II. Indications: Ocular NSAID
- Allergic Conjunctivitis
- Episcleritis
-
Corneal Abrasion (off-label use)
- Several articles have supported use
- However 2017 Cochrane review noted insufficient evidence to recommend
- Postophthalmic surgery patients
III. Contraindications: Ocular NSAID
- Avoid combining with topical ocular Corticosteroids (unless directed by ophthalmology)
IV. Mechanism: Ocular NSAID
- Inhibits ocular Prostaglandins, and reduces inflammation
V. Types: Ophthalmological Anti-inflammatory Agent
- Ocular Nonsteroidal Antiinflammatory Drug (Ocular NSAID)
- See Ophthalmic Corticosteroid
- See Ophthalmic Cyclosporine (Ophthalmic Calcineurin Inhibitor, Restasis)
VI. Preparations: General Ocular NSAID Use (includes Allergic Conjunctivitis, Corneal Abrasion)
- Ketorolac 0.5% (Acular) 1 drop every 6 hours for no more than 7 days
- Diclofenac 0.1% (Voltaren) 1 drop every 6 hours for no more than 14 days
VII. Preparations: Ocular NSAID Use in Postophthalmic Surgery
- Flurbiprofen Sodium 0.03% (Ocufen) used in perioperative period by ophthalmology
- Bromfenac 0.09% (Xibrom) 1 drop twice daily (avoid in Sulfa Allergy)
- Nepafenac 0.1% (Nefanac) 1 drop three times daily
- Diclofenac 0.1% (Voltaren) 1 drop every 6 hours for no more than 14 days after Cataract surgery (starting 24 hours post-op)
VIII. Adverse Effects: Ocular NSAID
IX. Safety: Ocular Diclofenac
- Pregnancy Category C
- Appears safe in Lactation
X. References
- LoVecchio (2020) Crit Dec Emerg Med 34(1): 28
- LoVecchio (2024) Crit Dec Emerg Med 38(5): 34
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