{
  "schema_version": 1,
  "kind": "condition",
  "id": "glasses-contact-lens-symptoms",
  "name": "Glasses or contact lens problems",
  "category": "chronic",
  "sources": "Bacterial Keratitis - StatPearls - NCBI Bookshelf (NBK574509) - https://www.ncbi.nlm.nih.gov/books/NBK574509/ · ICPC-3 (WONCA International Classification of Primary Care, 3rd edition) class FS10 - condition scope only, no dose · No dose - referral pathway, no medicine given in primary care",
  "review_status": "reviewed",
  "verified_against": "No dose - referral pathway, no medicine given in primary care · Glasses or contact lens problems - disease-level clinical article (glasses-contact-lens-symptoms-clinical.txt)",
  "verified_date": "2026-08",
  "treatments": [
    {
      "id": 838,
      "generic": "No drug therapy in primary care (Recognition & Referral)",
      "line": 1,
      "is_adjunct": false,
      "form": null,
      "strength_mg": null,
      "adult_dose": "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.",
      "adult_duration": "Refer",
      "dose_source": "No dose - referral pathway, no medicine given in primary care",
      "rationale": "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.",
      "cautions": [
        "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."
      ],
      "peds_mgkg_low": null,
      "peds_mgkg_high": null,
      "peds_max_mg": null,
      "peds_basis": null,
      "peds_unit": null,
      "peds_note": "Children follow the same pathway: recognise and refer. No primary-care medicine is implied.",
      "peds_min_weight_kg": null,
      "peds_max_weight_kg": null,
      "peds_age_min_months": null,
      "peds_age_max_months": null,
      "peds_age_bands": null,
      "peds_doses": null,
      "brands": [],
      "condition_id": "glasses-contact-lens-symptoms"
    }
  ]
}