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)11.4.1 Corticosteroids

Topical corticosteroids should normally only be used with expert supervision. 
GREEN      Betamethasone eye/ear/nose drops 0.1%
GREEN      Betnesol-N® eye/ear/nose drops 
GREEN      Dexamethasone eye drops 0.1 (Maxidex®)
GREEN      Fluorometholone eye drops 0.1%
GREEN      Maxitrol® eye drops, eye ointment  
GREEN      Prednisolone eye/ear drops 0.5% 
GREEN      Predsol-N® eye/ear drops
AMBER     Prednisolone eye drops 1% (forte)(specialist use only)   
For the treatment of post operative inflammation following ocular surgery in patients
who are at risk of corticosteroid induced raised intra-ocular pressure.
AMBER     Loteprednol drops 0.5% (specialist use only) 
RED           Dexamethasone intravitreal implant 700mcg (specialist use only)  
                          (For further information, see NICE TA229) 
 For the treatment of sight problems caused by diabetic macular oedema if:
  • there is an artificial lens in the eye to be treated, and
  • diabetic macular oedema has not improved with non-corticosteroid treatment, or such treatment is not suitable for them.                                                                                                                                                                    See NICE TA349

RED           Dexamethasone intravitreal implant 700mcg (specialist use only)      

NICE guidance for treating non-infectious uveitis (as an option in) TA460; 
                                                                                                          NHS England Commissioned
RED           Adalimumab solution for injection
RED           Dexamethasone intravitreal implant 700mcg (specialist use only) 

RED Fluocinolone acetonide intravitreal implant (Iluvien®)

NICE TA301 for treating chronic diabetic macular oedema after an inadequate response to prior therapy.                                                [Rapid review of TA271]                                                                                                              NHS England Commissioned                               

NICE TA590  Fluocinolone acetonide intravitreal implant is recommended as an option for preventing relapse in recurrent non-                               infectious uveitis affecting posterior segment of the eye. It is recommended only if the company provides it according                         to the commercial arrangement.                                                                    NHS England Commissioned 

11.4.2 Other anti-inflammatory preparations

 Used to treat inflammation and allergic conjunctivitis
GREEN      Otrivine-Antistin® eye drops   
GREEN      Sodium cromoglicate eye drops 2% (1st line option)  
AMBER     Olopatadine eye drops 1mg/ml          
  (Consultant initiation only2nd line option, when first line of management fails or
    not adequate).