1

The eye is the most delicate organ in the body , any trivial proplem in the eye must be
managed under supervision of ophthalmologist , this is only simplified hand out for house
officers about the common eye complains , and the author is not responsible of any harm or
mistakes done by non specialist depending on data in this hand out .

1
 2

Non traumatic red eye

1- viral conjunctivitis : 2- MPC :

H: sudden onset , history of H : ‫ الصلخ اٌظجح‬ٝ‫ ثتجم‬ٝٔٛ‫ جف‬ٚ ‫ ثتؼّض‬ٚ ٕٝ‫ ثتشى‬ٚ ٝٔ‫مب‬٠‫ ِؼب‬ٕٝ١‫ػ‬
recent ARI ‫س ثشد‬ٚ‫ د‬, watery discharge , O/E : redness mainly palbebral + MP discharged +
severe FB sensation , start in one eye adherent lashes .
then affect the other . TTT : 1- ‫ء‬ٝ‫ضاي اٌؼّبص طجبحب ثّبء داف‬٠
O/E : diffuse injection bulbar and 2- Antibiotic ED : levoxin ED x5
palpepral ± lid edema ± conjunctival 3- Ab EO : Terramycin EO ٌَٕٛ‫ٓ لجً ا‬١‫ِشُ٘ داخً اٌؼ‬
chemosis or even subconj hemorrhage ± Prognosis : = infectious : ‫ؽ‬ٛ‫ستخذِش ف‬١ِ ٚ ‫ف‬١‫ ٔظ‬ٝ‫جم‬٠ ‫س اٌّخذح‬١‫و‬
follicles in the conj ( slit lamp ) .A ‫حذ‬
palpable preauricular lymph node
strongly supports the diagnosis but is not
present in the majority of cases. 3- Allergic conjunctivitis :
TTT : 1- ‫ وّبداد ثبسدح‬: decrease viral H: itching  + recurrence + allergies ( skin , chest ,
proliferation .  nose ) + watery discharge
2- Combined ED : maxitrol , O/E : diffuse redness + lid edema
optidex , … x 5 TTT : 1- ‫وّبداد ثبسدح‬ 2- Combined ED : maxitrol ,
3- Tears guard , orchatears optidex , … x 5
ED x 5 ( for FB sensation ) . 3- Tears guard , orchatears ED x 5 ( for FB
Prognosis : = infectious : ٝ‫جم‬٠ ‫س اٌّخذح‬١‫و‬ sensation ) .
‫ؽ حذ‬ٛ‫ستخذِش ف‬١ِ ٚ ‫ف‬١‫ = ٔظ‬self limited in 2 4 – Mast cell stabilizers or anti H .
weeks

NB :
###In pediatric better to avoid quinlones and miphenicol : use Tobrex ED x5
Also better avoid terramycin ( may cause allergy ) : use Fusithalmic Viscous ED
### Hyperacute bacterial conjunctivitis characterized by an abrupt onset, a copious purulent
discharge, and rapid progression, is usually associated with a gonococcal infection in a
sexually active adolescent or adult. The conjunctiva becomes bright red and chemotic, and an
inflammatory membrane (consisting predominantly of leukocytes and fibrin) may develop on
the tarsal conjunctival surface. Preauricular adenopathy is often present, and there is marked
swelling of the lids, with aching and tenderness on palpation. if left untreated, the infection

2
 3

may involve the cornea, rapidly causing peripheral ulceration and ultimately leading to
perforation.
Treatment with topical antibiotics (ciprofloxacin) + a single 1-g dose of intramuscular
ceftriaxone

4- Spring cattarah : ( severe allergy )

H : child 5-15 years , recurrence in the summer of
‫ذ ِغ اٌشّس‬٠‫ ثتض‬ٚ ‫ؼبء ثتٍضق‬١‫ب افشاصاد ث‬ٙ١‫ ف‬ٚ ٗ‫ ثتحشل‬ٚ ٕٗ١‫ ػ‬ٝ‫ذػه ف‬١‫ث‬
‫ا ٌتشاة‬ٚ
O/E : diffuse redness + lid edema + dirty sclera ±
papillae on the palbepral conj ( cobble stone ) ± jelly
like mass on upper limbus or pannus of previous
attacks ± milky discharge on the palbepral conj .
TTT : 1- ‫ وّبداد ثبسدح‬+ ‫ اٌتشاة‬ٚ ‫اٌجؼذ ػٓ اٌشّس‬
2- Combined ED : maxitrol , optidex , … x 5
3- Tears guard , orchatears ED x 5 ( for FB
sensation ) .
4 – Mast cell stabilizers or anti H .
* Mastocytx ED x2 ( rapid effect but contraindicated for long durations > 1.5
month ) .
* Orchazide Ed x4 ( 2 weeks only )
: ‫ف‬١‫ اٌظ‬ٝ‫ستّش ثبل‬٠ ُ‫ذ ث‬٠‫سوبص‬ٚ‫ اال‬ٚ ْٚ‫ض‬١‫ست‬ٛ‫لف اٌى‬ٛ‫ ثؼذ رٌه ٌت‬ٝ‫بت‬٠ ُ‫ػبْ فمؾ ث‬ٛ‫ اٌؼالج اسج‬ٍٝ‫ستّش ػ‬٠ ْ‫غ ا‬٠‫تخجش اٌّش‬
* Tears guard .
* Mirolast ed x3 ( mast cell stabilizer can be used for 3 months safely but not for
children < 3 years old ) .

Prognosis : = usually resistant to TTT = some times its associated with keratoconus .

5- Dry eye ( diagnosed by exclusion and some specific tests )

H : ٗ‫تؼج‬٠ ْٛ٠‫ اٌتٍفض‬ٚ ‫ف‬١١‫اٌتى‬ٚ ‫ اٌشّس‬ٚ ‫ا‬ٌٛٙ‫ا‬
discomfort ± itching

3
 4

O/E : ± exposed areas more affected ( 3^ , 9 ^ ) ± whitish frothy discharge at the canthi ±
white palbebral conj .
TTT : 1- tears guard ED ……….x5 ( ‫اد حبفظخ‬ِٛ ٗ‫س ث‬١ٌ ‫ع‬ٌٕٛ‫ٗ الْ ٘زا ا‬١ٍ‫ستّش ػ‬٠ ٓ‫) ِّى‬
2- Thilotears gel , or corner gel ….. x 3

6- phylectenular conjunctivitis :
O/E :
1- phylectn : painless 1-3 mm , grayish nodule may be multible .
2- localized superficial conjunctival injection ± blanch by ocumethyl ED (decongestant ).
3- ْ‫ دس‬ٚ‫خ أ‬٠‫ذ‬٠‫ ثؤسح طذ‬, ْ‫ذا‬٠‫ د‬, ‫خ‬٠‫ء تغز‬ٛ‫ش ػٕذٖ س‬١‫غبٌجب ؽفً طغ‬
TTT :
1- combined :
Tobradex  Ed … x5
Terracortil EO ……….‫ِسبءا‬
2- anti inflammatory : Epifenac Ed …. X3
3- ‫ػشع اؽفبي‬
__________________________________________________________
7- Episcleritis : self-limited, recurrent, presumably autoimmune inflammation of the episcleral
vessels
*Usually adult or old ± bilateral ± associated with auto immune diseases , TB or sepsis .
* purpule nodule 2-4 mm with radially distributed
blood vessels , recurrent , Tender but not painful .
* conj can be moved over it and it doesnot blanch
with prisoline ED ( decongestant )
TTT : like phylectn + oral NSAID e.g. Rivo , Rhonal
..x3 ً‫ ثؼذ االو‬+ ‫ػشع ثبؽٕخ‬

8-Subconjunctival Hemorrhage

the redness, which is unilateral, is localized and sharply circumscribed, the underlying sclera is
not visible, the adjacent conjunctiva is free of inflammation, and there is no discharge. There is
also no pain, and vision is unaffected.
Causes * trauma

4
 5

* fragile conjunctival vessels, bleeding disorders, anticoagulation therapy

*hypertension. *prolonged coughing,
Prognosis : reassure that the hemorrhage will clear gradually in two to three weeks.

9- Scleritis (rare)
or connective-tissue disease (e.g., rheumatoid arthritis).. The redness may be focal or diffuse,
and the underlying sclera is pink. Typically, there is moderate-to-severe, deep ocular pain and
tenderness on palpation. an oral nonsteroidal antiinflammatory drug may help relieve
symptoms in the interim. Treatment often requires systemic corticosteroids, antimetabolites,

10- Acute angle closure glaucoma :

H : sudden headache , nusea , vomiting ± brusting eye pain, diminution of vision ( DD acute
headache , acute abdomen ) .
O/E :
* tension is stony hard * pupil is greenish vertically dilated unreactive to light.
* iris is stormy . * cornea is hazy + ciliary injection .
TTT :
1- Admission .
2- Timolol , pilocarbine ED , cidamex , slow k
3- Mannitol 20% َ‫ب‬٠‫ ا‬3 ‫د ٌّذح‬/ ‫ ٔمطخ‬65 ‫ سبػخ ثّؼذي‬12 ً‫ سُ و‬55
4- Tobradex ED , EO .
5- Laser peripheral iridectomy
11- Acute Anterior Uveitis

Apparoach to red eye

Red eye may be active hyperaemia = inflammation or passive congestion due to venous
obstruction e.g. Glucoma , CST.

History : ask for the main eye symptoms :

1- Red eye : - O C D
- PPT : traumatic or non traumatic ?
use contact or not ?
recent respiratory infection ?

5
 6

- Past history of similar condition or systemic disease . 2- Vision :

Any discharge may cause colored halos , however vision may be markedly affected in acute
glaucoma , corneal ulcer , uvitis .

3- Pain , itching , burning .

4- Discharge :
- MP ( yellowish or greenish ‫ = )ػّبص‬MPC
- watery : allergy , viral , lacrimation ( corneal ulcer or FB)

Examination :
1- lid : - rubbing lash may be the cause of red eye .
- blepharospasm usually indicates corneal ulcer or uvitis.
- lid edema is common in allergy or venous obstruction .
- scales of blepharitis .
- lower lid (ectropion) may cause dryness .
2- cornea  : important to confirm its clear .
3- conj : - site of redness
- follicles ( viral or trachoma )
- papillae ( chronic irritation e.g. CL , spring catarrh , drugs , trachoma )
- chemosis : usually allergy or viral .
3- AC : - to exclude glaucoma ( shallow AC )
- KPS , flare , hypopyon .
4- Pupil : e.g . - vertical dilated in glaucoma .
- constricted in iridocyclitis .
5- Lens 6- Tension : palpatory and compare eyes .
7- periauricular LN : viral infection ± .

Summary of red eye :

1- Red eye + discomfort (only) = conjunctiva

A) diffuse : -young : Allergy (tobradex) or infection (levoxin , tobrex + fusithalmic VED )
- old : dryness (tearsgaurd x5 , cornergel x3).
B) localized : phylectn (tobradex,epifenac,terracortil Eo) , episcleritis (+rivo tab ) , angular
blepharits (tetra EO + prisoline zink) , subconj hge (reassurance ).

2- Red eye + discomfort + pain , photophobia , blepharospasm:

* corneal ulcer,FB,photophthalmia
cover + isoptatropine + tobrex + fusithalmic ± benox,epifenac(in photophthalmia) ± Diflucan
(in organic trauma )

* Uvitis

6
 7

* acute glaucoma

3- Red eye + discomfort + proptosis &\or  ocular motility :

* tumor of the orbit .
* thyrotoxicosis .
4- Red eye + proptosis &\or  ocular motility + pain :
* orbital cellulitis
* CS thrombosis ( + headace, ± coma + edema over mastoid )
5- Red + proptosis &\or ocular motility + pain + ring abcess + No PL :
Panophthalmitis

6- red eye + pain only : Scleritis ( rare)

Ocular trauma
1- FB

Sites : cornea , conj , sulcus subtarsalis .

slit lamp َ‫ الص‬ٚ ٓ‫الصَ تمٍت اٌجف‬
DD : conjunctivitis , allergy , corneal erosion .
TTT :
.Benox ‫ لطشح ِخذسح‬-1
. ‫ٍٗ ثسجبسح‬١‫ ش‬ٝ‫ سطح‬ٚ‫ تشاة ا‬ٌٛ -2
. ‫ظب‬٠‫جت اصاٌخ اٌظذأ ا‬٠ ٚ ٓ١ٌٛ‫) الصَ سشٔجخ أس‬Rust ( َ‫ ٌحب‬ٚ‫خ ا‬ٚ‫ش طبس‬٠‫ سا‬ٌٛ -3
: ‫ ػالج‬ٚ ً‫ االل‬ٍٝ‫َ ػ‬ٛ٠ ٓ١‫خ اٌؼ‬١‫جت تغط‬٠ ‫تشن ِىبٔٗ لشحخ ٌزا‬٠ ‫ش‬٠‫ اٌشا‬-4
1- pure AB :
levoxin , tobrex Ed ….X5 ,
Terramycin Eo
2- if its plant orgin there is risk of
fungal keratitis :
* Diflucan ED
* Isoptatropine ED
* Zymer Ed ( or tobrex )
* miphenicol EO ( or fusithalmic
VED )

7
 8

‫ث‬١‫ دسجخ ثح‬65 ٌٝ‫ا‬ٛ‫ اٌسشٔجخ ح‬ٕٝ‫اث‬

‫ ٌٍذاخً ثُ لُ ثبصاٌخ‬bevel ‫ْ اي‬ٛ‫ى‬٠
ٖ‫ اتجب‬ٝ‫ش ثىحتٗ ثجبٔت اٌسٓ ف‬٠‫اٌش‬
.peripheral

NB
. ٍٝ‫ش و‬٠‫ْ تخذ‬ٛ‫حتبج‬١‫ االؽفبي س‬#
ٚ ‫بد‬١ٍّ‫ذخً ػ‬٠ ‫ك‬١ّ‫ش ػ‬٠‫ اٌشا‬ٌٛ #
‫ذ‬٠‫ّىٓ تحذ‬٠ ٚ Rupture ‫ؼبًِ ن‬٠
. ) 45 ‫خ‬٠ٚ‫غ ثضا‬١‫ء سف‬ٛ‫( ػ‬ slit lamp ‫اٌؼّك ثبستخذاَ اي‬

2- Rupture globe :

O/E : cornea and\or sclera is torn , tension is soft , AC is lost , iris may prolapse .
Seidel’s test ( for diagnosis of perforated corneal ulcer ): Concentrated fluorescein is dark
orange but turns bright green under blue light after dilution. This indicates aqueous leakage
which is diluting the green dye
: ‫اسئ‬ٛ‫ تزوشح اٌط‬ٍٝ‫ػ‬

ِٝ‫سش) اِب‬٠‫ اٌحجبج (اال‬ٍٝ‫خ ػ‬٠‫اشؼخ ػبد‬

ٝ‫ جبٔج‬ٚ ٝ‫خٍف‬
to exclude IO FB

* R/ vigamox ED 15 ً‫ٓ و‬١‫لطشح ثبٌؼ‬

‫خ‬١ٍّ‫دلبئك لجً اٌؼ‬ * NPO .
3- Hyphema :
Emergence due to risk of : 1- 2ndry glaucoma
2- corneal staining 3- rebleeding .
: ‫اسئ‬ٛ‫ تزوشح اٌط‬ٍٝ‫ػ‬

8
 9

ٝ‫ جبٔج‬ٚ ٝ‫ خٍف‬ِٝ‫سش) اِب‬٠‫ اٌحجبج (اال‬ٍٝ‫خ ػ‬٠‫اشؼخ ػبد‬

to exclude IO FB
. ٓ١‫ غطبء ٌٍؼ‬-1 : ‫اٌؼالج‬
. ‫ ػذَ اٌحشوخ‬ٚ ‫ دسجخ‬45 ٌَٕٛ‫ػغ ا‬ٚ -2
‫ سبػخ ص‬24 ً‫ثسٓ ػؼً و‬ٛ‫ي اٌف‬ٛ‫ اِج‬-3
2 × ‫ي لطشح‬ٌّٛٛ١‫ ت‬-4
. ُ٘‫ ِش‬ٚ ‫ثشادوس لطشح‬ٛ‫ ت‬-5
4- Black eye :
‫َ ثُ دافئخ ثؼذ رٌه‬ٛ٠ ‫ي‬ٚ‫وّبداد ثبسدح ا‬
R/ alphentern tab x2 or maxilase syrup x2
R/ tobradex ed …….. x3
5- Corneal abrasion :
Usually after FB , trauma , bad use of contact lens .
.slit lamp ٍٝ‫ء االصسق ػ‬ٛ‫ افحض ثبٌؼ‬ ٓ١‫ٓ داخً اٌؼ‬١‫سس‬ٍٛ‫ٔمطخ ف‬
TTT (steroids is contraindicated )
R/ tobrex ed….. x5 , R/ Fusithalmic VED …x1
. ‫ اٌّتبثؼخ‬ٚ ْ‫ِب‬ٛ٠ ٓ١‫خ اٌؼ‬١‫تغط‬
6- chemical burn :
. ُ‫ٕخ وبًِ اٌذس‬١ٙ‫ ) ثُ ثٍجٓ ج‬ٝ‫ش ح‬١‫ وبْ ج‬ٌٛ ‫ (اال‬saline ٚ‫ٓ ثّبء ا‬١‫ً اٌؼ‬١‫ غس‬-1
. Benox ٓ١‫ لطشح ثبٌؼ‬-2
. ٍٗ‫ غس‬ٚ ٗ‫جت لٍت اٌجفٓ ٌفحظ‬٠ ٚ ‫خ‬١ٔ‫د لشحخ ثبٌمش‬ٛ‫ج‬ٚ َ‫ذا ٌٍتبوذ ِٓ ػذ‬١‫ٓ ج‬١‫ فحض اٌؼ‬-3
Alkali burn usually needs continous irrigation by 1000-2000 cc saline ( saline ‫ً ة‬١‫ وشس اٌغس‬-4
.)
. ‫ جسُ طٍت‬ٜ‫جبسح الصاٌخ ا‬١‫ٓ ثس‬١‫ اِسح اٌؼ‬-5
ٓ١‫ غطبء اٌؼ‬-6
R/ tobrex ED … x5
corner gel …..x 3
± isoptatropine ED……x3 . ‫ اٌّتبثؼخ‬-7

Ocular emergincies
Closed-angle glaucoma Retinal detachment Foreign body
•Orbital fractures Corneal abrasions, lacerations, ulcers

9
 15

•Chemical burns Ruptured globe CRAO

•Retrobulbar hematoma

Retinal detachment
Signs and symptoms
–“black curtain coming down over visual field”
–bright flashes of light (photopsia)
–increasing floaters
–decreased visual acuity
–distortion of objects (metamorphopsia)
–+RAPD on exam.

- ophthalmoscopy. Direct ophthalmoscopy is not very effective at visualizing periphery where

most RD’s occur.
–Treatment Surgery.
Orbital Blowout Fracture
Signs & Sx’s:
–Enophthalmos
–Diplopia
–Impairment of eye movement 20 to EOM entrapment, orbital hemorrhage or nerve damage
–Orbital emphysema
–Infraorbital n. anesthesia
CT should include axial and coronal cuts
Orbital blowout fracture
Disposition - If no diplopia, minimal displacement, and no muscle entrapment, discharge
with ophthalmology follow up within a week.
Surgery - For enophthalmos, muscle entrapment, or visual loss.
Management:
–Ice packs beginning in clinic/ED and for 48 hrs will help decrease swelling associated with
injury.
–Elevate head of bed (decrease swelling).
–If sinuses have been injured, give prophylactic antibiotics and instruct patient not to blow
nose.
Central Retinal Artery Occlusion ‫اهاهك ًصف ساعت‬

15
 11

–Sudden onset severe monocular vision loss over seconds with totally irreactive pupil . Usually
preceded by amaurosis fugax
–90% will have visual acuity of counting fingers or less
–Marcus gun pupil – RAPD (relative afferent papillary defect ) : when swinging light rapidly
between 2 eyes the diseased eye will constrict normally when light on the other eye (
consensual reflex) but when light is moved rapidly to the diseased eye it will dilate ( no direct
reflex ) i.e. pupil dilates to light .
–fundoscopic exam
attenuated arterioles ,cattle trunk .
Optic disc and retinal pallor
Cherry red spot at fovea (due to maintained perfusion of cilio-retinal artery)
Emboli seen – 20%

Treatment of CRAO
–. Retina can become irreversibly damaged in 100 min.
Breath in a bag , massage , paracentesis .
–Mannitol 0.25-2.0 g/kg IV or acetazolamide 500 mg PO once to reduce IOP.
–Oral nitrates
–Lay the patient flat on his/her back
–Massage orbit. This is thought to help dislodge the clot from a larger to smaller retinal artery
branch, minimizing area of visual loss.
9. Retrobulbar hematoma
Acute orbital compartment syndrome 2° to blunt or penetrating trauma
Hemorrhage into closed space of orbit
 IOP leading to vision loss from optic nerve damage / retinal ischemia
Clinical diagnosis:
–Ocular pain, APD, proptosis, ophthalmoplegia, diminished vision,  IOP
Others ….

Problems in CL :
1- Cornea : - abrasion - acanthaemba .
- Band degeneration .
2- Conj : giant papillary conjunctivits .
3- blurring of vision .

11
 12

Blepharitis

1- Squamous :
R/ orchadoxilline ED x 3 or terracortil EO ٓ‫ذػه ثٗ اٌجف‬٠
R/ jonson baby shampo : ‫ء‬ٝ‫ذػه ثٗ اٌجفٓ الصاٌخ اٌمشش وّبداد ِبء داف‬٠ ٚ ‫خفف ثبٌّبء‬٠
2- Ulcerative :
R/ tobrex ED or terramycin EO……. X5
R/ fusithalmic VED ……….‫ ِسبءا‬ٚ ‫طجبحب‬
Remove the crusts , control DM .
3- Angular :
localized red eye + skin maceration at the canthi
R/ tetra EO …..‫ٓ ِسبءا‬١‫ِشُ٘ ثبٌؼ‬
R/ prisoline zink  ED ….. x3

Dendritic ulcer :
Pain , lacrimation , photophopia , blepharospasm , flourscen stain .
R/ Zovirax EO
Rest to the eye : * Cover * R/ isoptatropine ED
R/ tobrex ED R/ orchatears ED

Allergy (itch) , blepharitis , conjunctivits(burn) , dryness(burn) , error of refraction

1- stitching : corneal ulcer 2- bursting : glaucoma .

3- severe neuralgic : uvitis 4- scleritis .
5- pain on eye movement : optic neuritis .
6- pain around the eye : DD of headache .
7- lid pain : stye , chalazion .

1- pinguacula 3- phylectn 5- limbal spring

2- pteriguim 4- nodular episcleritis catarrh

12
 13

1- Sudden ( vascular or hysterical ) : CRAO , vitrous Hge .

2- Rapid :
a) painless : RD , CRVO .
b) painful : Acute glaucoma , optic neuritis ( loss of vision in few days with pain in eye
movement history of viral infection or MS , O/E : RAPD , swollen optic disk ± ) .
3- Gradual :
1- Cataract 2- 1ry optic atrophy
3- senile MD 4- OAG
5- progressive myopia .

Usually in-significant but fundus ex is to exclude :

- Vitrous hge . – retinal tear .

Anti allergic

1- Orchazide ED…x4:
Anti H , mast cell stabilizer , use only for 2 weeks .

2- Mastocytx ED…x2:
Anti H , mast cell stabilizer , use only for 4 weeks Has rapid effect .

3- Mirolast ED …x2 or x4 (according to sevirty) :

mast cell stabilizer , can be used for 4 months without complications , not used in
toddlers < 3 years .

4- Tavegyl syrup … x 3 : in lid edema e.g insect

5- steroids : orchapred , FML ,

Anti bacterial
Aminoglycosides Quinlones

1- Tobramycin Oflicin
Tobrex (16) ‫ هرهن و قطرة‬ Oflox

13
 14

Tobrin ‫هرهن و قطرة‬ Ocuflox 

2- Gentamycin Optiflox
Apigent ‫هرهن و قطرة‬ ‫ األربعت‬Eye Drops ‫زي بعض و الوادة الفعالت‬
3- Neomycin Ofloxacin ‫ و أشهرهن‬Oflox
Neo-pol
Ciprocin
Ciprofar

Okacin
Orchacine 

Vigamox

Tymer
Zymer

Levoxin

Chlormphinecol Fusidic acid ( anti staph )

Isomephenicol
Isoptophenicol
Ocuphenicol
Miphenicol ( EO)
‫و أهن هلحىظه هٌا إى الوجوىعت دي الزم تحفع في‬
‫الثالجت سىاء في الصيدليت أو في البيت ألًهن‬ fucithalmic Viscous ED 
chloramrphinicol‫بيشتركىا في هادة الـ‬ optifucin Viscous ED
‫و أشهر واحدة في الوجوىعت دي هي‬
isomephinicol

Terramycin.... ointment 
Tetra................ ointment

NB :
Avoid chlormphinecol in children , pregnancy , long duration
Avoid using contact lens when administrating fusithalmic or optifuscin .

Antibiotic + Cortisone

*avoid steroids in : 1- corneal ulcer 2- FB removal 3- children ( if

necessary Tobradex , trrracortil EO, FML neo the least penetrating
corticosteroids ) .

* predinsolone acetate is the most potent most penetration used after

operations ( predforte , Apicorte forte ) .

* when prescribe steroids write : "‫" لودة اسبىع(يي) و ال تكرر‬

1- Neomycin + dexa : Isoptomaxitrol ED 

Maxitrol EOint

14
 15

Dexaron plus ED, oint ‫ ج‬25 ‫خ ثــ‬١ٌ‫ٌىٓ غب‬Tobradex

Dexatrol ED, oint
3- Hydrocortisone : 5- sulfa + predinsolone:
Blephamide
2- Neomycin + predinslon : Terra cortil Eoint  6-chlormphincol + dexa:

Predmycin-P Orchadexoline 
Neopred-p 4- Topradex (20) ED , Oint ‫ش‬١‫ ثتتىتت وت‬ٚ ‫سح‬ٛٙ‫ ِش‬ٞ‫اٌمطشح د‬
 ٟ‫دح ف‬ٛ‫ج‬ِٛ ‫ٗ ِش‬١ٌ ‫ثس ِش ػبسف‬
Optidex-T ‫ب‬ٙٔ‫ّخ إ‬ٌّٙ‫ظخ ا‬ٛ‫ اٌٍّح‬ٚ ‫اإلٔذوس‬
3- Neomycin + fml : Dexatobrin ED, Oint ‫ اٌثالجخ‬ٟ‫تحفع ف‬
FML neo  ُٕٙ‫ أحس‬ٚ ُ٘‫ش‬ٙ‫ ِٓ أش‬ٚ

Antiviral Eye Preparations

Zoviax oint. 31.75 LE
Acyclovir oint. 1.75 LE

Decongestant

Prisoline , visine , ocumethyl

Don’t prescribe , prolonged use conjunctivitis medicamentosa only in angular blepharitis
R/ prisoline zink ED

Tears substitutes

ED ..x5 : orchatears , tears natural , normotears ,

tearsgaurd (no preservatives can be used for life
) , refresh plus (20) .

EO ..x3 : thilotears , cornergel .

Analgesic

1- local anaesthesia : Benox , Boxinate ED

2- NSAID : epifenac , voltaren Ed .

Mydriatic preparations
Cyclopentolate Isopto Atropine Mydrapid 0.5 Tropicamide
0.5%

15