There are more serious conditions that can present with a red eye such as infectious keratitis, angle-closure glaucoma, or iritis. These conditions require the urgent attention of an ophthalmologist. Signs of such conditions include decreased vision, significantly increased sensitivity to light, inability to keep eye open, a pupil that does not respond to light, or a severe headache with nausea.  Fluctuating blurring is common, due to tearing and mucoid discharge. Mild photophobia is common. However, if any of these symptoms are prominent, it is important to consider other diseases such as glaucoma , uveitis , keratitis and even meningitis or carotico-cavernous fistula .
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I’m an adult (47) and just got diagnosed with pertussis and am taking antibiotics. I just wanted to add that the antibiotics really helped! I still sound the same, but my throat feels much much better; I had the “tickle” in the throat that is listed as a symptom (which I think contributes to the gagging and throwing up people get!), in my case I thought maybe I had a feather lodged in my throat, so “tickle” it was not! That symptom which had been there a week, was gone almost 100% within maybe 20 hours of being on the antibiotic. I’m not all clear of the cough, so obviously I’m hoping my healing trajectory will continue. I just wanted to say I felt the antibiotics were extremely helpful and I’m so glad I didn’t wait any longer. Also, of course I do not want to be contagious to anyone else. There are sometimes when I’m so grateful for western medicine, this was one time. I’m also using peppermint, eucalyptus, and tea tree oil, which really helps a lot. For a kid it might sting so a lot of carrier oil would be great. Also I’ve been drinking throat comfort herbal tea, which really helps keep the cough calm. Thanks for the article!