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Chapter 11: Eye
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Treatment of dry eye
Nutritional supplements for age-related macular degeneration
11.1 Administration of drugs to the eye
11.3 Anti-infective eye preparations
11.4 Corticosteroids and other anti-inflammatory preparations
11.5 Mydriatics and cycloplegics
11.6 Treatment of glaucoma
11.7 Local anaesthetics
11.8 Miscellaneous ophthalmic preparations
11.9 Contact lenses
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11.9 Contact lenses
First Line
Second Line
Specialist
Hospital Only
- Contact lens solutions are not allowed on FP10
- All contact lens fitting and aftercare must be carried out by a qualified contact lens fitter, optometrist or ophthalmologist who should also give advice regarding appropriate cleaning and disinfection products.
- Contact lenses require meticulous care. Poor compliance with directions for use and daily cleaning and disinfection can result in complications including ulcerative keratitis or conjunctivitis.
- The provision of contact lens care products (cleaning and sterilising solutions, and case) is regarded as an integral part of the therapy in medical contact lens fitting.
- Avoid using preparations containing preservatives with soft contact lenses.
- Many drugs given systemically can have adverse effects on contact lens wear - see BNF for details.
- Ointment preparations and oily eye drops should only be used following specialist advice in conjunction with contact lens wear.
- Discontinuation of contact lens wear should be encouraged in the event of pain, redness or blurred vision with urgent assessment by a qualified optometrist or ophthalmologist.
