Same-Day Eye & Ear Care

Eye and Ear Problems Treatment in Elstree

Same-day assessment of eye infections, foreign bodies in the eye, earache, suspected ear infections, and sudden hearing changes — by experienced emergency medicine doctors. Adults and children aged 1 and over.

Adult consultation £110 · child consultation £95. For sudden vision loss, severe eye pain with photophobia, chemical or penetrating eye injury, severe ear pain with swelling behind the ear, or facial weaknesscall 999or attend A&E or eye casualty directly.

When We Can Help

When Same-Day Eye and Ear Care Helps

Common eye and ear presentations we see same-day. For severe symptoms or red-flag features — A&E or eye casualty:

Eye infection (conjunctivitis)

Red, sticky, watering eye(s) with discharge — examination, differentiation between bacterial, viral, and allergic conjunctivitis, and treatment per NICE guidance.

Foreign body in the eye

Something in the eye that won't wash out — examination with fluorescein staining where indicated, removal of suitable foreign bodies on site, and onward referral to ophthalmology if needed.

Sudden ear pain or earache

Acute ear pain in adults or children — otoscopy examination, antibiotic decision per NICE NG91 if suspected bacterial otitis media, pain management plan.

Suspected ear infection (otitis externa)

Outer-ear infection ("swimmer's ear") — pain, itch, discharge — examination, ear-cleaning advice, topical antibiotic where indicated.

Sudden hearing change or muffled hearing

New hearing loss, especially with pain, fullness, or recent illness — examination, suspected wax assessment, urgent ENT referral if sudden sensorineural hearing loss is suspected.

Eye pain, photophobia, or sudden visual change

Symptoms that could indicate something more serious — examination, but for sudden visual loss or photophobia with severe pain, A&E or eye casualty is the right service.

Important Safety Information

When You Should Go Straight to Hospital, Not Us

Some eye and ear presentations need ophthalmology, ENT, or A&E directly. Call 999 or attend A&E / eye casualty if any of these apply:

Red flags — A&E / eye casualty / 999:

  • Sudden, severe loss of vision in one or both eyes
  • Severe eye pain with photophobia (light sensitivity) — possible iritis or acute glaucoma
  • Eye injury from chemicals, high-velocity foreign body (drilling, grinding), or penetrating trauma — go to A&E or eye casualty immediately
  • Sudden onset of "flashes" or many new floaters — possible retinal detachment
  • Sudden hearing loss — possible sudden sensorineural hearing loss requiring urgent ENT review within 48 hours
  • Severe ear pain with swelling/redness behind the ear (mastoid) — possible mastoiditis
  • Facial weakness alongside ear symptoms — possible facial nerve involvement
  • Severe headache or stroke symptoms with visual or hearing changes
  • Bleeding from the ear after a head injury or change in pressure

For ear infection treatment, we follow NICE NG91 (acute otitis media). For sudden hearing loss, see NICE NG98 (hearing loss). If unsure, call NHS 111.

Call 999

Your Visit

What Happens at Your Visit

History and assessment

When symptoms started, recent illness, eye or ear injuries, occupational exposure (welders, grinders, swimmers), and any vision or hearing changes. Visual acuity check for eye presentations, hearing assessment for ear presentations.

Examination

Slit-lamp where available, fluorescein staining for suspected corneal abrasion or foreign body. Otoscopy for ear examination, with assessment of the tympanic membrane and ear canal. Tuning-fork tests where indicated for hearing changes.

Treatment plan

  • Examination: Eye examination including visual acuity, pupillary responses, slit-lamp where available, and fluorescein staining for suspected corneal abrasion or foreign body. Otoscopy for ear examination, tuning-fork tests where indicated.
  • Foreign body removal (suitable cases): Surface eye foreign bodies (e.g. eyelash, surface dust) often removable on site after staining. Suitable ear foreign bodies (recent, accessible) may be removable in clinic; difficult cases referred to ENT same day.
  • Antibiotic and topical treatment: Topical antibiotics for confirmed bacterial conjunctivitis, ear drops for otitis externa, oral antibiotics for acute otitis media where clinically warranted per NICE NG91. Antimicrobial stewardship principles applied.
  • Onward referral: Suspected serious eye pathology (acute glaucoma, iritis, retinal issues) — same-day referral to eye casualty / ophthalmology. Sudden hearing loss — urgent ENT referral via Centennial. Mastoiditis or peri-orbital cellulitis — A&E directly.

Transparent Pricing

What It Costs and How Long It Takes

Consultation fee: £110 adult / £95 child — covers examination, fluorescein staining where indicated, otoscopy.

Foreign body removal (where suitable): bundled into the consultation; additional materials if needed charged at cost.

Prescription medication (eye drops, ear drops, oral antibiotics if needed): private prescription via on-site pharmacy.

Time on site: typically 20–40 minutes for routine assessment.

Insurance: detailed receipts provided.

After Your Visit

Aftercare and Follow-Up

  • Diagnosis and treatment plan
  • Eye / ear drop instructions: how often, how long, technique advice
  • Hygiene advice for conjunctivitis (preventing spread to others or to the other eye)
  • Specialist referral details if onward ENT or ophthalmology review is needed
  • Red-flag symptoms requiring urgent return or A&E: any change in vision, severe pain, swelling around the eye, swelling behind the ear, facial weakness, sudden hearing change

Common Questions

Common Questions about Eye and Ear Care

Should I come to you for a red eye, or to A&E?

If your eye is red and uncomfortable but you can see clearly and there's no severe pain or photophobia, we're the right service — we'll diagnose and treat conjunctivitis, dry eye, allergic eye disease, and surface foreign bodies. If you have severe pain, sudden loss of vision, photophobia, or eye injury from chemicals or high-velocity foreign body — go to A&E or eye casualty directly.

Can you take something out of my eye?

Most surface foreign bodies (dust, eyelashes, small particles) — yes, we can examine and remove them with fluorescein staining and gentle irrigation or removal techniques. Embedded foreign bodies, metal fragments from grinding, or anything penetrating the eye is for ophthalmology — we'd refer you immediately to eye casualty.

Will you give me antibiotic eye drops for conjunctivitis?

Where they're clinically indicated. Most viral conjunctivitis resolves on its own without antibiotics — we'd give you supportive advice (lubricating drops, hygiene measures). Bacterial conjunctivitis (typically more discharge, more redness, less itch) responds to topical antibiotics, and we'd prescribe these when warranted. Allergic conjunctivitis needs antihistamine drops, not antibiotics.

What if I have sudden hearing loss?

Sudden sensorineural hearing loss (SSNHL) is a medical urgency — best treated within 48 hours. Don't wait. We can examine you and refer urgently to ENT, but if there's any delay in being seen by us, contact ENT directly via your GP or A&E. Outcomes are better with early steroid treatment.

Can you treat children's earache?

Yes — children aged 1 and over. Most childhood ear infections are managed with pain relief and a watch-and-wait approach (NICE NG91 supports this). Antibiotics are reserved for specific clinical features. We don't see children under 1; for younger infants with earache, contact your GP, NHS 111, or call 999 in an emergency.

Do you remove ear wax?

We can examine and assess for impacted wax causing hearing problems, and offer advice on softening drops or arrange wax removal via a specialist (audiology / ENT) who has the appropriate equipment. For routine wax removal, an audiology clinic is a more efficient option than urgent care.

Walk In or Book Online

Same-Day Eye and Ear Assessment

GMC-registered emergency medicine doctors. CQC registered, part of Centennial Medical Care.

Open seven days: Mon–Fri 8am–8pm · Sat–Sun 9am–6pm

Centennial Park, Centennial Ave, Elstree, Borehamwood WD6 3FG · Free parking

Last reviewed: 5 May 2026

Need urgent care? We’re here to help.

Walk in 7 days a week or book online. Payment taken securely at the time of booking.

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