Bacterial - Chronic

- Redness, irritation, lid excoriation, scant mucopurulent discharge, or morning crusting for > 4 weeks.

- Eyelid hygiene is important.

- If persists for > 10 days, do not repeat treatment. Look for 2° causes such as chronic nasolacrimal obstruction or chronic blepharitis.

 
Usual Pathogens

Staphylococcus spp
Moraxella spp
Enterobacteriaceae

Ophthalmic Solution

Empiric Therapy Dose Duration
Gramicidin-Polymyxin B qid 7-10 days
or    

Ophthalmic Ointment

Empiric Therapy Dose Duration
Bacitricin-Polymyxin B qid 7-10 days
or    
Erythromycin 0.5% qid 7-10 days