Published in Primary Care

Topical Ophthalmic Medication Guide: Steroids and NSAIDs

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The following is a topical ophthalmic medication guide summarizing steroids and NSAIDs. It includes concentrations and treatment tips.
Topical Ophthalmic Medication Guide: Steroids and NSAIDs

Here is a complete list of commonly used ophthalmic medication, Corticosteroids and NSAIDs for you to print out or keep handy.

The last two ophthalmic medication (artificial tears and glaucoma medication) guides published by NGO have been received with such wonderful feedback that we’ve decided to bring you more.
Inflammation is one of the most common ocular conditions our patients present with each day. Whether it is a post-op patient trying to prevent complication, a corneal ulcer, conjunctivitis, or chronic dry eye, anti-inflammatory medications play a role in the treatment of an array of diagnoses. Familiarity with the ophthalmic medication options available will make your clinical decision making much easier.

Included below are tables consolidating both the ophthalmic medication corticosteroids and NSAIDs available for topical ophthalmic use.

You will notice that the steroid table does not have a dosage column. This is because the recommended dosage will change dramatically dependent upon the patient’s presentation. A severe uveitis may require Pred Forte q1h, while a dry eye patient may only need Lotemax BID to QID. As a rule of thumb, QID dosing of steroids is a good starting point, but don’t be afraid to adjust that frequency based upon the case in your chair. Just remember to taper if you’re using a steroid for more than a few days!

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Patricia Fulmer, OD, FAAO
About Patricia Fulmer, OD, FAAO

Dr. Fulmer is the sole owner of Legacy Vision Center, a cold start, medically focused practice in Huntsville, AL, which launched at the end of 2020. A graduate of the UAB School of Optometry, she completed an ocular disease and primary care residency at the Thomas E. Creek VA Medical Center before returning to Alabama to serve as the Center Director and consultative optometrist for a referral-based, tertiary care facility and then as an associate at a multi-doctor family practice. Her clinical interests include disease management, particularly glaucoma, uveitis, dry eye, and neurology-related cases, as well as educating students and colleagues through lecturing and writing. She is an active member in the American Academy of Optometry and American Optometric Association and currently serves her profession as a member of the Board of Directors of the Alabama Optometric Association and as President of the North Alabama Optometric Association. In her free time, Dr. Fulmer enjoys spending time with her husband and family, spoiling their fur-babies, traveling, attending concerts, and exploring the outdoors while kayaking and hiking. She also loves giving back through volunteering, including serving on the Board for HEALS, Inc, an organization that focuses on providing healthcare to local in-need youth.

Patricia Fulmer, OD, FAAO
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