💊 Eye Drops by Conjunctivitis Type

Iba-iba ang gamot depende sa type ng sore eyes. Wrong drug = mas matagal o mas masama. Para sa viral, hindi antibiotic ang sagot.

  • Viral (artificial tears): Refresh Tears P220-280, Systane Ultra P350-450, Hypotears P180-240. 1-2 gtt q2-4h PRN. Walang antibiotic kailangan.
  • Bacterial (antibiotic Rx): Tobrex (Tobramycin 0.3%, P520; generic Tobrin P180), Chloromycetin (Chloramphenicol, P120-180), Vigamox (Moxifloxacin, P850-1,100), Garamycin (Gentamicin, P180-240). 1-2 gtt kada 3-4 oras, ipagpatuloy ng 5-7 days kahit gumaling na.
  • Allergic (antihistamine Rx): Patanol (Olopatadine 0.1%, P650-800), Zaditen (Ketotifen, P500-650). 1 gtt BID. Iwasan ang allergen at gamitin kasama ang cold compress.
  • Steroid combos (Tobradex, Maxitrol): Ophthalmologist-only. Bawal mag-self-medicate, nakakapinsala kung viral o HSV.
  • BAWAL: Visine, Eye Mo, Rohto redness relievers. Rebound effect nagpapasama ng red eye over time. Hindi ito gamot sa sore eyes.

🥭 Home Care + Isolation Protocol

Highly contagious ang sore eyes sa unang 7-14 days. Family isolation at hygiene ay key para hindi kumalat.

  • Cold compress: Ilagay ang malamig na bimpo sa mata 10 min, 4x/day. Nagbabawas ng pamamaga at sakit.
  • Frequent handwashing: Bago at pagkatapos hawakan ang mata. Tubig at sabon ng 20 segundo.
  • Hiwalay na towel, unan, makeup: Hindi i-share. Magpalit ng pillowcase araw-araw habang sintomas.
  • Work-from-home o sick leave: Highly contagious sa office at school. 7-14 days isolation, lalo na sa viral.
  • Hugas ang muta: Wet cotton ball, sweep palabas (mula sa ilong papuntang tainga). Bagong cotton bawat punas.
  • Iwasan ang contact lens: Hindi muna gumamit habang may infection. Itapon ang disposables na nagamit habang may sintomas.

Viral vs Bacterial vs Allergic: Decision Tree

TypeOnsetDischargeItchTreatment
Viral (most common)Gradual, with colds/fluWatery, clear; pareho ang mataMildArtificial tears + cold compress, 7-14 days
BacterialSudden, one eye startThick yellow/green muta, eyelids stuck pagkagisingMinimalAntibiotic eye drops (Tobrex/Chloromycetin) 5-7 days
AllergicSeasonal o triggeredWatery, ropy; parehoSevere (primary symptom)Antihistamine drops (Patanol/Zaditen) + avoid allergen
Chemical / Foreign bodySudden after exposureVariablePain dominantSaline irrigation 15 min + ER kung vision affected

Heuristic: One eye + thick yellow muta + eyelids stuck = bacterial. Both eyes + watery + with cold = viral. Both eyes + sobrang itchy + seasonal = allergic. Pain + vision change = ER.

Eye Drops Comparison: PHP Prices + Use Case

Refresh Tears (Artificial)

Carboxymethylcellulose, P220-280/5mL. OTC. Para sa viral o dry eye. 1-2 gtt q2-4h.

Systane Ultra

Polyethylene glycol, P350-450. Premium artificial tear, mas matagal effect.

Tobrex (Tobramycin)

0.3% Rx antibiotic, P520. Generic Tobrin P180. Para sa bacterial. 1-2 gtt q4h x 5-7 days.

Chloromycetin (Chloramphenicol)

0.5% Rx, P120-180. Pinaka-mura na antibiotic. 1-2 gtt q3h.

Vigamox (Moxifloxacin)

0.5% Rx fluoroquinolone, P850-1,100. Para sa resistant o severe bacterial. 1 gtt TID x 7d.

Patanol (Olopatadine)

0.1% Rx antihistamine, P650-800. Para sa allergic. 1 gtt BID.

⏱️ Severity Guide: Kailan Home, Ophtha, o ER

Mild (Home Care)
Viral o Mild Allergic

Walang sakit, normal paningin, watery discharge, both eyes. Cold compress + artificial tears + isolation 7-14 days.

Moderate
Magpa-Ophtha

One eye start, thick yellow/green muta, eyelid swelling, lumalampas 5 days. Likely bacterial, kailangan ng antibiotic Rx.

Severe (ER)
Vision-Threatening

Severe pain, malabo o nawawalang paningin, photophobia, contact lens wearer, corneal haze, newborn na may discharge.

Tips para sa Sore Eyes Management

🧹

Cold compress 4x/day

Malamig na bimpo, 10 min sa mata. Nagbabawas ng pamamaga at sakit. Iwasan ang mainit, lalo na sa viral.

🧖

Hugas-kamay frequent

Bago at pagkatapos hawakan ang mata. Tubig at sabon ng 20 segundo. Most spread ay through hands.

🚫

Huwag i-share ng eye drops

Kahit pamilya. Virus ay direct sa applicator. Sariling bottle bawat tao kahit pareho ang sintomas.

🏫

Work-from-home 7-14 days

Highly contagious sa workplace at school. Mag-isolate hanggang mawala ang watery/yellow discharge.

👓

Iwasan ang contact lens

Hindi gumamit habang may infection. Itapon ang disposables. Disinfect ang reusables o palitan.

🚫

BAWAL Visine o Eye Mo

Hindi ito gamot sa sore eyes. Rebound redness nagpapasama. Gumamit ng artificial tears sa halip.

🚨 Magpa-Ophthalmologist Agad Kung:

Severe eye pain, hindi maintindihan na "muta lang ito"
Malabo o nawawalang paningin
Photophobia (sakit kapag may liwanag)
Halo around lights (glare)
Contact lens wearer with red eye (keratitis risk)
Corneal haze o white spot sa cornea
Newborn na may eye discharge
Lumalampas 7 days o lumalala kahit may treatment
Contact lens wearer with red eye = automatic Ophthalmology consult. Keratitis (corneal infection) ay vision-threatening at requires same-day evaluation. Tanggalin ang lens, dalhin sa eye specialist.

Mga Karaniwang Tanong

Anong gamot sa sore eyes?

Depende sa cause. Para sa viral (pinakamadalas, both eyes watery): artificial tears (Refresh P220-280, Systane P350-450) at cold compress. Walang antibiotic kailangan. Para sa bacterial (one eye, thick yellow/green muta, eyelids stuck pagkagising): Tobrex (Tobramycin P520) o Chloromycetin (Chloramphenicol P120-180) Rx mula sa Ophthalmologist. Para sa allergic (both eyes, sobrang itchy): Patanol (Olopatadine P650-800) o Zaditen (Ketotifen P500-650).

Ilang araw bago mawala ang sore eyes?

Depende sa type: viral conjunctivitis ay tumatagal ng 7-14 days at self-resolves. Bacterial conjunctivitis na may proper antibiotic eye drops ay gumagaling sa 3-5 days. Allergic conjunctivitis ay nawawala paglabas mo sa allergen o sa antihistamine drops. Kung lumampas ng 2 weeks o lumalala, kailangan ng Ophthalmologist evaluation para ma-rule out ang herpes simplex keratitis o iba pang severe cause.

Contagious ba ang sore eyes?

Oo, both viral at bacterial sore eyes ay highly contagious sa loob ng 7-14 days. Spread through direct contact, shared towels, pillows, makeup, eye drops, o contaminated surfaces. Mag-isolate sa bahay (work-from-home o sick leave), hugas-kamay frequent, huwag i-share ng pamilya ang towel/unan/eye drops. Allergic sore eyes ay HINDI contagious.

Kailan dapat magpa-Ophthalmologist?

Magpa-Ophthalmologist agad kung: severe eye pain, malabo o nawawalang paningin, light sensitivity (photophobia), halo around lights, contact lens wearer (keratitis risk), corneal haze o opacity, lumalala pagkatapos ng 3-5 days, newborn na may eye discharge, o kung kasama ang fever at lymphadenopathy. Para sa mild viral o allergic, OTC artificial tears at cold compress ay enough.

Hindi Bumababa ang Sore Eyes?

Hindi natural ang 7+ days na pananakit o malabong paningin. Magpa-konsulta sa Ophthalmologist sa NowServing para sa proper diagnosis.

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Disclaimer: Ang impormasyon dito ay para sa edukasyon lang at hindi ito pumapalit sa konsulta sa doctor. Hindi ito medical advice at hindi dapat gamitin para mag-self-diagnose. Ang Tobrex, Vigamox, Tobradex, Patanol, at iba pang prescription eye drops ay nangangailangan ng Ophthalmologist evaluation at prescription. Iwasan ang self-medication ng steroid combos. Ang mga presyo ay pwedeng magbago.