Conditions
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.
Is it an emergency? Call 911.
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
Help lines
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
On this page(11)
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.
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.
Your visit in 3 steps
Request a visit online 24/7 — we confirm your time by email or text.
Request your visit.
Book a visit and choose "Doctor visit". You pay by card when you request it.
See the doctor by video.
We send you a secure video link. It works on your phone, tablet or computer.
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?
How long does pink eye last, and when is it no longer contagious?
Does pink eye need antibiotic drops?
Can I get a note for school or work?
Pink eye outbreak at school: when can my child go back?
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
Sources (6)
- About Pink Eye (CDC) (opens in a new tab) (accessed 2026-09-30)
- Treatment of Pink Eye (CDC) (opens in a new tab) (accessed 2026-09-30)
- Conjunctivitis or pink eye (MedlinePlus, NIH) (opens in a new tab) (accessed 2026-09-30)
- Pinkeye (Conjunctivitis) (AAP, HealthyChildren.org) (opens in a new tab) (accessed 2026-09-30)
- Dry Eye (National Eye Institute, NIH) (opens in a new tab) (accessed 2026-10-02)
- What Are Chalazia and Styes? (American Academy of Ophthalmology) (opens in a new tab) (accessed 2026-10-02)
