
When your eyes become red, itchy, and watery, it can be difficult to know whether you’re dealing with pink eye (conjunctivitis) or just seasonal allergies. Because these conditions share similar symptoms, understanding the key differences can help you decide when it’s time to seek professional care.
Pink eye, or conjunctivitis, is the inflammation of the thin membrane covering the white part of your eye and inner eyelid. It can be caused by:
Viral infections (most common)
Bacterial infections
Allergic reactions
Irritants such as smoke, chlorine, or dust
Symptoms of pink eye often include:
Redness in one or both eyes
Thick discharge that may be yellow or green (especially with bacterial cases)
Crusting around the eyelids upon waking
Swelling and discomfort
Contagious spread, particularly with viral and bacterial forms
Eye allergies, also called allergic conjunctivitis, occur when your immune system reacts to allergens like pollen, pet dander, or dust mites. Symptoms usually include:
Itchy eyes (a hallmark symptom not as common with pink eye)
Watery or clear discharge
Puffy eyelids
Sneezing, nasal congestion, or runny nose accompanying eye symptoms
Both eyes affected at the same time
Unlike infectious pink eye, allergies are not contagious. They may flare up during specific seasons or when you’re exposed to allergens.
Type of Discharge: Thick and colored (pink eye) vs. clear and watery (allergies).
Itching: Intense itching suggests allergies, while pink eye often feels more like burning or irritation.
Onset & Spread: Allergies usually affect both eyes simultaneously. Pink eye often starts in one eye before spreading.
Contagiousness: Pink eye caused by bacteria or viruses can spread easily, while allergies cannot.
Because pink eye and allergies can overlap in symptoms, it’s important not to self-diagnose. Seek professional care if you notice:
Eye pain or light sensitivity
Vision changes
A thick or colored discharge
Symptoms that don’t improve with over-the-counter allergy drops
Suspected exposure to someone with pink eye
Our optometrist can determine the cause and recommend proper treatment, whether that’s antibiotic drops for bacterial conjunctivitis or management strategies for allergies.
Red, watery eyes can be uncomfortable and disruptive, but the right diagnosis makes all the difference. Understanding whether your symptoms are caused by pink eye or allergies helps ensure you get the correct treatment quickly and safely.
If you’re experiencing red, itchy, or irritated eyes and aren’t sure if it’s pink eye or allergies, schedule a consultation with Dr. Stephen Nevett and Associates for personalized treatment. Visit our office in Lynnwood, Washington, or call (425) 712-8443 to book an appointment.