunctivitis (pink-eye).

Symptoms can include:

  • Mild discomfort, burning or irritation of the eye(s)
  • White portions of the eye(s) may or may not be pink or red
  • Eyelids may be puffy due to irritation
  • Tearing

Source: LMS Inc.

Copyright 2000-2009. Self Care Decisions, LLC. Used by Permission.

 

Conjunctivitis - Bacterial
This photo shows conjunctivitis of the right eye caused by bacteria. It requires antibiotic treatment.

With bacterial conjunctivitis there is usually yellow or yellow-green eye discharge. Patients with bacterial conjunctivitis typically report more pain than patients with the less serious viral conjunctivitis.

Source: CDC PHIL

From the CDC's Public Health Image Library (http://phil.cdc.gov), ID#6784, in the public domain.

Author and Senior Reviewer: David A. Thompson, M.D. Clinical content review provided by Senior Reviewer and Healthpoint Medical Network.

Last Review Date: 9/15/2011

Last Revised: 9/21/2007

Content Set: Adult HouseCalls Symptom Checker

Version Year: 2012

Portions Copyright 2000-2012 Self Care Decisions LLC; Copyright LMS, Inc.

Disclaimer: This information is not intended be a substitute for professional medical advice. It is provided for educational purposes only. You assume full responsibility for how you choose to use this information.

Instructions: The first purpose of Adult HouseCalls Symptom Checker is to help you determine how sick you are and if you need to call your doctor. The second purpose is to help you treat yourself at home when it is safe to do so. Your doctor's advice and your good judgment should always take precedence over information in these topics.

When to Call Your Doctor

Copyright 

View Anatomic Index of Topics

Are You Sick?

David A Thompson, MD is the author of Adult HouseCalls Symptom Checker. He is a board-certified emergency medicine physician at Northwestern Memorial Hospital in Chicago. He has a national reputation in telephone triage, decision support tools, medical information technology and quality improvement. Adult HouseCalls Symptom Checker is a decision support tool for adults that has been reviewed and approved by adult physicians.

Is Your Child Sick?

Pediatric HouseCalls Symptom Checker is a parent guide for treating your child at home, calling your child's doctor or seeking immediate medical attention. Developed by Dr. Barton Schmitt, MD, FAAP, a board-certified pediatrician on staff at Children's Hospital Colorado. Dr. Schmitt has developed other health tools for parents, including the 3rd edition of Your Child’s Health (available in bookstores) and KidsDoc, a new iPhone and Android app for parents (available online).

A Parent's Guide to Healthy, Happy Kids! Subscribe to have our quarterly newsletter mailed to your home.

Related Health Information

There are 90 related articles for parents. The top 5 are shown below.

View All