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 for Primary Care

 

Therapeutic AreaFormulary ChoicesCost for 28
(unless otherwise stated)
Rationale for decision / comments
Bacterial eye infection
AntibacterialsGreen crossChloramphenicol

- 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)
Viral eye infection
AntiviralsGanciclovir
as Virgan®
0.15% eye gel: £19.99 (5g)
Aciclovir
as Agepha®
3% eye ointment: £45:00 (4.5g)
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