- Corticosteroid
- NSAID
Corticosteroids
Topical
-
E.g. fluorometholone, prednisolone, dexamethasone, hydrocortisone
-
Uses: postoperatively, anterior uveitis, severe allergic conjunctivitis, vernal keratoconjunctivitis, prevention and suppression of corneal graft rejection, episcleritis, scleritis
-
Side effects: susceptibility to infections, glaucomaZ, and cataract (posterior subcapsular cataract)
Systemic
- E.g. prednisolone, methylprednisolone
- Uses: posterior uveitis, optic neuritis, temporal arteritis with arteritic anterior ischemic optic neuropathy
- Side effects:
Local: posterior subcapsular cataract, glaucoma
- Systemic: suppression of pituitary-adrenal axis, hyperglycemia, osteoporosis, peptic ulcer, psychosis
NSAIDs
- E.g. ketorolac, diclofenac, nepafenac
- Uses: post-operatively, episcleritis/scleritis, mild uveitis, cystoid macular edema, preoperatively to prevent miosis during surgery
- Side effects: stinging and burning. Rarely: corneal melting
