Most acute superficial eye infections can be treated topically. Blepharitis and conjunctivitis are often caused by staphylococci; keratitis and endophthalmitis may be bacterial, viral, or fungal. Most cases of acute bacterial conjunctivitis are self-limiting; where treatment is appropriate, antibacterial eye drops or an eye ointment are used. A poor response might indicate viral or allergic conjunctivitis.
See NHS Somerset Managing common infections guidance.
| Therapeutic Area | Formulary Choices | Cost for 28 (unless otherwise stated) | Rationale for decision / comments |
|---|---|---|---|
| Antibacterials |  Chloramphenicol - suitable for self-care | 0.5% eye drops: £8.77 (10ml) 1% ointment: £1.76 (4g) | Not licensed for under 2 years if bought over the counter. Topical fusidic acid is non-formulary as no longer recommended due to resistance. |
| Ofloxacin as Exocin® | 0.3% eye drops: £2.17 (5ml) | ||
| Antivirals | Ganciclovir as Virgan® | 0.15% eye gel: £19.99 (5g) | |
| Aciclovir as Agepha® | 3% eye ointment: £45:00 (4.5g) |