OCUFENAC Ophthalmic Solution: Uses, Dosage, Precautions, Side Effects

OCUFENAC ophthalmic solution is used to treat eye pain, redness, and swelling in patients who are recovering from cataract surgery (procedure to treat clouding of the lens in the eye).OCUFENAC Eye Drops also used to temporarily relieve eye pain and sensitivity to light in patients who are recovering from corneal refractive surgery (surgery to improve vision). OCUFENAC works by stopping the production of certain natural substances that cause pain and swelling.

OCUFENAC eye drops are a well tolerated eye product, especially when used as directed by your doctor. However, Using this medicine may increase risk of having eye or vision problems (e.g., keratitis or other corneal problems). Stop using this medicine and check with your eye doctor right away if you have blurred vision, changes in vision, or eye redness, irritation, or pain while using this medicine.

Composition and Properties

  • Composition: Each 1 ml contains 1 mg Diclofenac sodium.
  • Properties: OCUFENAC (diclofenac) is a non-steroidal anti-inflammatory drug (NSAID) with pronounced anti-inflammatory, and analgesic Properties. It acts by inhibition of biosynthesis of prostaglandins which are chemical mediators of intraocular inflammation and pain.
  • OCUFENAC also inhibits miosis induced by prostaglandins during ocular surgery. 
  • Pharmacokinetics: It has been reported that plasma levels of diclofenac following ocular administration were below 10 ng/ml. This suggests that systemic absorption is limited. 

Indications : What OCUFENAC used for?

  • Treatment of postoperative arid post-traumatic inflammatory conditions.
  • Prevention of intraoperative miosis (excessive constriction (shrinking) of your pupil) during cataract extraction( surgery to remove a clouded lens (cataract) from the eye, removing cataracts help you see better).
  • Prevention of Postoperative cystoid macular oedema after cataract extraction ( cystoid macular oedema,also known as CME, is a swelling of the macula with fluid. The macula is responsible for the detailed, central vision that provides the ability to see objects with great detail).
  • Treatment of Photophobia(a sensory disturbance provoked by light) in patients who have undergone incisional refractive Surgery (non-essential eye surgery used to improve the refractive state of the eye and decrease or eliminate dependency on glasses or contact lenses). 

Dosage and Administration

    • Inflammatory conditions:  one drop should be instilled in the affected eye(s) 4 times a day.
    • Prevention of intraoperative miosis  and postoperative cystoid  macular oedema: One drop 5 times during 3 hours prior to surgery 15 minutes, 30 minutes, and 45 minutes.Postoperatively, then 4 times a day as long as needed.
    • Photophobia in incisional refractive surgery: One drop 1 hour prior to surgery then 1 drop within 15 minutes after surgery, then 1 drop 4 times a day beginning 4 to 6 hours after surgery and continued for 3 days. 
  • OCUFENAC should be used only during one month after opening. 

Precautions: OCUFENAC should be used with caution in:

  • Pregnancy: only if the potential benefit justifies the potential risk. 
  • Patients taking drugs which prolong bleeding time or cause bleeding (eg, anticoagulants). 
  • Patients should avoid allowing the tip of the dispensing container to contact the eye(s) or surrounding structures to avoid bacterial contamination. 

Contraindications

Some people MUST NOT have this medicine. Talk to your doctor if you are:

  • Hypersensitivity to the Diclofenac, acetylsalicylic acid. and to other NSAIDs.
  • Patients wearing hydrogel soft contact lenses.
  • Children: since safety and effectiveness have not been established.
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Side-effects

The side effects may include:

  • transient burning and stinging.
  • Keratitis (an inflammation of the cornea, which is the clear, dome-shaped tissue on the front of your eye that covers the pupil and iris).
  • elevated intraocular pressure (IOP is the pressure created by the continual renewal of fluids within the eye. Increasing in  intraocular pressure causing glaucoma, and damage to optic nerve if untreated).
  • Itching.
  • Irritation.
  • Chemosis (a sign of eye irritation, where the outer surface of the eye (conjunctiva) may look like a big blister. It can also look like it has fluid in it).

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