The ‘acute red eye’ is a common ophthalmic presentation to primary health care. The majority of cases can safely and successfully be treated in the community. With the advent of combination preparations containing topical steroid and antibiotic such as Betnesol N® (betamethasone and neomycin) and Maxitrol® (dexamethasone and neomycin) there appear to be some who favour this ‘blanket’ treatment.