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Ocular NSAID
Aka: Ocular NSAID, Ocular Nonsteroidal Antiinflammatory Drug, Ophthalmologic Nonsteroidal Antiinflammatory Agent, Ketorolac Ophthalmic, Ophthalmic Acular, Diclofenac Ophthalmic, Voltaren Ophthalmic, Ophthalmic Diclofenac, Ophthalmological Anti-inflammatory Agent, Ophthalmic Anti-inflammatory Preparation, Ophthalmic Anti-inflammatory Agent
- See Also
- Ophthalmic Corticosteroid
- Ophthalmic Cyclosporine (Ophthalmic Calcineurin Inhibitor, Restasis)
- Allergic Conjunctivitis
- NSAID
- Indications: Ocular NSAID
- Allergic Conjunctivitis
- Episcleritis
- Corneal Abrasion (off-label use)
- Several articles have supported use
- Scucs (2000) Ann Emerg Med 35(2):131-7 [PubMed]
- Smith (2012) Can Fam Physician 58(7): 748-9 [PubMed]
- However 2017 Cochrane review noted insufficient evidence to recommend
- Wakai (2017) Cochrane Database Syst Rev 5:CD009781 +PMID: 28516471 [PubMed]
- Postophthalmic surgery patients
- Postoperative ophthalmic pain
- Prevention of crystaloid Macular edema after Cataract surgery (used for 2 weeks after surgery, starting at 24 hours)
- Contraindications: Ocular NSAID
- Avoid combining with topical ocular Corticosteroids (unless directed by ophthalmology)
- Types: Ophthalmological Anti-inflammatory Agent
- Ocular Nonsteroidal Antiinflammatory Drug (Ocular NSAID)
- See Ophthalmic Corticosteroid
- See Ophthalmic Cyclosporine (Ophthalmic Calcineurin Inhibitor, Restasis)
- 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
- 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
- Mechanism: Ocular NSAID
- Inhibits ocular prostaglandins, and reduces inflammation
- Adverse Effects: Ocular NSAID
- Initial burning or stinging on application
- Delayed Corneal Wound Healing
- Keratitis
- Corneal edema
- Corneal deposits
- Corneal thinning (or Corneal perforation)
- Safety: Ocular NSAID
- Pregnancy Category C
- Appears safe in Lactation
- References
- LoVecchio (2020) Crit Dec Emerg Med 34(1): 28