# Glasses or contact lens problems

- Category: chronic
- Review status: reviewed (every claim checked against a document named on this page)
- 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
- Verified date: 2026-08

## 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)

## Treatment metadata

- No drug therapy in primary care (Recognition & Referral)

## Complete treatment card

```text
GLASSES OR CONTACT LENS PROBLEMS
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 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)  (2026-08)

1. NO DRUG THERAPY IN PRIMARY CARE (RECOGNITION & REFERRAL)[1st line]
   Adult    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. -
            Refer
   Peds     Children follow the same pathway: recognise and refer. No primary-care medicine is
            implied.
   Source   No dose - referral pathway, no medicine given in primary care
   Why      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.
   Caution  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.

Prices are indicative (dataset snapshot 2026-06); verify with the pharmacy.
```

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Dawaa Reference is a reference for prescribers, not a medical device, and does not replace clinical judgement.

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