The Royal Australian and New Zealand College of Ophthalmologists

Recommendations from the Royal Australian & New Zealand College of Ophthalmologists on visual fields, vitamins, alpha-1 blockers, intravitreal injections & retinal detachment. The Royal Australian and New Zealand College of Ophthalmologists (RANZCO) is the leading medical eye specialist organisation in Australia and New Zealand. RANZCO’s mission is to drive improvements in eye health care through continuing exceptional training, education, research and advocacy.

Topical steroids should not be used unless infection has been ruled out in any patient with red eye.

Date reviewed: 27 October 2022

Undiagnosed red eye should never be treated with topical steroids in any patient where infection must be ruled out.

Supporting evidence
  • Tan, S. Z., Walkden, A., Au, l., Fullwood, C., Hamilton, A., Amruddin, A., Armstrong, M., Brahma, A. K., & Carley, F. (2017). Twelve-year analysis of microbial keratitis trends at a uk tertiary hospital. Eye,31(8), 1229.
  • Watson, S., Cabrera-aguas, M., & Khoo, P. (2018). Common eye infections. Australian prescriber, 41, 67-72.

    How this list was made How this list was made

    RANZCO has undertaken a multi-stage consultation process to ensure that the entire spectrum of medical eye specialists in Australia and New Zealand can contribute to the process of identifying and refining the top five recommendations. The first stage included a survey of fellows to identify possible recommendations, which were then narrowed down and by a dedicated “Choosing Wisely” committee of RANZCO members. A second survey was then sent to all members to provide feedback on the list of five and received a high response rate. Based on the extensive feedback received via the survey, RANZCO’s “Choosing Wisely” committee crafted the final wording of the top five recommendations. Finally, the RANZCO board discussed and approved the recommendations.

    Download RANZCO Recommendations