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Expert Q&A:
How can I prevent recurrent pinkeye infections in my 6-month-old?

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Thomas DeWitt
Answered by Thomas DeWitt M.D.
"Understanding each unique family situation, how it influences parenting decisions, and helping families make the right decision is the essence of the practice of pediatrics," says Thomas DeWitt. A pediatrician and academician for almost 30 years, Dr. DeWitt believes that "the greatest professional reward is still the privilege of sharing the challenges of parenting, medically and behaviorally, with families." 

Dr. DeWitt is the Carl Weihl Professor of Pediatrics, director of the Division of General and Community Pediatrics, and associate chair for education in the Department of Pediatrics at the Cincinnati Children's Hospital Medical Center, University of Cincinnati College of Medicine. He received his M.D. degree from the University of Rochester and did his residency, chief residency, and Robert Wood Johnson General Pediatrics Academic Development Fellowship at Yale-New Haven Hospital. He has more than 75 publications, is a senior editor of a pediatric textbook, and is a peer reviewer for many medical journals, including Pediatrics, the New England Journal of Medicine, and the American Journal of Public Health. Having served as president of the Ambulatory Pediatric Association and chaired both the Steering Committee of the American Academy of Pediatrics Pediatric Research in Office Settings (PROS) network and the Committee on Pediatric Education, he currently sits on the United States Preventive Services Task Force and the Accreditation Council for Academic Medical Education Residency Review Committee for Pediatrics. He is nationally and internationally known for his publications and presentations in the areas of faculty development and community-based education and research.

Dr. DeWitt is the father of three young adult children who have taught him much about parenting and perspectives on life. He lives in Cincinnati with his wife, a pastoral counselor, and a wonderful mixed breed dog.


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Question


I share your concern about your 6-month-old having pink eye three times at his young age. If the pinkeye is with both eyes all three times it is highly likely that it is infectious. Your baby most likely contracted pinkeye from someone else with the infection, so it would be good to find out if he has been around other people, adults or children, who have had pinkeye recently. Obviously, if this were the case, trying to avoid that exposure in the future would be helpful.

Answer


I share your concern about your 6-month-old having pink eye three times at his young age. If the pinkeye is with both eyes all three times it is highly likely that it is infectious. Your baby most likely contracted pinkeye from someone else with the infection, so it would be good to find out if he has been around other people, adults or children, who have had pinkeye recently. Obviously, if this were the case, trying to avoid that exposure in the future would be helpful.

If the pinkeye affects only one eye, particularly the same eye, I would suspect a blocked nasal-lacrimal duct, which is a small opening that goes from the inner corner of the eye to the nose cavity. This duct allows tears from the eye to go into that cavity. It is the reason that when some people cry they often have to blow their nose! Because of the size and the anatomy of that duct, it often becomes blocked on one or both sides in infants. This often results in an irritation of the eye that may be complicated by an infection and is treated by massaging the area right next to the inner part of the eye and by using antibiotic eye drops. If you think the blocked duct is a possibility in your son, talk to your pediatrician again and consider a referral to a pediatric eye doctor. Although this condition usually clears up on its own over time, in some circumstances it may require surgical intervention.



Certainly, if your son continues to have pinkeye, regardless of whether it is in one or two eyes, I also would urge you to have him seen by a pediatric eye doctor.

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