NHS Logo
Bedfordshire and Luton Joint Formulary
Bedfordshire Hospitals NHS Foundation Trust
Bedfordshire, Luton and Milton Keynes ICB
Formulary Chapter: 11 - Eye 
Notes:

Any drug not listed on the Formulary should be considered Non-Formulary - Not recommended for prescribing
11.08.02 Ocular diagnostic and peri-operative preparations and photodynamic treatment
11.08.02 Ocular diagnostic preparations
11.08.02 Ocular peri-operative drugs

Acetylcholine Chloride / Mannitol 1%/3%
(Intra-ocular irrigation)

RED
Formulary
BNF BNFc SPC

Apraclonidine 0.5% (Iopidine®)
(Eye Drops)

RED
Formulary
BNF BNFc SPC

Apraclonidine 1% (Iopidine®)
(Ophthalmic solution, single use, preservative-free)

RED
Formulary
BNF BNFc SPC

Diclofenac Sodium (Voltarol® Ophtha multidose)
(Eye drops)

RED
Formulary
BNF BNFc SPC

Flurbiprofen Sodium 0.03%
(Single use, preservative free eye drops )

RED
Formulary
BNF BNFc SPC

Ketorolac 5mg/mL (Acular®)
(Eye drops)

Amber SPA
Formulary

Safety Alert from Moorfield's Hospital (February 2016)

There have been recent cases in which patients have suffered severe corneal melting following the combined use of acular and maxitrol (dexamethasone and neomycin) after routine cataract surgery. This is a very rare but recognised complication of acular use but it appears that the combination of the two preparations together may significantly increase the risk of corneal melting.

  • Do not prescribe acular in combination with maxitrol for any patient
  • Do not use maxitrol routinely for post phaco medication. Follow cataract service guidelines using dexamethasone and chloramphenicol
  • Be aware that the use of acular is associated rarely with corneal melts and the risk is increased in diabetics and immunocompromised patients
  • Be vigilant for any corneal melts associated with maxitrol and acular and report them as an incident
BNF BNFc SPC
Non formulary items

Bromfenac (Yellox®)

 
Non Formulary
BNF BNFc SPC

Diclofenac (Voltarol® Ophtha)

 
Non Formulary
BNF BNFc SPC

Nepafenac (Nevanac®)

 
Non Formulary
BNF BNFc SPC
11.08.02 Subfoveal choroidal neovascularisation
11.08.02 Vitreomacular traction
Classifications
GREEN
May be initiated in any care setting
Amber SPA
Specialist to advise therapy and provide first 28 days supply, continuation in Primary Care
Amber SPIS
Specialist to initiate and stabilise medicine prior to continuation in Primary Care
SCG
To be prescribed as per Shared Care Guidance. If no SCG in place status reverts to red.
RED
Red medicines are designated as specialist only medicines which should only be prescribed by a specialist, usually within secondary care (either due to the requirement for specialist knowledge, long-term monitoring requirements, or restrictions that mean medicine supplies are only available to hospitals).
DNP
A decision has been made either locally and/or nationally not to routinely commission this preparation. Do not prescribe.
SELF
To be purchased over the counter. May be prescribed for chronic, long term conditions or on admission to hospital if essential.