Ophthalmology Meds Only

Glaucoma

Timolol 0.25%

Scleritis

NSAIDS (Indomethacin)
Consider steroids

Allergic conjunctivitis

Cromolyn Sodium 4%

Vernal Keratoconjunctivitis

Cromolyn Sodium 4%

Bacterial conjunctivitis

Erythromycin 0.5% QID x7 days

Gonorrheal Conjunctivitis

Cextriaxone 500 mg IM + Doxycycline 100 mg PO BID x7 days + Bacitracin ointment q3-4 hours x 10 days

Chlamydial Conjunctivitis

Azithromycin 1 gm PO now + Bacitracin ointment q3-4 hours x 10 days

Contact Lens Conjunctivitis

Ciprofloxacin 0.3% solution x 5 days

Viral (herpetic) conjunctivitis

Trifluridine 1% q2h x9 days
NO STEROIDS

Herpetic Zoster Ophthalmicus

IV acyclovir 10 mg/kg/dose q8h x7 days OR
valacyclovir 1g PO TID x 7 days

Fungal conjunctivitis

Natamycin 5% 6x daily for 7 days

Corneal Abrasion

Erythromycin 0.5% 4-6x daily until 48 hours after healed

Corneal Ulcer

Levofloxacin 0.5% solution q2h

Anterior & Posterior Blepharitis

Erythromycin 0.5% qhs x2 weeks

Anterior Periorbital Cellulitis

Augmentin 875 mg PO BID x7-10 days +/- Bactrim

Posterior Orbital Cellulitis

Vancomycin IV & Ceftriaxone inpatient, once discharged = Clindamycin 300 mg

Argyll Robertson pupil

CDC guidelines antibiotic IV

Age-Related Macular Degeneration (AMD)

Antioxidants: Vit. C & E
Minerals: Zn, Cu
Carotenoids: lutein & zeaxanthin

Wet AMD

Lucentis injection

Blowout Fracture

Augmentin 600mg IV (after surgery 1mg, tablet TID). OR 875mg 1 tab PO BID
OR Azithromycin 500mg

Trauma (foreign body)

Erythromycin ointment 0.5% 4-6x daily until 48 hours after healed

Hyphema

Cycloplegic drops 3x daily

Globe Fracture

For pain IV morphine 0.1mg/kg
NO NSAIDS-inhibits platelet
sedative- lorazepam 0.05mg/kg