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11.08 Miscellaneous Opthalmic Preparations

11.8.1 Tear deficiency, ocular lubricants and astringents

NICE Guidance Eye Conditions

As per eye clinic Dry Eye Syndrome regime

CCG Dry Eyes Prescribing Guidelines

Preserved Preparations

1st line   HYPROMELLOSE 0.3%  
2nd line   POLY VINYL ALCOHOL 1.4% e.g Liquifilm tears; Sno tears
3rd line   CARBOMER GEL e.g Viscotears; gel tears
4th line   CARBOXYMETHYLCELLULOSE (CMC) w/glycerine e.g Optive
5th line   POLYETHYLENE GLYCOL/PEG HYDROXYPROPYL GUAR e.g Systane

Unpreserved Preparations

Indications:

• Known toxicity or allergy to preservatives
• Drops required 4 times a day or more in the presence of tear deficiency or epithelial instability
• Patients wearing preservative retaining contact lens

1st line   SODIUM HYALURONATE e.g Hylo-Tears 0.1%; Hylo-Forte 0.2%
2nd line   CARMELLOSE e.g Celluvisc 0.5 or 1% unit dose
2nd line   POLYETHYLENE GLYCOL/PEG HYDROXYPROPYL GUAR e.g Systane unit dose
3rd line   POLY VINYL ALCOHOL 1.4% unit dose  

Anterior Blepharitis:

    Lid hygiene  
    Hot compress  
    Oc chloramphenicol 1% bd - qid to lids – if indicated  

Posterior Blepharitis:

 
    Lid hygiene  
    Hot compresses / lid massage  
    Systane Balance (active ingredient Propylene Glycol 0.6%)  
    Optive Plus (lipid enhancing)  
    Oc chloramphenicol 1% bd - qid or oc maxitrol nocte to lids – as indicated  
    Doxycycline 100mg od p.o (for 3 – 6 months) – discuss with Doctor before prescribing  

11.8.2 Ocular diagnostic preparations

 
  FLUORESCEIN 1% Minims  
    ROSE BENGAL  

Ocular peri-operative drugs

 
  ACETYLCHOLINE  
  APRACLONIDINE  
  KETOROLAC TROMETAMOL (Acular)  
  DICLOFENAC SODIUM (Voltarol Optha)  

Subfoveal Choroidal Neovascularisation

 
1st line AFLIBERCEPT (Eylea)  
1st line RANIBIZUMAB (Lucentis)  
  PEGAPTANIB SODIUM (Macugen)  
    PRESERVISION (Yellow) Original soft gel Capsules  

Vitreomacular traction

 
  Jetrea SPC OCRIPLASMIN (Jetrea)  

Other preparations

 
   

BALANCED SALT Solution - For use in theatres

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