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* Conjunctivitis, acute bacterial
* Conjunctivitis, acute bacterial
:* Empiric antimicrobial therapy
:* Empiric antimicrobial therapy
::* Preferred regimen:
::* Preferred regimen: [[Gentamicin]] ointment qid for 1 week {{or}} [[Gentamicin]] solution 1-2 drops qid for 1 week {{or}} [[Tobramycin]] ointment tid for 1 week
:::*[[Aminoglycosides]]: [[Gentamicin]] ointment:4times per day for 1week {{or}} [[Gentamicin]] solution 1-2drops 4times per day for 1 week {{or}} [[Tobramycin]] ointment:3times per day for 1week
::* Alternative regimen (1): [[Besifloxacin]] 1 drop 3 times for 1 week {{or}} [[Ciprofloxacin]] Ointment: 3times per day for 1week {{or}} [[Ciprofloxacin]] Solution: 1-2drops 4times per day for 1week {{or}} [[Gatifloxacin]]: 3times per day for 1week {{or}} [[Levofloxacin]]:1-2drops 4times per day for 1week {{or}} [[Moxifloxacin]] : 3times per day for 1week {{or}} [[Ofloxacin]]:1-2drops 4times per day for 1week.
::* Alternative regimen:
::* Alternative regimen (2): [[Azithromycin]]:2times per day for 2days ;then 1drop daily for 5days {{or}} [[Erythromycin]]:4times per day for 1week  
:::*[[Fluoroquinolones]]: [[Besifloxacin]] :1drop 3times for 1week {{or}} [[Ciprofloxacin]] Ointment: 3times per day for 1week {{or}} [[Ciprofloxacin]] Solution: 1-2drops 4times per day for 1week {{or}} [[Gatifloxacin]]: 3times per day for 1week {{or}} [[Levofloxacin]]:1-2drops 4times per day for 1week {{or}} [[Moxifloxacin]] : 3times per day for 1week {{or}} [[Ofloxacin]]:1-2drops 4times per day for 1week.
::* Alternative regimen (3): [[Sulfacetamide]] ointment:4times per day and at bedtime for 1week
:::*[[Macrolides]]: [[Azithromycin]]:2times per day for 2days ;then 1drop daily for 5days {{or}} [[Erythromycin]]:4times per day for 1week  
::* Alternative regimen (4): [[Trimethoprim]]/[[Polymyxin B]]: 1 or 2 drops 4times per day for 1week.
:::*[[Sulfonamides]]:[[Sulfacetamide]] ointment:4times per day and at bedtime for 1week
:::*[[Combination drops]]:[[Trimethoprim]]/[[ Polymyxin B]]: 1 or 2 drops 4times per day for 1week.


:* Culture-directed antimicrobial therapy
:* Culture-directed antimicrobial therapy
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:::*Alternate regimen:Oral [[Valacyclovir]]: 1000mg 3times per day for 7-10days
:::*Alternate regimen:Oral [[Valacyclovir]]: 1000mg 3times per day for 7-10days


::*Allergic Conjuctivitis:
:*Allergic Conjuctivitis:
:::*Preferred regimen:  
::*Preferred regimen:  
::::*[[Topical Antihistamines]] : [[Azelastine]] : 0.05% 1drop 2times perday{{or}} [[Emedastine]] : 0.05% 1drop 4times perday
:::*[[Topical Antihistamines]] : [[Azelastine]] : 0.05% 1drop 2times perday{{or}} [[Emedastine]] : 0.05% 1drop 4times per day
:::*[Topical Mast cell inhibitors]] :[[Cromolyn sodium]] 4%: 1-2drops every 4-6hours {{or}} [[Lodoxamine]] 0.1% :1-2drops 4times per day{{or}} [[Nedocromil]] 2% : 1-2drops twice per day
::*Alternate regimen:
:::*[[NSAIDS]]: [[Ketorolac]]:1 drop 4times per day {{or}} [[Antihistamines]] / [[Vasoconstrictors]] {{or}} [[Naphazoline]]/[[Phenramine]]:1-2drops upto 4times per day
:::*Combination drops: [[Ketotifen]]0.025% : 1 drop 2-3 per day {{or}} [[Olopatadine]] 0.1% :1 drop twice per day





Revision as of 18:08, 2 June 2015

Conjunctivitis

  • Conjunctivitis, acute bacterial
  • Empiric antimicrobial therapy
  • Culture-directed antimicrobial therapy
  • Methicillin-Resistant S aureus
  • Chlamydial Adult inclusive Conjuctivitis:
  • Preferred regimen: Azithromycin 1gram :orally once
  • Alternative regimen: Doxycycline100mg: orally 2 times per day for 7days
  • Gonococcal Hyperacute bacterial conjunctivitis:
  • Preferred regimen: Ceftriaxone:1gram IM once
  • Alternative regimen:
  • Herpes simplex Virus Conjuctivitis:
  • Preferred regimen: Topical Acyclovir: 1drop 9times per day OR Oral Acyclovir: 400mg 5times per day for 7-10 days
  • Alternative regimen: Oral Valacyclovir:500mg 3times per day for 7-10 days
  • Herpes zoster virus Conjuctivitis:
  • Preferred regimen: Oral Acyclovir : 800mg 5times per day for 7-10days OR Oral Famciclovir:500mg 3times per day for 7-10days
  • Alternate regimen:Oral Valacyclovir: 1000mg 3times per day for 7-10days
  • Allergic Conjuctivitis:
  • Preferred regimen:
  • Alternate regimen:








Blepharitis

Endophthalmitis, bacterial

Endophthalmitis, bleb-related

Endophthalmitis, candidal

Endophthalmitis, chronic

Endophthalmitis, mold

Endophthalmitis, post-cataract surgery, acute

Endophthalmitis, post-cataract surgery, chronic

Endophthalmitis, post-tramatic

Keratitis, bacterial

Keratitis, fungal

Keratitis, protozoal

Keratitis, viral

Ocular syphilis

Ocular toxocariasis

Ocular toxoplasmosis

Ocular tuberculosis

Orbital cellulitis

Periocular Infection

Retinal necrosis, acute, CMV

Retinal necrosis, acute, HSV or VZV

Retinal necrosis, progressive outer, VZV

Retinitis, CMV

Stye

Uveitis, acute anterior

Uveitis, Lyme disease