Douglas J. Rhee, MD

26Name Trade Preparation Dose Notesgatifloxacin Zymar Soln, 0.3% Q1 hr Mild casemoxifloxacin Vigamox Soln, 0.5% Q1 hr Mild caseORtobramycin (fortified) 4 Tobrex Soln, 1.5% Q1 hr Moderate to severe caseandvancomycin (fortified) 4 Vancocin Soln, 5% Q1 hr Moderate to severe caseNotes: 3. In adults, consider oral ciprofloxacin 250–500 mg PO BID for 10 days; may also consider oral fourth generationfluoroquinolone.4. Reevaluate after 12–24 hr and, if there is improvement, consider adding steroid to prevent loss of bleb.prednisolone acetate Pred Forte , Econopred plus Susp, 1% QID(b) Suspected Bleb Infection with Anterior Chamber but NO Vitreal InvolvementNotes: 1. Consider culturing bleb and/or performing anterior chamber tap for diagnostic purposes.2. Begin antibiotics immediately; use both drops alternating every half hour; consider admission to hospital.3. In adults, consider oral ciprofloxacin 250–500 mg PO BID for 10 days; may also consider oral fourth generation fluoroquinoloneas well.