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T&C has the most advanced technology for the best eye care.


Patients suffering with severe dry eyes may just not produce enough tears to remain comfortable, and supplementing natural tear production with artificial tears or lubricants is often inadequate. Many people have underlying medical issues which cause or worsen dry eye, including diabetes, rheumatoid arthritis and thyroid disease. Others take medications which diminish tear production. The use of autologous serum in the form of eye drops has been reported as a new treatment for ocular surface disorders.

The meaning of autologous is that the donor and the recipient are the same person. The eye drops in this case are made from your own blood. Red blood cells and clotting factors are removed, leaving behind blood serum. This is diluted with a sterile, preservative-free solution to produce a tear substitute that is unique to the patient, and contains many important growth factors and nutrients normally found in healthy tears. Since blood and tears have an almost identical salinity and pH, there is no issue of burning or stinging upon usage. Because they are non-preserved, the drops are stored in the freezer until you need them.

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Would you like a referral to a prescriber who specializes in Autologous Serum Eye Drops?

We work closely with many providers that specialize in dry eye treatment and can be empathetic to your situation. Would you like a referral, where we can all work together to help you feel better? Contact Us for a list of practitioners we work with.

Request Referral



For Patient convenience, blood can be drawn at either of the following facilities:

John Theurer Cancer Center

TomoTherapy Center

Call to schedule appointment:

Patients will need to bring the following:

1. Physicians’ prescription
2. Full payment of $140 by credit card or check
3. Copy of blood tests for Hepatitis B and C, as well as HIV Note: Tests must be from current calendar year.

Once blood has been drawn it is the patient’s responsibility to bring, or have their physician fax a prescription for Autologous Serum eye drops, as well as copies of above mentioned blood tests.

At the blood collection facility:

  • Medical assistant will draw blood sample with proper labeling
  • Sample will be sent to HUMC Blood Lab for processing
  • Blood serum will be processed prior to being frozen and stored in freezer
  • HUMC Blood Lab will call T&C Compounding and arrange for our courier to pick up the frozen serum for further processing in our sterile lab

If the patient is out of state or far from the 2 provided locations, we can accept serum from elsewhere but it must ship frozen overnight to us in appropriate packaging and arrive at our pharmacy Monday-Friday during business hours which are 9am-5pm. (Please be aware that we are licensed in a number of states and may only send prescriptions in those states. Please provide us your state of residence to confirm we can provide these services to you)


The Most Advanced Techniques

Upon receipt of the frozen serum, the sterile pharmacists will allow it to defrost in a controlled environment. Once defrosted the serum will be aseptically processed into eye drops in our ISO class 6 Isolated Clean Room in an advanced laminar flow hood. Eye drops will be 100% concentration, or as prescribed by your physician.

Town and Country Compounding aseptically filters the serum and transfers the serum into dropper bottles for use. If sufficient serum (48 mL or more) is supplied by the lab we will typically supply 12 vials containing 4 mL each. This is approximately a 3 month supply.

That’s it! Your Autologous Serum Eye Drops are ready!

Town and Country Compounding will call the patient to arrange for pick up, or delivery by courier or Overnight FedEx delivery.

*Please Note: There is a separate cost for the preparation of Autologous Serum Drops which must arranged with Town and Country Compounding Pharmacy.

We ask all patients to allow us 24-48 hours to prepare the medication to have it ready for pickup, local delivery or Fed-Ex ($10.00 for 2-Day business days only; $25.00 for Overnight Priority business days only; $40.00 for Overnight Saturday).

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Tobramycin Fortified Ophthalmic Solution

  • We can compound strengths 13 mg/mL-15 mg/mL (BUD = 14 days)
  • Refrigeration Required

Vancomycin Fortified Ophthalmic Solution

  • We can compound strengths 12.5 mg/mL, 14 mg/mL, 25 mg/mL, 50 mg/mL (BUD = 14 days)
  • Refrigeration Required

Other anti-microbial ophthalmic medications:

  • Amikacin (2.5%)
  • Cefazolin (50 mg/mL)
  • Ceftazidime (5%)
  • Chlorhexidine Digluconate (0.02% – 1%)
  • Polyhexamethylene Biguanide (PHMB) (0.02%)
  • Voriconazole (0.1 – 1%)

Additional ophthalmic medications we commonly compound:

  • Acetylcysteine (5%, 10%)
  • Albumin (4%, 5%)
  • Atropine (0.01%, 0.02%, 0.025%, 0.1%, 0.125%)
  • Cyclosporin MCT (0.1%-0.5%, 1%, 2%)
  • Dexamethasone (0.01%, 0.1%)
  • Edetate Disodium (EDTA) (1%, 2%, 3%)
  • Glycerin (50%)
  • Mitomycin (0.02% – 0.04%)
  • Prednisolone (1%)
  • Timolol (0.5%)