Which treatment is NEVER indicated for viral conjunctivitis?

• A. Artificial tears and cold compresses.
• B. Topical antibiotics.
• C. Supportive measures.
• D. Antiviral systemic therapy.

Answer: (D)

Viral conjunctivitis is usually a self-limited illness caused most often by adenovirus, and the main approach is to relieve symptoms and prevent spread. Systemic antiviral therapy isn’t used because these infections do not respond to systemic antivirals, and giving them offers no benefit while exposing the patient to potential drug toxicity. The typical course lasts about one to two weeks, and supportive care is enough: artificial tears to soothe irritation and dryness, cold compresses to reduce swelling and discomfort, and diligent hand hygiene to prevent transmission. Antibiotics aren’t required for a purely viral infection since they don’t treat viruses, though they may be considered in cases where bacterial superinfection is a concern. Specific herpes-related eye infections, not routine viral conjunctivitis, may require antiviral therapy, but that is managed differently and typically under specialist care.