Download Prescribing Guidelines for Ocular Lubricants

Moorfields Eye Hospital NHS Foundation Trust
Corneal, External Diseases, A&E and Primary Care Service
Prescribing Guidelines for Ocular Lubricants
MODERATE dry eye
MILD dry eye
1)
Preserved Hypromellose
0.3%
1)
e.g.Optive®
3)
2)
Carmellose 0.5%
/PFDrops
3)
Unpreserved Sodium
hyaluronate ~0.1%
e.g.Hylo-Tear®/ Lubristil® drops
Unpreserved Carmellose 1%
2)
Unpreserved Sodium
hyaluronate 0.2%
e.g. Hylo-Forte®
Carbomer 980 0.2%
e.g. Lumecare ®
e.g.Lumecare ®
1)
e.g.Celluvisc® 1% / PFDrops 1% TM
0.5% TM
Carbomer 980 0.2%
Unpreserved Sodium
hyaluronate ~0.1%
e.g.Hylo-Tear® / Lubristil® drops
e.g.generic preserved bottles
2)
SEVERE dry eye
3)
Liquid paraffin ointment
e.g. VitA-POS®
Systane® for artificial eyes
Lubristil® gel for patients with scleral lenses
RESTRICTED
Ciclosporin preparations only to be initiated by external diseases clinicians
Hypromellose 0.3%, PVA 1.4% Unpreserved bottles (unlicensed) for patients who can only use
pipette
PRESERVATIVE FREE formulations should be prescribed for patients with
- True preservative allergy
- Evidence of epithelial toxicity from preservatives
- Soft contact lenses wearers
- Long term treatment or frequency > 6 times daily
OTHER ocular lubricants on Moorfields Eye Hospital Formulary
Refresh®, Simple eye ointment, Duolube® (unlicensed) PF ointment, Minims® Saline, Ilube®, Acetylcysteine 10% PF(unlicensed)
bottle, Hydromoor® PF.
PF= Preservative Free
Date of issue October 2014 / Date of review October 2016