Midwives Revision

Ophthalmology (Eye Conditions)

Use of Eye Preparations (General Notes)

General guidance on the application frequency and duration for common eye drop and eye ointment preparations.

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Referral and warning signs

When to refer

Not applicable - General guidance.

Signs and symptoms

  • Not applicable - Guidance topic.

Risk factors

  • Not applicable.

Diagnosis

Clinical assessment

Not applicable.

Diagnostic criteria

Not applicable.

Management

Pharmacological treatment

  • Eye Drops:
  • - Initial phase (until control): Apply 1 drop every 2 hours.
  • - Maintenance phase: Reduce frequency as condition improves (e.g., QID).
  • Eye Ointment:
  • - If used alone: Apply 3-4 times daily.
  • - If used with drops: Apply ointment at night only.
  • Duration: Continue treatment for 48 hours after clinical healing appears complete.

Monitoring

Monitor clinical response to treatment.

Complications

  • Under-treatment if frequency reduced too soon.
  • Toxicity or side effects with prolonged or too frequent use of certain drops (e.g., steroids).

Patient education

  • Correct technique for instilling eye drops/applying ointment.
  • Importance of adhering to prescribed frequency and duration.
  • Do not share eye preparations.

Uganda-specific notes

Standard approach for common topical eye medications.

References

  • Uganda Clinical Guidelines (UCG) 2023

    Chapter 20, Section 20.1.1

For learning and professional reference. Use current local guidance and clinical judgement.

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