The following information provides a guide for GPs on how to manage or make a referral for presentation of Allergic eye disease (seasonal, perennial, vernal, atopic) in children.
Do not refer (See GP management & self care below)
Urgent referral to Acute Eye Clinic
Olopatidine 1mg/ml (Opatanol) twice daily throughout pollen season +/- rest of year as maintenance whilst condition persists [Lodoxamide two to four times daily and Sodium Cromoglycate 2% four times daily are alternatives but less effective/more frequent use needed)
If previously prescribed by hospital, for vernal/atopic: G ciclosporin A 1mg/ml (Verkazia, licensed in children) four times a day initially and twice to four times daily for maintenance.
Long term: can try to reduce and stop during the winter months
Carbomer or sodium hyaluronate (artificial tears) as necessary up to four times a day can provide a degree of extra symptom relief for mild disease
For associated blepharitis: Please add treatment from blepharitis pathway.
Treat associated lid eczema with emollients +/- short course 1% hydrocortisone skin cream/ointment.
Always include:
This pathway has been produced by the Moorfields hospital to help clinicians manage the healthcare of Children and Young People. However, if you need to contact a Paediatric clinician, please see below for contact details:
Moorfields Eye Hospital:
Paediatric helpline: 0207 2533411 extn 4569, Mon- Fri 10:00am-13:00pm then 14:00pm-16:00pm
Last update: April 2021