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Clinical Pediatrics, Vol. 37, No. 11, 645-652 (1998)
DOI: 10.1177/000992289803701101

Ocular Medications in Children

David K. Wallace, MD

Departments of Ophthalmology and Pediatrics, The University of North Carolina at Chapel Hill, NC

Paul G. Steinkuller, MD

Cullen Eye Institute, Baylor College of Medicine, and Ophthalmology Service, Texas Children's Hospital, Houston, TX

Many ocular medications are used by pediatricians or ophthalmologists caring for pediatric patients. Topical antibiotics are commonly prescribed for bacterial conjunctivitis, nasolacrimal duct obstructions, and ophthalmia neonatorum. Many new antiallergy eye drops are now available for the treatment of seasonal (hay fever) conjunctivitis. Dilating eye drops and antiglaucoma medications are generally used or prescribed by ophthalmologists, but pediatricians must be aware of their potentially serious systemic side effects. Before initiating treatment, physicians should evaluate the risks and benefits of ophthalmic medications, establish minimum dosages necessary to achieve a therapeutic benefit, and monitor children for local and systemic side effects.


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