2019
DOI: 10.1016/j.sjopt.2018.04.006
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Corneal deposits following topical moxifloxacin use

Abstract: Corneal deposits have been reported with numerous topical medications including fluoroquinolones. However, they have not been documented as a side effect of topical moxifloxacin. In this report, we describe the first case of corneal deposits following the use of preservative-free topical moxifloxacin 0.5% eye drops in a 26-year-old male with keratoconus who underwent a unilateral corneal cross-linking. Increased frequency and prolonged instillation of moxifloxacin eye drops led to corneal precipitation in this… Show more

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Cited by 8 publications
(3 citation statements)
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“… 19 Additionally, there is a single report of corneal precipitate formation in a patient using moxifloxacin every 2 h for 38 days after corneal collagen cross linking. 20 Clinically, fluoroquinolone precipitates tend to appear within the first few days of treatment, 14 , 16 , 17 , 19 resolve within days of drug cessation, 16 but can persist for weeks to months. 14 , 16 , 17 , 19 In some cases, they have required surgical debridement.…”
Section: Discussionmentioning
confidence: 99%
“… 19 Additionally, there is a single report of corneal precipitate formation in a patient using moxifloxacin every 2 h for 38 days after corneal collagen cross linking. 20 Clinically, fluoroquinolone precipitates tend to appear within the first few days of treatment, 14 , 16 , 17 , 19 resolve within days of drug cessation, 16 but can persist for weeks to months. 14 , 16 , 17 , 19 In some cases, they have required surgical debridement.…”
Section: Discussionmentioning
confidence: 99%
“…Chalky white precipitate and crystalline patterns within epithelial defects have been described with topical fluoroquinolones. While ciprofloxacin drops and ointment are most commonly implicated,77 reports of deposits from topical moxifloxacin,78 norfloxacin,79 ofloxacin,80 tosufloxacin,81 sparfloxacin82 and gatifloxacin83 have been published as well. Furthermore, topical heparin may cause cornea verticillata 76.…”
Section: Drug Classes Overviewmentioning
confidence: 99%
“…Fluoroquinolones are fluorinated derivatives of nalidixic acid and are broad-spectrum antimicrobial agents. Corneal deposits have been reported with topical administration of various fluoroquinolones including, ciprofloxacin,1–3 ofloxacin,4 gatifloxacin,5 sparfloxacin,6 moxifloxacin,7,8 and tosufloxacin 9,10. Herein, three cases of drug deposition in cornea post-penetrating keratoplasty (PK) have been reported.…”
Section: Introductionmentioning
confidence: 99%