ocular infections

Updated: July 4, 2024

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Background

Epidemiology

Anatomy

Pathophysiology

Etiology

Genetics

Prognostic Factors

Clinical History

Physical Examination

Age group

Associated comorbidity

Associated activity

Acuity of presentation

Differential Diagnoses

Laboratory Studies

Imaging Studies

Procedures

Histologic Findings

Staging

Treatment Paradigm

by Stage

by Modality

Chemotherapy

Radiation Therapy

Surgical Interventions

Hormone Therapy

Immunotherapy

Hyperthermia

Photodynamic Therapy

Stem Cell Transplant

Targeted Therapy

Palliative Care

Medication

 

tobramycin (ophthalmic)

Mild to moderate infections:
Ointment: Apply half-inch to affected areas 2 to 3 times daily every 8 to 12 hrs
Solution: 1 to 2 drops in affected eyes every 4 hrs
Severe infections: Ointment: Apply half-inch to affected areas 2 to 3 times daily every 3 to 4 hrs
Solution: 1 to 2 drops in affected eyes every 12hrs, for infection associated with pseudomonas aeruginosa every 5 to 30 minutes (depends on the symptoms)
No dosage adjustment was described for renal/hepatic impairment



dexamethasone/ tobramycin 

Indicated for Bacterial infection/Ocular inflammation:


Ophthalmic ointment: Apply a tiny quantity (approximately 0.5-inch ribbon) to the conjunctival sac thrice or four times a day

Ophthalmic suspension: Administer 1 to 2 drops to each affected eye thrice or four times a day
For the first 24-48 hours, the frequency may be increased to every 2 hours, then reduce to fewer frequent intervals



hydroxypropyl cellulose ophthalmic 

Indicated for dry eye disorders that range from mild to severe, including keratoconjunctivitis sicca:


One ophthalmic insert should be placed in each eye once a day using the provided applicator; some individuals may need a twice-daily dose

Optimal benefits may not be seen for a few weeks



neomycin/polymyxin B/gramicidin ophthalmic 

For 7 to 10 days, use 1-2 drops every 4 to 6 hours; if severe, take two drops every 1 hour



bacitracin ophthalmic 


Indicated for Ocular Infection
Apply nearly ¼- ½ ribbon six-eight times in a day or two-three times in a day for mild-moderate infections for nearly 7-10 days




Indicated for the inflammation in eyes due to steroid therapy, where dexamethasone is indicated in correspondence to the risk of bacterial infections
Suspension- Instill 1-2 drops in the affected eye every 4-6 hours
Utilize hourly in severe diseases followed by tapering
Ointment- Apply a 0.5-inch ribbon into the affected eye in conjunctiva every 4-6 hours as a supplement to suspension
After 2 days, if no improvement is seen, re-evaluate the patient



betamethasone + neomycin 

Up to 6 times daily, administering 1 or 2 drops into each affected eye depending on the clinical outcome



 

dexamethasone/ tobramycin 

Indicated for Bacterial infection/Ocular inflammation:


<2 years: Safety and Efficacy not established
>2 years:
Ophthalmic ointment: Apply a tiny quantity (approximately 0.5-inch ribbon) to the conjunctival sac thrice or four times a day

Ophthalmic suspension: Administer 1 to 2 drops to each affected eye thrice or four times a day
For the first 24-48 hours, the frequency may be increased to every 2 hours, then reduce to fewer frequent intervals.



neomycin/polymyxin B/gramicidin ophthalmic 

For 7 to 10 days, use 1-2 drops every 4 to 6 hours; if severe, take two drops every 1 hour



bacitracin ophthalmic 


Indicated for Ocular Infection
Apply nearly ¼- ½ ribbon six-eight times in a day or two-three times in a day for mild-moderate infections for nearly 7-10 days



 

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ocular infections

Updated : July 4, 2024

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