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
11-08-01 Tear deficiency, ocular lubricants, and astringents

Dry Eye

Patients should be encouraged to manage both dry eyes and sore eyes by implementing some self-care measures such as good eyelid hygiene and avoidance of environmental factors alongside treatment

Mild to moderate cases of dry eye syndrome or sore tired eyes can usually be treated using lubricant eye treatments that consist of a range of drops, gels and ointments that can be easily be purchased over the counter.


Hypromellose
Formulary

Hypromellose

  • Eye drops 0.3%
  • Evolve® Hypromellose (preservative-free)

Notes:

  • Should not be prescribed in Primary Care or at Discharge
  • Advise patient to purchase, unless prescription is for long-term regular use

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Acetylcysteine  Ilube®
Formulary
  • Ilube® 5% eye drops
  • 10% eye drops (preservative-free bottle); Unlicensed, Pending supplier

Notes:

  • For hospital specialist initiation in dry eye conditions assoiciated with mucus produ

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Carbomer eye drops
Formulary

 Clinitas Carbomer gel 0.2%

Note:

  • Suitable for contact lens wearers

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Carmellose Sodium 0.5%
Formulary
  • Optive eye drops (Carmellose sodium 0.5%, glycerol 0.9%)
  • Optive Fusion eye drops (sodium hyaluronate 0.1%, carmellose sodium 0.5%, glycerol 0.9%)

Notes:

  • Contains preserving system which biodegrades on contact with the eye.
  • 6 month expiry once open.
  • Suitable for contact lens wearers.

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Carmellose sodium 0.5% (Optive Plus®) eye drops
Formulary

Optive Plus eye drops (Carmellose sodium 0.5%, glycerol 1%, castor oil 0.25%)

Notes:

  • For use in evaporative dry eyes (for hospital specialist initiation)

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Carmellose Sodium 1% Celluvisc
Formulary

Celluvisc eye drops (Carmellose sodium 1% Preservative-Free single use eye drops)

Notes:

  • Suitable for contact lens wearers.

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Hydroxypropyl Guar Systane®
Formulary
  • Propylene glycol 0.3%, polyethylene glycol 400 0.4% 
  • Preservative-free single use eye drops 

 

Note:

  • For artificial eyes
  • Multidose bottle may be used for up to six months after opening
  • In contact lens wearers, Systane® should be applied before inserting lenses and after removal to extend comfortable wearing times

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Liquid Paraffin  Hylo Night®
Formulary

Hylo Night® (Previously VitA-POS®) eye ointment contains Retinol palmitate 250iu/g, liquid paraffin, wool fat

Notes:

  • Can be used at any stage of dry eye treatment
  • Not suitable with contact lenses.
  • Best suited for application before sleep.

Key product features that remain the same:

  • Preservative & phosphate free
  • 6 months sterility from time of opening
  • Allows for 300 individual applications

 


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Paraffin Yellow Soft
Formulary

Simple Eye ointment  


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Sodium Chloride Minims® Saline
Formulary

Minims® Single use eye drops

 

Notes:

  • Irritation, including first-aid removal of harmful substances

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Sodium Hyaluronate
Formulary
  • Hylo-Tear® preservative-free eye drops 0.1%
  • Hylo-Forte® preservative-free eye drops 0.2%

Notes:

  • 6 month expiry once open.
  • Suitable for contact lens wearers.

 Clinitas® preservative-free eye drops 0.4%; reclosable single dose units and may be used for up to 12 hours

     Notes:

  • For Sjogrens dry eye (for consultant initiation only)

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Sodium Chloride
Formulary

Balances Salt Solution (BSS) Eye irrigation solutions 

Notes:

  • not prescribable in primary care
  • Irritation, including first-aid removal of harmful substances

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Sodium Hyaluronate 0.1%, Co-enzyme Q10 0.1%, Vitamin E 0.5% VisuXL®
Formulary

VisuXL® preservative-free eye drops

Notes:

  • For use only in patients with moderate to severe dry eye with corneal epithelial stains and on the recommendation of a specialist.
  • Take care to avoid duplication of therapy with use of other previous eye drops where relevant.
  • The multi-dose, preservative-free bottle, is sterile for 2 months after first opening.
  • Refer to the guideline for Dry Eye Syndrome for further details on management.

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Acetylcysteine 10% eye drops
Non Formulary

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Acetylcysteine 5% eye drops
Non Formulary

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Carboxymethylcellulose, glycerine & castor oil eye drops Optive Plus®
Non Formulary

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Hydroxyethylcellulose Minims® Artificial Tears
Non Formulary

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Hypromellose 0.3% with Dextran 70 0.1% Tears naturale®
Non Formulary

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Liquid Paraffin and Liquid Paraffin light eye drops
Non Formulary

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Polyvinyl Alcohol Liquifilm Tears or Sno Tears®
Non Formulary

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Retinol palmitate with soft paraffins VitA-POS®
Non Formulary

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Sodium hyaluronate 0.15% with trehalose 3% Thealoz Duo®
Non Formulary

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Soybean oil unit dose eye drops Emustil®
Non Formulary

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