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"The completely revised, Third Edition of Ocular Therapeutics Handbook is directed at the needs of optometrists, nurses, and primary care physicians and provides information for the most common ocular problems encountered in a primary care setting. --The handbook is divided into three sections: Quick Reference, Ocular Therapeutics, and Appendices. The Quick Reference section covers such topic: as ocular microbiology, laboratory tests and procedures, pharmaceutical agents, and side effects of medications. The Ocular Therapeutics section discusses diseases, traumatic injuries, and ocular urgencies and emergencies, as well as in-office systemic emergencies. The Appendices provide a summary of abbreviations, conversion charts, case report sheets, and important phone numbers. --The chapters have been developed to serve as a snapshot, presenting the clinician with the most relevant information regarding the pathophysiology and etiology of diseases, patient demographics, signs and symptoms, laboratory tests, and recommended approaches to treatment. --New to this Edition --Clinical color images --Expanded laboratory tests and procedures chapter --Chapter on neuro-rehabilitation and low vision --Rapid-review chapters of clinical presentations --Update of systemic medications --Outline format and extensive use of algorithms allow readers to quickly access information --Utilizes problem-oriented approach --Resources now include pertinent and up-to-date websites"

"ABSTRACTTujuan: Menilai keamanan injeksi intrakamera levofloksasin 0,5 sediaan tetes mata dosis tunggal 0,6 mL steril tanpa pengawet pada hewan coba kelinci. Desain: Penelitian ini merupakan uji eksperimental dengan desain paralel, acak, tersamar terhadap hewan coba kelinci albino New Zealand White . Metode: Dua puluh empat mata dari dua belas ekor kelinci dibagi kedalam ketiga kelompok, kelompok pertama LFX mendapat perlakuan injeksi intrakamera levofloksasin 0,5 sediaan tetes mata dosis tunggal steril tanpa pengawet 0,6 mL n = 6 , kelompok kedua CRAV mendapat injeksi intrakamera levofloksasin 0,5 sediaan tetes mata botol 5 mL n = 6 dan kelompok ketiga BSS mendapat balanced salt solution intrakamera sebagai kontrol n = 12 . Hasil: Skor klinis pada hari 1, 3, 5, dan 7 tidak menunjukkan adanya perbedaan antara ketiga kelompok. Perubahan klinis maksimal yang ditemukan berupa kekeruhan kornea ringan serta sel dan flare ringan dalam bilik mata depan. Pemeriksaan histopatologi tidak menunjukkan adanya perbedaan statistik kelainan akibat efek toksik yang signifikan pada semua kelompok. Vakuolisasi endotel ditemukan pada semua kelompok sehingga tidak signifikan sebagai perubahan akibat efek toksik. Kesimpulan: Injeksi intrakamera 0,1 mL levofloksasin 0,5 dalam sediaan tetes mata dosis tunggal 0,6 mL steril tanpa pengawet memiliki keamanan yang sama dengan sediaan tetes mata botol 5 mL tanpa pengawet pada mata hewan coba kelinci dalam hal perubahan klinis dan histopatologis."

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""ABSTRACT"Purpose To evaluate the safety of intracameral injection of levofloxacin 0,5 eye drop single dose 0,6 mL preservative free LFX on rabbit eye. Methods This was an experimental, pararel, and randomized study. Twenty four eyes of twelve New Zealand White rabbit were divided to three groups. First group LFX were treated with 0,1 mL intracameral injection levofloxacin 0,5 eye drop single dose 0,6 mL preservative free n 6 , second group CRAV were treated with 0,1 mL intracameral levofloxacin 0.5 eye drop bottle 5 mL preservative free n 6 , and third group BSS were treated with 0,1 mL intracameral injection balanced salt solution n 12 . The clinical evaluation was performed on day 1st, 3rd, 5th and 7th. Each eye was enucleated on day 7th and underwent histopathology examination. Results The clinical scores among three groups did not show any significant difference on day 1st, 2nd, 3rd, and 7th p 0.05 . Mild corneal opacity, mild cells and flares in anterior chamber were the only noted in clinical scores. Histopathology score demonstrated no statistically significant difference between three groups p 0.05 . Vacuolization of corneal endothelial cells were notes in all groups, but not statistically significant.Conclusion Intracameral injection of levofloxacin 0.5 eye drop single dose 0.6 mL preservative free was safe to rabbit eye, in clinical and histopathology scores, similar with levofloxacin 0.5 eye drop bottle 5 mL preservative free"

"Current guide to antibiotic and anti-inflammatory pharmacotherapy in ophthalmology and ocular surgery. Coverage includes up-to-date information on new generation fluoroquinolones, new uses of tetracyclines, topical azithromycin, new anti-inflammatory drugs, endophthalmitis prophylaxis and management, and treatment of corneal ulcers, uveitis, cystoid macular edema, blepharitis, and post-refractive keratitis. Close attention is given to preoperative and postoperative antibiotic prophylaxis and nonsteroidal anti-inflammatory therapy to optimize outcomes in cataract and refractive surgeries. A section on recent advances includes toxic anterior segment syndrome, topical immune therapy, and nanotechnology"

"This book comprises an integrated review of ocular therapeutics across all relevant fields. It addresses the real-world requirements of ophthalmologists, pharmacists and optometrists, as observed through working alongside these practitioners for two decades. Knowledge surrounding  agents used in ophthalmic practice has, historically, been scattered. The book facilitates understanding of ocular drug therapy by compiling all key aspects of the pharmacology, toxicology, pharmaceutical science, ocular biochemistry and cell biology of these agents.Chapters detail drug transfer across barriers, systemic toxicity of topically applied drugs, autonomic drugs used for diagnostics, as well as anti-inflammatory, antiallergic, glaucoma and antimicrobial therapies, and avenues for the development of new ocular drugs. Applications of extemporaneously prepared formulations are described to inform day-to-day clinical practice.  The use of mucoadhesive polymers in tear substitutes, ocular drug delivery systems, stem cell therapy, pharmacogenomics and antiangiogenic ocular chemotherapy are also explored. The book also provides insights from drugs of herbal origin, and a historical perspective on drugs for ocular use.Practicing and resident ophthalmologists, optometrists, pharmacists, nursing professionals, scholars in ocular drug research and students will equally benefit from this comprehensive guide."

"Latar Belakang: Fibrosis dalam bentuk adhesi jaringan maupun jaringan parut teregang menjadi salah satu faktor yang mempengaruhi luaran hasil operasi strabismus. Obat golongan anti-inflamasi non-steroid, salah satunya natrium diklofenak, merupakan obat yang mampu menekan proses inflamasi sehingga dipikirkan dapat memodulasi penyembuhan luka, termasuk fibrosis pada otot ekstraokular pasca operasi strabismus.Tujuan: Membandingkan efek pemberian diklofenak sediaan oral atau tetes mata 0,1% terhadap pembentukan fibrosis pasca operasi strabismus pada hewan coba kelinci model.Metodologi: Penelitian eksperimental ini dilakukan pada kelinci model yang dilakukan operasi reses otot rekrus superior. Dilakukan randomisasi acak terkontrol tiga kelompok dengan membagi kelinci menjadi: kelompok dengan terapi diklofenak oral 2 x 5 mg/kg selama 3 hari (kelompok A), tetes mata natrium diklofenak 0,1% 3x sehari selama 3 hari (kelompok B), dan kontrol (kelompok C). Setelah hari ke-14 pasca operasi, dilakukan enukleasi lalu dinilai skor adhesi makroskopik, histopatologi inflamasi (haematoxylin & eosin), skor adhesi mikroskopik dan persentase area fibrosis (Masson’s trichrome), serta ekspresi α-smooth muscle actin (α-SMA, imunohistokimia) oleh ahli patologi anatomik menggunakan penilaian semi-kuantitatif dan kuantitatif (ImageJ) dengan nilai reciprocal staining intensity (RSI).Hasil: Enam kelinci (12 mata) terbagi dalam tiga kelompok perlakuan. Tidak terdapat perbedaan skor adhesi makroskopik (p=0,13), adhesi mikroskopik (p=0,28), dan histopatologi inflamasi (p=0,26). Persentase area fibrosis kelompok diklofenak tetes mata (12,44 % (8,63 - 18,29)) lebih sedikit dibandingkan kelompok diklofenak oral (26,76 % (21,38-37,56)) maupun kontrol (27,80 % (16,42 - 36,28); uji Kruskal-Wallis p = 0,04, post-hoc kelompok oral vs tetes mata p = 0,03 dan kelompok tetes mata vs kontrol p=0,04). Penilaian ekspresi α-SMA semi-kuantitatif tidak dijumpai perbedaan antar ketiga kelompok. Analisis RSI mendapatkan bahwa kelompok diklofenak tetes mata memiliki ekspresi α-SMA yang lebih rendah (diklofenak tetes mata = 174,08 ± 21,78 vs diklofenak oral = 206,50 ± 18,93 vs kontrol = 212,58 ± 12,06; one-way ANOVA p = 0.03; post-hoc bonferroni diklofenak tetes mata vs kontrol p= 0,04).Kesimpulan: Tidak terdapat perbedaan skor adhesi makroskopik, mikroskopik, serta histopatologi inflamasi antara kelompok perlakuan diklofenak oral, diklofenak tetes mata, maupun kontrol. Pemberian diklofenak tetes mata 0,1% menunjukkan penurunan area fibrosis dibandingkan kelompok diklofenak oral maupun kontrol. Melalui penilaian RSI, terdapat penurunan ekspresi α-SMA dengan pemberian diklofenak tetes mata 0,1%."

"Established for over 65 years as the "bible" of the medical ward. This book is now in its Thirty-fourth Edition and builds upon that proud tradition--with even more of the current information you need delivered in a time-saving, quick-reference style. Its portability, comprehensiveness, and ease of access makes it a favorite on-call resource for housestaff and faculty around the world. Continuing the tradition of excellence, each chapter has been updated and reformatted for easier access to the information the reader needs."