What are the types of anti-inflammatory eyedrops, including corticosteroid (CS) and non-steroidal anti-inflammatory (NSAID) eyedrops?

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Last updated: June 11, 2025View editorial policy

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From the Guidelines

Anti-inflammatory eyedrops are primarily categorized into corticosteroid (CS) and non-steroidal anti-inflammatory (NSAID) eyedrops, with examples including loteprednol etabonate (Alrex) for CS and ketorolac (Acular) for NSAID, as noted in 1. These eyedrops have different mechanisms of action and are used for various ocular conditions.

  • Corticosteroid eyedrops, such as loteprednol etabonate (Alrex), are used for more severe symptoms of allergic conjunctivitis and work by suppressing multiple inflammatory pathways, but they carry risks of increased intraocular pressure, cataract formation, and secondary infections, as mentioned in 1.
  • Non-steroidal anti-inflammatory (NSAID) eyedrops, such as ketorolac (Acular), reduce prostaglandin production involved in mediating ocular allergy and are indicated for temporary relief of ocular itching caused by seasonal allergic conjunctivitis, as stated in 1. The choice between these medications depends on the specific eye condition, inflammation severity, and patient-specific factors, with some conditions requiring combination therapy for optimal management. Key considerations include the potential side effects of each type of eyedrop, with corticosteroids having more serious risks but also being more potent, and NSAIDs having fewer serious side effects but potentially causing stinging, burning, and rarely corneal melting, as generally understood in clinical practice and supported by the information in 1.

From the FDA Drug Label

Topical corticosteroids are also known to slow or delay healing. All topical nonsteroidal anti-inflammatory drugs (NSAIDs) may slow or delay healing.

The types of anti-inflammatory eyedrops are:

  • Corticosteroid (CS) eyedrops
  • Non-steroidal anti-inflammatory (NSAID) eyedrops, such as ketorolac tromethamine ophthalmic solution 2 2

From the Research

Types of Anti-Inflammatory Eyedrops

  • Corticosteroid (CS) eyedrops: These are commonly used to treat ocular inflammatory conditions, but the provided studies do not specifically mention the types of CS eyedrops.
  • Non-steroidal anti-inflammatory (NSAID) eyedrops: These are widely used to treat ocular inflammatory conditions related to ophthalmic surgical procedures, such as pseudophakic cystoid macular edema.

Examples of NSAID Eyedrops

  • Diclofenac 3, 4
  • Ketorolac 3, 4, 5
  • Bromfenac 3
  • Nepafenac 3

Uses of Anti-Inflammatory Eyedrops

  • Treatment of post-operative inflammation following cataract extraction and various surgical refractive procedures 4
  • Prevention and treatment of cystoid macular oedema 4
  • Treatment of allergic conjunctivitis 4

Professional Medical Disclaimer

This information is intended for healthcare professionals. Any medical decision-making should rely on clinical judgment and independently verified information. The content provided herein does not replace professional discretion and should be considered supplementary to established clinical guidelines. Healthcare providers should verify all information against primary literature and current practice standards before application in patient care. Dr.Oracle assumes no liability for clinical decisions based on this content.

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