Treatment for Sticky Eyes
For sticky eyes (typically indicating bacterial conjunctivitis with discharge), topical antibiotic eye drops such as moxifloxacin should be instilled one drop in the affected eye three times daily for 7 days. 1
Understanding "Sticky Eyes"
The term "sticky eyes" typically refers to conjunctivitis with mucopurulent or purulent discharge that causes the eyelids to stick together, particularly upon waking. This presentation most commonly indicates bacterial conjunctivitis requiring antimicrobial therapy. 2
Treatment Approach
First-Line Antibiotic Therapy
- Moxifloxacin ophthalmic solution is an appropriate topical fluoroquinolone antibiotic, dosed as one drop in the affected eye three times daily for 7 days. 1
- Treatment should be directed at the root cause, as early detection and appropriate treatment can be sight-saving. 2
Important Caveats
- Avoid indiscriminate use of antibiotics or corticosteroids, as antibiotics can induce toxicity and corticosteroids can potentially prolong adenoviral infections and worsen herpes simplex virus infections. 2
- If the sticky discharge is associated with viral conjunctivitis (adenovirus), antibiotics will not be effective, and supportive care with cold compresses and artificial tears is more appropriate. 2
Adjunctive Measures
Supportive Care
- Cold compresses can provide symptomatic relief for any type of conjunctivitis. 2
- Refrigerated artificial tears help dilute inflammatory mediators and allergens on the ocular surface while providing cooling relief. 2
- Eyelid hygiene with eyelid cleansers can help remove discharge and debris. 2
Infection Control
- Patients should practice strict hand hygiene and avoid touching or rubbing the eyes to prevent spread. 2
- Contaminated items should be properly disinfected to prevent transmission. 2
When to Escalate Care
If symptoms worsen despite appropriate antibiotic therapy, or if there are signs of corneal involvement, vision changes, or severe pain, immediate ophthalmology referral is warranted for evaluation of more serious conditions. 2