Clinical Pearls for Optometry Edition 2.1 - Chapter 1
Orals for Eye Care
Consult a definitive reference if you lack experience with a drug or if the patient has serious co-morbidity, reduced liver or renal function, or is pregnant or nursing.
A) Convert lbs to kilograms: (lb. −10%)/2 = kg
B) Antibiotic recommendations: listed in order of preference. See notes and warnings below
1) Lid problems
· Ocular rosacea
· Meibomian gland dysfunction
· Hordeolum
· Chlamydia
a) Doxycycline: inexpensive, effective, classic
b) Zithromax: moderate price, use if tetracycline problems or you want simple dosing for an acute problem
c) Biaxin: expensive, third choice
d) Tetracycline and erythromycin, inexpensive but not recommended
2) Acute infections with no fever or systemic Sx
· Preseptal cellulitis
· Dacryocystitis
· Hyperacute conjunctivitis
· Sinusitis
· Ear infections
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