How are infections prevented following chemical burns to the eye?

Updated: Oct 08, 2019
  • Author: Mark Ventocilla, OD, FAAO; Chief Editor: Andrew A Dahl, MD, FACS  more...
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Answer

When the corneal epithelium is absent, the eye is much more susceptible to infection.

Prophylactic topical antibiotics are warranted during the initial treatment stages. Ointment preparations such as bacitracin may be soothing to the patient but difficult to administer and somewhat blurring. Topical moxifloxacin (Vigamox) is preservative-free and offers broad-spectrum coverage. Polymyxin B trimethoprim (PolyTrim) and besifloxacin (Besivance) are also well-tolerated and broad-spectrum.


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