Caution in dry eye/compromised ocular surface if prolonged use planned
Refer to local Pharmacist for oral antihistamine
Effective also for other symptoms of hay fever, e.g. allergic rhinitis
Consider anticipatory use of mast cell stabiliser (slow response)
Sodium cromoglicate 2% eye drops 4 times daily
Advice
Advise against eye rubbing
Advise avoidance of allergen(s)
Management Category
Normally no referral
if conventional therapy fails, referral to an immunologist for consideration of sub-lingual or other form of immunotherapy may be appropriate
Possible management by Ophthalmologist
Not normally referred
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The eyes.nhs.scot website (“Website”) is intended as a reference source for education and clinical
decision support and is intended for use by ophthalmic healthcare professionals.
The Website is not intended for use by the general public and does not replace the advice of a healthcare professional.
Members of the public should seek advice directly from their optometrist.
The guidelines on the Website were originally adapted from The College of Optometrists’ Clinical Management Guidelines
(CMGs), to incorporate pragmatic experience gained from NHS Grampian’s Eye Health Network. However, this content is currently under review.
The most up-to-date versions of The College of Optometrists’ CMGs can be accessed
at https://www.college-optometrists.org/clinical-guidance/clinical-management-guidelines.
The information on the Website provides guidance and related information for the differential diagnosis, possible
management by optometrists (treatment and advice), management category and possible management by ophthalmologists.
Users should note that that the guidance on the Website will not be suitable for every situation and is not intended to be a
substitute for specialist expertise and clinical judgement. Users should also note that this guidance should not be adhered to
in isolation and should be considered in conjunction with other national and locally available guidance/pathways.
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the Website is provided ‘as is’ and NSS does not warrant the accuracy and completeness of the material on the Website. NSS may
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