Reactions occurring most ofter from the presence of the anti-infective ingredient are allergic sensitizations.
The reactions due to the corticosteroid component are elevation of intraocular pressure (IOP) with possible development of glaucoma, and infrequent optic nerve damage; posterior subcapsular cataract formation; and delayed wound healing.
Secondary Infection: The development of secondary infection has occurred after use of combinations containing corticosteroids and antimicrobials.
Fungal infections of the cornea are particularly prone to develop coincidentally with long-term applications of corticosteroids.
The possibility of fungal invasion must be considered in any persistent corneal ulceration where corticosteroid treatment has been used.
Secondary bacterial ocular infection following suppression of host responses also occurs.
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