Published in Research

Is a loteprednol etabonate-tobramycin combo safe for ocular inflammatory diseases?

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2 min read

A new study published in Clinical Ophthalmology examined the safety level of loteprednol etabonate 0.5% and tobramycin 0.3% when used to treat ocular surface inflammatory diseases.

I need context on ocular inflammation treatment.

When corticosteroid therapies are recommended for treatment, they’re often coupled with an antibiotic medication. While topical corticosteroids are tried-and-true for treating ocular inflammation, they come with potential side effects, including increased intraocular pressure (IOP).

Why this combo?

Loteprednol etabonate (LE) 0.5% and tobramycin (T) 0.3% LET/T is already an FDA-approved indication for use in steroid-responsive inflammatory ocular conditions.

LE/T is an ocular solution consisting of a topical corticosteroid (LE) with an aminoglycoside antibiotic (T). LE is effective  in inflammatory ocular diseases, and has a solid safety profile and a low risk for IOP elevation. T, on the other hand, includes broad-spectrum antibacterial activity.

Tell me about the study.

Data was collected from 87 patient charts (115 LE/T-treated eyes). Over half (58.6%) of patients were female, with a mean age of 45.6. The mean IOP was 15.2 mmHg at baseline and 15.7 mmHg (p = 0.2467) at initial follow up.

Any adverse events?

No, none were reported. The mean visual acuity also did not change significantly.

Results?

At indication, the majority of patients (83%) had their ocular inflammation resolved/resolving at either the first or second follow-up visit.

Take home.

Researchers concluded that the LE/T formulation appears to have a good level of safety for treating ocular surface inflammatory diseases.


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