NO DRUG THERAPY IN PRIMARY CARE (RECOGNITION & REFERRAL)
Complaints about fit, comfort, or vision with spectacles or contact lenses. Routine matters are for an optometrist/optician; nothing for a GP to prescribe unless a separate eye problem (e.g. infection from lens wear) is found, which would be coded separately. - Refer
Children follow the same pathway: recognise and refer. No primary-care medicine is implied.
No dose - referral pathway, no medicine given in primary care
Complaints about fit, comfort, or vision with spectacles or contact lenses. Routine matters are for an optometrist/optician; nothing for a GP to prescribe unless a separate eye problem (e.g. infection from lens wear) is found, which would be coded separately.
- Contact lens wearer with a painful, red eye (risk of microbial keratitis) needs urgent ophthalmology referral, not routine optical follow-up.
- No medicine is prescribed for this in primary care - this entry is for recognition and referral. Anything given is decided by the service it is referred to.
- Contact Lens-Induced Microbial Keratitis is a red flag - bacterial or Acanthamoeba keratitis requiring urgent ophthalmology referral.
- Tight lens syndrome and acute hypoxia are red flags for acute mechanical or hypoxic contact lens complications.