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Pink eye (conjunctivitis) treatment online in Puerto Rico

Pink eye can be treated by video: the doctor asks about your symptoms and looks at your eye on camera with your help to tell whether it is likely viral, bacterial or allergic. If appropriate, the doctor prescribes and we send your prescription to your pharmacy. A doctor’s note for work or school is included if you need one. We see adults and children of all ages.

Can we help by telehealth?YesWe can help by telehealth.
US$79Doctor visit

Is this an emergency?

This is not an emergency service. Call 911 or go to the nearest emergency room if you have:

  • Severe eye pain
  • Vision loss, or blurred vision that doesn’t clear
  • Strong sensitivity to light
  • An eye injury or a chemical in the eye
  • Contact lens wearer with eye pain or a very red eye
  • Swollen, red skin around the eye with fever
  • A newborn with a red eye or eye discharge

Warning signs: when to go to the ER

At a glance

Pink eye (conjunctivitis)

Common symptoms

  • Pink or red color in the white of the eye
  • Swollen eyelids
  • Watery eyes
  • Itching or burning
  • A gritty feeling in the eye
  • Discharge or crusting, sometimes with eyelids stuck together in the morning
Other names
Conjunctivitis · Red eye
Treatment
Home care; antibiotic drops or ointment only for bacterial pink eye

What is pink eye?

Pink eye (conjunctivitis) is inflammation of the thin layer covering the white of the eye and the inside of the eyelids. There are three main kinds:

Viral: the most common. The eye is pink, swollen and watery, sometimes sensitive to light, and it often starts in one eye. It often comes with a cold. Antibiotics don’t help.

Bacterial: a red eye with green or yellow discharge that can glue the eyelids shut in the morning, in one or both eyes. Antibiotic drops or ointment may shorten it a little.

Allergic: itching, redness and heavy watering, usually in both eyes, along with sneezing or a stuffy nose. It is not contagious. See allergy treatment. Smoke, pool chlorine, chemicals and overuse of contact lenses can also cause it. Note: a red, painful bump on the edge of the eyelid is usually a stye, and eyes that burn or feel scratchy, without discharge, may be dry eyes.

Pink eye? Talk to the doctor by video

The doctor evaluates you by video, guides you on what to do and, if appropriate, prescribes and we send your prescription to your pharmacy.

Why a video visit
ComparisonBy videoEmergency room
Getting thereFrom home: join from your phone, tablet or computer.Drive and find parking.
Hours and timeWe do not publish a wait time. Request a visit online 24/7 — we confirm your time by email or text.In Puerto Rico, a median of 4 h 52 min from arrival to departure for patients sent home (US: 2 h 42 min; Oct 2024–Sep 2025).1,2
PriceUS$79 visit · US$49 follow-up · US$35 forms. You see it before you pay; no insurance needed.Depends on your insurance and on what is done.

For problems that are not emergencies. In an emergency, call 911.

How we treat pink eye by video

You see Dr. Diana Nieves Castro, a Puerto Rico–licensed general practice physician with several years of emergency-department experience, in English or Spanish. She asks when it started, whether one or both eyes are affected, what the discharge looks like, whether it hurts, whether your vision is clear and whether you wear contact lenses.

Then she looks at your eye on camera with your help: in good natural light, she asks you to bring your eye close, pull down the lower lid and look side to side. From that she tells you which kind is likely and how to care for it. If appropriate, the doctor prescribes and we send your prescription to your pharmacy.

You need to be physically in Puerto Rico during the visit; visitors are welcome. If you need a doctor’s note for work or school, it is included after your visit.

Your doctor

Dr. Diana Nieves Castro, MD

General practice physician

Several years of emergency-department experience.

Founding Executive Director of The Health Initiative.

Meet the doctor

Your visit in 3 steps

Request a visit online 24/7 — we confirm your time by email or text.

  1. Request your visit.

    Book a visit and choose "Doctor visit". You pay by card when you request it.

  2. See the doctor by video.

    We send you a secure video link. It works on your phone, tablet or computer.

  3. Get your plan.

    If appropriate, the doctor prescribes and we send your prescription to your pharmacy. If you need one, you get a doctor’s note.

What a pink eye visit costs

Pink eye is handled in a US$79 doctor visit, the same price for every age, with no membership. You pay by card when you request the visit, and you get a full refund if the visit can’t take place. A doctor’s note after your visit is included at no extra charge.

We do not bill insurance; the pharmacy charges separately. See all prices. The service is run by The Health Initiative, a nonprofit.

Pink eye symptoms

The most common symptoms are:

  • Pink or red color in the white of the eye
  • Swollen eyelids
  • Watery eyes
  • Itching or burning
  • A gritty feeling in the eye
  • Discharge or crusting, sometimes with eyelids stuck together in the morning

Treatment, and when a test is ordered

Most pink eye gets better on its own in a few days. Viral pink eye does not improve with antibiotics; bacterial pink eye is sometimes treated with antibiotic drops or ointment, and allergic pink eye with allergy measures. The doctor decides based on your case, and if appropriate she prescribes and we send your prescription to your pharmacy.

A test is rarely needed for pink eye. If the discharge is very heavy, keeps coming back or doesn’t improve with treatment, the doctor may order a culture of the discharge, and we give you a lab order for a lab near you.

Relief at home and stopping the spread

Viral and bacterial pink eye spread by hands that touch eye discharge. To feel better and protect others:

  • Use cold compresses on closed eyes, and over-the-counter artificial tears.
  • For crusting, hold a clean cloth soaked in warm water on the eyelids.
  • Stop wearing contact lenses until you are told it’s okay to start again.
  • Wash your hands often, avoid rubbing your eyes and change your pillowcase daily.
  • Don’t share towels, pillowcases or eye makeup, and throw away eye makeup you used while sick.

Allergic conjunctivitis

Allergic conjunctivitis is a reaction to pollen, pet dander, mold or other allergy triggers. It causes itching, redness and heavy watering, usually in both eyes, and it is not contagious. It improves when the allergy is treated or the trigger is avoided, and cool compresses help. The doctor evaluates you by video and, if appropriate, prescribes. More in allergy treatment.

Pink eye in children of all ages

Pink eye spreads easily among children. According to the American Academy of Pediatrics (AAP), most children get better in 5 or 6 days without antibiotics, and the best protection is good handwashing and cleaning toys and surfaces.

The doctor evaluates your child by video with you on camera: you help bring the eye close to the light. If appropriate, the doctor prescribes and we send the prescription to your pharmacy, and we give you a note for school or daycare. The CDC says that a child without fever or other symptoms may return to school with their doctor’s approval; each school and daycare (cuido) in Puerto Rico can set its own rules. Patients under 21 need a parent or legal guardian on camera with ID. See our online doctor for kids.

For safety: a newborn with a red eye or eye discharge needs the emergency room right away.

When to go to the ER

These signs can point to a more serious eye problem. For your safety, go to the emergency room or an eye doctor today, or call 911. See when to go to the ER.

  • Severe eye pain
  • Vision loss, or blurred vision that doesn’t clear
  • Strong sensitivity to light
  • An eye injury or a chemical in the eye
  • Contact lens wearer with eye pain or a very red eye
  • Swollen, red skin around the eye with fever
  • A newborn with a red eye or eye discharge

How we care for you

  • We evaluate, diagnose and treat; if needed, we give you a lab order for a lab near you.

  • We see adults and children of all ages. Patients under 21: a parent with patria potestad (parental authority) or a legal guardian is on camera for the whole visit and shows photo ID.

  • Real-time video visit. We send you a secure video link. It works on your phone, tablet or computer.

  • If appropriate, the doctor prescribes and we send your prescription to your pharmacy. We do not prescribe controlled substances.

  • You must be physically in Puerto Rico during the visit (visitors, tourists and cruise passengers are welcome).

  • In an emergency, call 911.

Frequently asked questions

Can I get pink eye treated by video in Puerto Rico?

Yes. The doctor asks about your symptoms and looks at your eye on camera with your help. If appropriate, the doctor prescribes and we send your prescription to your pharmacy. You need to be physically in Puerto Rico during the visit.

How long does pink eye last, and when is it no longer contagious?

Most cases improve within 5 or 6 days. Viral pink eye is contagious while symptoms last, and sometimes longer. Bacterial pink eye stops being contagious once treatment starts or symptoms are gone. Allergic pink eye is not contagious.

Does pink eye need antibiotic drops?

Only bacterial pink eye, and even then antibiotics shorten it only slightly. Viral pink eye, the most common kind, does not improve with antibiotics. The doctor will tell you which kind you likely have.

Can I get a note for school or work?

Yes, when the evaluation supports it. A doctor’s note after your visit is included at no extra charge, including for children missing school or daycare.

Pink eye outbreak at school: when can my child go back?

According to the CDC, a child with no fever or other symptoms may be allowed back with their doctor's approval, but should not attend while still having symptoms if school involves close contact with others. Allergic pink eye is not contagious. The doctor can evaluate your child by video and, if appropriate, give you a note for school.

About this page

Author: The Health Initiative

Medical care provided by Dr. Diana Nieves Castro, MD (PR license 24027)

Disclosure: Founding Executive Director of The Health Initiative

Published: 2026-09-30 · Updated: 2026-10-02