Understanding Acute Hemorrhagic Conjunctivitis: Symptoms, Causes, and Treatment

Acute Hemorrhagic Conjunctivitis


Acute Hemorrhagic Conjunctivitis (AHC), sometimes referred to as "Apollo Syndrome" or "Pink Eye," is a severe eye infection that affects the conjunctiva, the transparent membrane that lines the inside of the eyelids and covers the white area of the eye. Sudden onset, redness, excruciating eye discomfort, and occasionally conjunctival hemorrhage are the hallmarks of AHC. Even though it is usually not life-threatening, this illness can be very uncomfortable and interfere with daily life. The main features of AHC, including its signs, causes, and available treatments, will be discussed in this article.


Acute Hemorrhagic Conjunctivitis Symptoms

1.     Color Red

The redness of the eyes is a notable indication of AHC. One or both eyes may experience this rapid onset of redness.

2.     Eye Pain

Significant eye pain and discomfort are linked to AHC. It may be difficult for the person experiencing it to keep their eyes open due to the pain, which can range in intensity from little irritation to severe.

3.     Watery Expulsion

A watery discharge that is either clear or faintly tinted may come from the eyes. It may be difficult to keep your eyes open while experiencing this discharge, which can crust overnight.

4.     Blood loss

In severe cases of AHC, there can be bleeding from the conjunctiva, which is the thin membrane covering the eye. The bleeding may appear as tiny spots or streaks of blood on the surface of the eye.

5.     Swelling and sensitivity to light

Swelling of the eyelids and increased sensitivity to light (photophobia) are common symptoms of AHC.

6.     Foreign Body Sensation

Many individuals with AHC describe a feeling of having a foreign body, such as sand or grit, in their eyes.

Acute hemorrhagic conjunctivitis causes

Most frequently, Enterovirus 70 (EV70) and Coxsackievirus A24 (CVA24) are the viruses that cause AHC. The Picornaviridae family is the home of several viruses. Due to its high contagiousness and ease of transmission via contact with contaminated objects or ocular secretions, AHC is frequently seen in crowded settings, including schools, daycare centers, and healthcare institutions. It can also spread due to poor hygiene, such as not frequently washing hands or sharing towels or other personal objects.


Acute Hemorrhagic Conjunctivitis Treatment Options

 Supportive Care

AHC cannot be specifically treated with antiviral medication. Most situations end on their own in a few days or a few weeks. It is crucial to offer supportive care during this period, which includes keeping the affected eye(s) clean and refraining from rubbing or touching the eyes.

Synthetic Tears

Dry eyes, a typical symptom of AHC, can be made more comfortable with lubricating eye drops or artificial tears.

First, cool compressors

Cool compresses can help relieve eye pain and reduce edema around the eyes.

 Pain Management Acetaminophen or ibuprofen, or both, may be advised to treat pain and, if a fever is present, to lower it.

Isolation and cleanliness

Infected individuals should maintain good hand hygiene, avoid direct contact with others, and avoid sharing personal objects like towels or pillows in order to stop the spread of AHC.

Medicines on prescription

In severe cases with significant eye pain, bleeding, or complications, an eye specialist (ophthalmologist) may prescribe antiviral eye drops or ointments.



Although acute hemorrhagic conjunctivitis can be a painful and distressing eye infection, it usually goes away on its own within a few days to weeks without any special care. The best way to manage AHC is to practice excellent hygiene, receive supportive treatment, and stop it from spreading to other people. It's critical to get medical advice right away if you experience serious eye problems or have a suspicion that you have AHC. We can all work to lower the likelihood of AHC outbreaks in communities by maintaining a clean environment and practicing proper hand hygiene.