Azasite and blepharitis

[Whitesmith]

I was wondering if any of the doctors here had started prescribing Azasite for blepharitis and if they'd had any success.
Also, I was going to start an azasite/lotemax combo regimen, has anyone been combining steroids with azasite with their patients?

[John C Hagan III, MD, FACS]

Main thing with blepharitis is lid hygeine. I think it very important to use regularly TheraTears Sterilid or Occusoft FOAM EYELID cleaner.

Azasite works good with lid hygeine. Lotemax generally is not used for longer than 3-6 weeks absoute max.

JCH II MD

[Whitesmith]

I respect your opinion on steroids, but my opth has monitored my IOP for 2 1/2 years of tobradex usage and i don't appear to be a steroid responder, although i realize that i'm always in danger of developing a problem. That's why i switched to Lotemax, so that there's even less risk involved in my using it for years to come.

[John C Hagan III, MD, FACS]

IOP is not the only problem with chronic steroids the next biggest problem would be steroid cataracts.  Others thinning of eyelid skin, decreased resistance to infection or trauma.  

For just about everyone chronic steroids for blepharitis in a bad deal.

JCH II MD