NICE/PHE guidance advises that first line treatment of conjunctivitis is to bath/clean eyelids with cotton wool dipped in sterile saline or boiled (cooled) water to remove crusting. Conjunctivitis should only be treated with an antibacterial preparation if it is severe because most cases are viral or self-limiting.

If there is no response to treatment it is advisable that a swab is taken before changing the antibiotic, ideally after stopping all treatment antibiotics for 24 hours.

Unlicenced special

Pack
1 ml
5 ml
10 ml

Excipients depend on manufacturer.

Treatment limited to 5-7 days due to possible link to bone marrow suppression; avoid in patients with personal or family history of blood dyscrasia.

Available OTC for age 2 years and over.

Pack
5 ml
10 ml
Pack
20 unit dose
Pack
4 gram

Used for bacterial keratitis in cases of high risk corneal grafts, limbal stem cell deficiency, corneal perforation or where bandage contact lens is required, e.g. where corneal gluing has been performed

Pack
30 unit dose

Contains benzalkonium chloride.

Little value in bacterial infections, but is used by specialists to treat the rare, but potentially sight-threatening, condition of acanthamoeba keratitis (unlicensed indication).

OTC: Patients should be advised to purchase if appropriate (GoldenEye eye drops or Brolene eye drops).

Pack
10 ml

Unlicenced special

Pack
1 ml