irritatieveconjunctivitis

Irritative conjunctivitis, also referred to in Dutch sources as irritatieveconjunctivitis, is a non-infectious inflammation of the conjunctiva caused by irritants such as smoke, chlorine, fumes, polluted air, soaps, or contact lens solutions. It is typically self-limited and differs from infectious conjunctivitis (bacterial or viral) and from allergic conjunctivitis, which involves an immune response.

Common symptoms include a red, stinging or burning eye, a gritty sensation, tearing, and mild eye irritation. Discharge is usually scant and watery rather than purulent. Symptoms often correlate with exposure to the irritant and improve within hours after removal.

Diagnosis is clinical, based on history and examination. It is important to distinguish from infectious conjunctivitis and from corneal involvement. Severe pain, vision change, photophobia, or purulent discharge warrant urgent evaluation; contact lens wearers or chemical exposures require immediate care.

Treatment focuses on removal of the irritant and symptomatic relief. Measures include eliminating the irritant, using preservative-free artificial tears, cold compresses, and reducing eye rubbing. In some cases short courses of topical anti-inflammatory drops may be used by a clinician. Antibiotics or antihistamines are not routinely indicated unless infection or allergy is suspected.

Prognosis is generally good with resolution after irritant exposure ceases. Prevention involves avoiding known irritants, using protective eyewear when exposure to chemicals or smoke is likely, and maintaining good contact lens hygiene and tear film health.