summarized from Ophthalmic Drug Facts, 2001 edition Atropine Flurbiprofen Physostimine Azopt Gentamicin Pilocarpine Bacitracin Goniosol Polymyxin B Betadine Gramicidin Prednisolone Betaxolol Humorsol Proparacaine Betoptic Hylartin Propine Brinzolamide Hypertonic NaCl Puralube BSS Indocycanine Green Rose Bengal Carbachol Itraconazole Sodium Hyaluronate Cefazolin Latanoprost Suprofen Celluvisc Mannitol Terramycin Chloramphenicol Methazolamide Timolol Ciloxan Miconazole Tobramycin Ciprofloxacin Miostat Triamcinolone Cosopt Muro 128 Trifluridine Demecarium Neomycin Tropicamide Dexamethasone Neptazane Trusopt Dipivefrin Ocuflox Vidarabine Dorzolamide Ofloxacin Vira-A Epinephrine Oxytetracycline Viroptic Fluorescein Phenylephrine Xalatan
Fluorescein – used to detect loss of corneal epithelium/for Seidel’s test Rose Bengal – stains dead corneal epithelial cells (indicator of herpes keratitis) Indocyanine Green (ICG) – used to stain lens capsule during cataract surgery
Proparacaine – anesthesia begins in 15 seconds, last for 15-20 minutes
Mydriatics Phenylephrine – recovery after 6 hours (10% soln.) Cycloplegic Mydriatics (Anticholinergics) Atropine – recovery after 7-10 days Tropicamide – recovery after 5-6 hours Return to Top
Phenylephrine – recovery after 6 hours (10% soln.)
Atropine – recovery after 7-10 days Tropicamide – recovery after 5-6 hours
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Corticosteroids Dexamethasone – 0.1% solution or suspension (equivalent of 1% prednisolone) Prednisolone – 0.125% and 1% solution or suspension Triamcinolone – suspension given sub-conjunctivally – lasts for days NSAIDS Flurbiprofen – post-surgical inflammation/prevention of intraoperative miosis Suprofen
Dexamethasone – 0.1% solution or suspension (equivalent of 1% prednisolone) Prednisolone – 0.125% and 1% solution or suspension Triamcinolone – suspension given sub-conjunctivally – lasts for days
Flurbiprofen – post-surgical inflammation/prevention of intraoperative miosis Suprofen
Carboxymethylcellulose/Hydroxypropyl Methylcellulose (Celluvisc/Goniosol) White Petrolatum/Mineral Oil/Lanolin (Puralube) Return to Top
Carboxymethylcellulose/Hydroxypropyl Methylcellulose (Celluvisc/Goniosol) White Petrolatum/Mineral Oil/Lanolin (Puralube)
Antibiotics “Small Guns” (general, broad spectrum -- prophylactic, erosions, conjunctivitis) Neomycin – ‘Neo’ in triple antibiotic Polymyxin B – ‘Poly’ in triple antibiotic Bacitracin – ‘Bac’ in triple antibiotic ointment Gramicidin – ‘Gram’in triple antibiotic drops Gentamicin Oyxtetracycline (Terramycin) – commonly used in feline conjunctivitis “Big Guns” (use usually indicated by culture – stromal loss, infected or melting ulcers) Ciprofloxacin (Ciloxan) Ofloxacin (Ocuflox) Tobramycin Cefazolin Chloramphenicol Antifungal Miconazole – ointment Itraconazole – given in DMSO Antiviral Trifluridine (Viroptic) – solution Vidarabine (Vira-A) – ointment Return to Top
“Small Guns” (general, broad spectrum -- prophylactic, erosions, conjunctivitis) Neomycin – ‘Neo’ in triple antibiotic Polymyxin B – ‘Poly’ in triple antibiotic Bacitracin – ‘Bac’ in triple antibiotic ointment Gramicidin – ‘Gram’in triple antibiotic drops Gentamicin Oyxtetracycline (Terramycin) – commonly used in feline conjunctivitis “Big Guns” (use usually indicated by culture – stromal loss, infected or melting ulcers) Ciprofloxacin (Ciloxan) Ofloxacin (Ocuflox) Tobramycin Cefazolin Chloramphenicol
Neomycin – ‘Neo’ in triple antibiotic Polymyxin B – ‘Poly’ in triple antibiotic Bacitracin – ‘Bac’ in triple antibiotic ointment Gramicidin – ‘Gram’in triple antibiotic drops Gentamicin Oyxtetracycline (Terramycin) – commonly used in feline conjunctivitis
Ciprofloxacin (Ciloxan) Ofloxacin (Ocuflox) Tobramycin Cefazolin Chloramphenicol
Miconazole – ointment Itraconazole – given in DMSO
Trifluridine (Viroptic) – solution Vidarabine (Vira-A) – ointment
Epinephrines – reduce IOP through increased aqueous outflow Epinephrine Dipivefrin (Propine) – prodrug of epinephrine Beta Blockers – reduce the rate of aqueous production Timolol – combined with dorzolamide in Cosopt Betaxolol (Betoptic) Direct Acting Miotics – reduce resistance to aqueous outflow Pilocarpine Carbachol (Miostat) – used intraocularly during cataract surgery Cholinesterase Inhibitor Miotics – reduce resistance to aqueous outflow Physostigmine Demecarium (Humorsol) Carbonic Anhydrase Inhibitors – reduce the rate of aqueous production Methazolamide (Neptazane) – oral Dorzolamide (Trusopt) – topical/combined with timolol in Cosopt Brinzolamide (Azopt) – topical Prostaglandins – increase aqueous outflow Latanoprost (Xalatan) Return to Top
Epinephrine Dipivefrin (Propine) – prodrug of epinephrine
Timolol – combined with dorzolamide in Cosopt Betaxolol (Betoptic)
Pilocarpine Carbachol (Miostat) – used intraocularly during cataract surgery
Physostigmine Demecarium (Humorsol)
Methazolamide (Neptazane) – oral Dorzolamide (Trusopt) – topical/combined with timolol in Cosopt Brinzolamide (Azopt) – topical
Latanoprost (Xalatan)
Topical Hypertonic Sodium Chloride (Muro 128) – topical/temporary relief of corneal edema Intravenous Mannitol – reduction of IOP in acute glaucoma
Hypertonic Sodium Chloride (Muro 128) – topical/temporary relief of corneal edema
Mannitol – reduction of IOP in acute glaucoma
Intraocular Irrigation BSS (Balanced Salt Solution) Povidone Iodine Betadine – 5% solution used for surgical prep Viscoelastic Agents Sodium Hyaluronate (Hylartin) – maintains the anterior chamber during intraocular surgery Return to Top Return to Home Page
BSS (Balanced Salt Solution)
Betadine – 5% solution used for surgical prep
Sodium Hyaluronate (Hylartin) – maintains the anterior chamber during intraocular surgery
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Please send any comments or questions to shermank@svm.vetmed.wisc.edu. Last modified on June 22, 2003 by Kim Sherman.