Therapeutic AreaFormulary ChoicesCost for 28
(unless otherwise stated)
Rationale for decision / comments
BNF Chapter 11: Eye
11.3 Anti-infective eye preparations
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.
AntibacterialsChloramphenicol0.5% drops: £1.82 (10ml)
1% ointment: £2.20 (4g)
See Infection Management Guidance for appropriate clinical indications.Chloramphenicol drops and ointment are now both available OTC at a cost lower than NHS prescription charge but restrictions apply to sales.
Chloramphenicol drops are contraindicated in patients under two years of age.
Fusidic acid (Fucithalmic®) is non-formulary
Ofloxacin0.3% drops: £2.17 (5ml)See Infection Management Guidance for appropriate clinical indications.
AntiviralsGanciclovir 0.15% eye gel0.15% ophthalmic gel, 5g=£19.99.
For patients who find administration of eye drops difficult we recommend prescription of these devices
Opticare (for 2.5, 5, 10, 15 & 20ml bottles) £4.95
Opticare Arthro 5 (for 2.5 & 5ml bottles) £4.95
Opticare Arthro 10 (for 10, 15, 20ml bottles) £4.95