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Table 3 Summary of guidelines on pharmacological therapy of ocular disease in the paediatric population

From: Ocular medicines in children: the regulatory situation related to clinical research

Ref.

Organisation

Title

Disease

Quality of evidence

Treatment (Licensing status)

Country

Year

[41]

National Guideline Clearinghause (NGC)

Guidelines for the treatment and management of acute bacterial conjunctivitis in children and adults.

Acute bacterial conjunctivitis

I

Topical antibiotic therapy:

• Norfloxacin 0.3% (nl)

• Ciprofloxacin 0.3%

• Ofloxacin 0.3%

• Levofloxacin 0.5% (nl UK, nl USA)

• Lomefloxacin 0.3%

• Moxifloxacin 0.5% (nl UK)

• Gatifloxacin 0.3% (nl IT, nl UK)

• Chloramphenicol 0.5% (nl USA)

• Sulfacetamide Sodium 10% (nl)

• Erythromycin 0.5% (nl)

• Gentamicin Sulfate 0.3% (nl)

• Trimethoprim Sulfate/Polymyxin B 10000 U/1 mg/mL (nl IT)

• Fusidic acid 0.1% (nl IT, nl USA)

• Tobramycin 0.3% (nl UK, nl USA)

• Povidone-iodine 1.25% (nl UK, nl USA)

• Bacitracin (nl)

Ocular steroids and steroid-antibiotic:

• Prednisolone (nl IT, nl USA)

• Fluorometholone 0.1%/sulfacetamide sodium 10% (nl)

• Fluorometholone 0.1%

• Neomycin/polymyxin B/dexamethasone 0.1% (nl IT)

• Gentamicin 0.3%/prednisolone acetate 0.1% (nl)

• Tobramycin 0.3%/dexamethasone 0.1% (nl)

USA

2005

[34]

Canadian Paediatric Society

Recommendations for the prevention of neonatal ophthalmia

Prophylaxis to prevent neonatal ophthalmia due to N gonorrhoeae

III

• Silver nitrate 1% eye drops (nl)

• Erythromycin 0.5% ointment (nl)

• Tetracycline 1% ointment (nl)

Canada

2002 (Rev. 2009)

[29]

Moore W. and Nischal K.K.

Pharmacologic management of glaucoma in childhood

Glaucoma

I

• Β-Blockers: Betaxolol 0.25% (nl)

• Carbonic Anhydrase Inhibitors: Dorzolamide 2% (nl UK, nl USA)

• Prostaglandin Analogs: Latanoprost (nl), Travoprost (nl), Bimatoprost (nl)

• Adrenoceptor Agonists: Brimonidine (nl UK), Apraclonidine (nl)

• Parasympathomimetics: Pilocarpine (nl UK, nl USA)

UK

2007

[39]

Royal College of Ophthalmologists

Guidelines for the management of amblyopia

Ambliopia

III

• Refractive correction (glasses)

• Patching: from 2 to 6 hours per day

• Atropine (nl IT, nl USA)

UK

2006

[6]

National Guideline Clearinghause (NGC)

Best evidence statement (BESt). Treatment of amblyopia in children.

Amblyopia

I

• Refractive correction (glasses)

• Atropine: 1 drop/day, 2 - 7 days per week (nl IT, nl USA)

• Patching: from 2 to 6 hours per day

USA

2007

[38]

Royal College of Ophthalmologists

Guidelines for the management of strabismus in childhood

Strabismus

III

• Surgical interventions

• Refractive correction (glasses)

• Miotics (not specified)

UK

2007

[46]

The Brazilian Society of Pediatrics, Brazilian Council of Ophthalmology, Brazilian Society of Pediatric Ophthalmology

Brazilian guidelines proposal for screening and treatment of retinopathy of prematurity (ROP)

Retinopathy of prematurity (ROP)

III

Surgical interventions+post surgical treatment with topical steroids/antibiotics (not specified)

Brazil

2007

[40]

Royal College of Ophthalmologists, Royal College of Paediatrics and Child Health, British Association of Perinatal Medicine & BLISS

Guideline for the Screening and Treatment of Retinopathy of Prematurity

Retinopathy of prematurity (ROP)

III

Screening examination with Cyclopentolate 0.5%/Phenylephrine 2.5% combination: 1drop each in 2 to 3 doses, each 5 minutes apart, 1 hour prior to examination (nl)

UK

2008

  1. NOTE: nl: not licensed for paediatric use; IT: Italy; UK: United Kingdom; USA: United States of America