| 11.3.1 Antibacterials |
| First line: broad spectrum of activity, suitable for superficial eye infections. |
| GREEN Chloramphenicol [Consider OTC/Self care] |
| eye drops 0.5%, ophthalmic ointment 1%, unit dose eye drops 0.5% |
| |
| RED Chloramphenicol eye drops 0.5% PF (Eykappo®) |
| For use by opthalmology ONLY |
| (where treatment is required for more than 5 days) |
| Second line: it is recommended to do a culture and sensitivity before prescribing these preparations. Fusidic acid is |
useful for staphylococcal infections and gentamicin for pseudomonal infections.
|
| GREEN Fusidic acid gel eye drops 1% |
| GREEN Gentamicin eye/ear drops 0.3% |
| RED Ofloxacin eye drops 0.3% (specialist use only) |
| RED Cefuroxime 5% eye drops (specialist use only) |
| RED Gentamicin eye drops 1.5% (specialist use only) |
| RED Clotrimazole 1% drops (specialist use only) |
| RED Levofloxacin (2nd line, specialist use only) |
| 0.5% eye drops |
| unit dose eye drops 0.5% |
| Acanthamoeba keratitis infections and Fusarium keratitis infections |
| RED Propamidine isetionate 0.1% eye drops (specialist use only) |
| RED Polymeric polyhexamethylene biguanide 0.02% eye drops (specialist use only) |
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| Blepharitis: off licence use of doxycycline 50mg tablets is an option to consider in NICE |
| CKS for the treatment of blepharitis only under the direction of an optometrist. |
| AMBER Doxycycline tablets 50mg |
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11.3.3 Antivirals
|
For use in Herpes simplex infections of the eye.
|
GREEN Ganciclovir eye ointment
|
| [alternative to Aciclovir eye ointment [discontinuation due June 2019. |
| Note: not licensed for use in children under 18 years of age] |
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