Steroid Medications in Eye Care

Ocular Steroid Medication Management

Ocular steroids, also known as corticosteroids, play a pivotal role in the management and treatment of a wide range of eye conditions within the field of optometry. These powerful anti-inflammatory agents are essential in addressing conditions characterized by inflammation and immune responses, such as uveitis, scleritis, and posterior segment inflammation. In addition to their use in chronic conditions, ocular steroids are frequently prescribed following surgical procedures to reduce post-operative inflammation and promote healing. They are also utilized in the treatment of severe allergic conjunctivitis, where their ability to quickly reduce swelling and alleviate pain is particularly valuable. However, the use of ocular steroids requires careful consideration due to their potential side effects, including increased intraocular pressure and the risk of cataract formation. Therefore, their prescription must be carefully monitored, with consideration given to the dosage, duration of treatment, and the specific needs of the patient.

Ophthalmic Steroid Medications

BrandGenericDosingAmountAgesPregnancyMechanism
Alrex
loteprednol 0.2%qid5/10mLNot EstablishedCester-based corticosteroid
Durezol
difluprednate 0.05%qid, taper5mLNot EstablishedCdifluorinated corticosteroid
FML
Generic
fluorometholone 0.1%bid-qid5/10/15mL (gtt)
3.5g (ung)
>2 yearsCketone-based corticosteroid
Inveltys
loteprednol 1%bid x14d2.8mLNot EstablishedCester-based corticosteroid
Lotemax
Generic
loteprednol 0.5%
Lotemax SM 0.38%
qid2.5/5/10/15mL (gtt)
3.5g (ung)
5mL (gel)
Not EstablishedCester-based corticosteroid
Pred Forte
Generic
prednisolone acetate 1%bid-qid, taper5/10/15mL>1 monthCketone-based corticosteroid