Erythromycin ointment qid x 3-5d OR
Ciprofloxacin 0.3% ophthalmic solution 2 drops q6 hours OR
Ofloxacin 0.3% solution 2 drops q6 hours OR
Sulfacetamide 10% ophthalmic ointment q6 hours
Antibiotics should cover pseudomonas and favor 3rd or 4th generation fluoroquinolones
Levofloxacin 0.5% solution 2 drops ever 2 hours for 2 days THEN q6hrs for 5 days OR
Moxifloxacin 0.5% solution 2 drops every 2 hours for 2 days THEN q6hrs for 5 days OR
Tobramycin 0.3% solution 2 drops q6hrs for 5 days OR
Gatifloxacin 0.5% solution 2 drops every 2 hours for 2 days THEN q6hrs for 5 days OR
Gentamicin 0.3% solution 2 drops six times for 5 days
Systemic NSAIDs or opioids
Cycloplegics<unk> n be consider for patients with large<unk> s (>2mm) and/or severe pain
Cyclopentolate 1% 1 drop q6-8hr
Ophthalmic NSAIDs
Ketorolac 0.4% 1 drop q6hr x 2-3d
Topical anesthetics
Tetracaine 1% 1 drop q30min has been found to be safe in the first 24 hrs
Proparacaine 0.05% ophthalmic (dilute 1 mL of proparacaine 0.5% with 9 mL of NS in flush syringe then place 3 mL in bottle) 1-2 drops in eye Q30 min PRN pain for 24-48 hours only
Cyclopentolate 1% 1 drop q6-8hr
Ketorolac 0.4% 1 drop q6hr x 2-3d
Tetracaine 1% 1 drop q30min has been found to be safe in the first 24 hrs
Proparacaine 0.05% ophthalmic (dilute 1 mL of proparacaine 0.5% with 9 mL of NS in flush syringe then place 3 mL in bottle) 1-2 drops in eye Q30 min PRN pain for 24-48 hours only
Tetanus prophylaxis not indicated (unless penetrating injury)
Patch is not routinely recommended and<unk> n prolong healing time
Corneal abrasion
Nontraumatic
Conjunctival abrasion
Acute angle-closure glaucoma^
Corneal ulcer
Anterior uveitis
Subconjunctival hemorrhage
Conjunctivitis