Milton Keynes Formulary
Milton Keynes University Hospital NHS Foundation Trust
Milton Keynes Clinical Commissioning Group
Milton Keynes Community Health Services

 
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11 Eye
11-03-01 Antibacterials

Eye Infections

Treatment isn’t usually needed for conjunctivitis unless the patient has red flag symptoms as the symptoms usually clear within a week. There are several self-care measures that may help with symptoms.

If treatment is needed, then treatment is dependent on the cause:

·         In severe bacterial cases, antibiotic eye drops and eye ointments can be used to clear the infection.

·         Irritant conjunctivitis will clear up as soon as whatever is causing it is removed.

·         Allergic conjunctivitis can usually be treated with anti-allergy medications such as antihistamines. The substance that caused the allergy should be avoided.

Treatments for conjunctivitis can be purchased over the counter; however almost half of all simple cases of conjunctivitis clear up within ten days without any treatment.

Public Health England (PHE) advises that children with infective conjunctivitis do not need to be excluded from school, nursery or child minders, and it does not state any requirement for treatment with topical antibiotics.


Chloramphenicol
Formulary
  • Eye drops 0.5% 
  • Eye ointment 1%
  • Single use eye drop 0.5%

 

Notes:

  • Chloramphenicol is the drug of choice for superficial eye infections. It has a broad spectrum of activity and is associated with a low level of resistance.
  • Should not be routinely prescribed in Primary Care. Advise patient to purchase
    • Available to purchase over the counter for patients over 2 years of age
  • Most bacterial infections are self-limiting. Mild cases should not need treating.
  • May be prescribed if appropriate to in-patients. 

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Fusidic Acid
Formulary

Viscous eye drops 1% (Contains: benzalkonium chloride, disodium edetate)  

 Notes:

  • Fusidic acid should be reserved for people who:
    - Are pregnant.
    - Have a personal or family history of blood dyscrasias, such as aplastic anaemia.
    - Are intolerant of chloramphenicol.
    - Need a twice-a-day treatment for infective conjunctivitis
    See CKS topic for more information.
  • Jan 2016: price increased from £2 a tube to £35 a tube!

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Cefuroxime  Aprokam®
Formulary

Aprokam® - Specialist use only

  • Intracameral Injection 50mg powder for solution for injection in vial plus filter needle

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Ciprofloxacin
Formulary
  • Ophthalmic solution 0.3%
  • Eye ointment 0.3% 

Notes:

  • Ciprofloxacin eye drops should be reserved for treatment of corneal ulcers.

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Gentamicin ophthalmic
Formulary

Drops 0.3%


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Ofloxacin Eye drops Exocin®
Formulary

Ophthalmic solution 0.3% 


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Povidone iodine 5%
Formulary

Single Use Eye Drops Minims® 5%

Notes: 

  • Antiseptic prior to surgical procedures post-Trabeculectomy

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Gentamicin single use Minims® Gentamicin Sulphate
Formulary

Preservative free eye drops 1.5%  


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Amikacin
Non Formulary

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Azithromycin Azyter®
Non Formulary

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Benzylpenicillin
Non Formulary

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Ceftazidime
Non Formulary

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Chlorhexidine
Non Formulary
Link  MHRA alert: Anaphylaxis risk with chlorhexidine
 

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Chlortetracycline
Non Formulary

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Erythromycin
Non Formulary

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Levofloxacin
Non Formulary

Eye drops


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Moxifloxacin eye drops Moxivig®
Non Formulary

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Polihexanide
Non Formulary

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Polymyxin B Sulphate eye ointment Polyfax®
Non Formulary

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Propamidine Isetionate Brolene® eye drops
Non Formulary

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Vancomycin
Non Formulary

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