Ophthalmology

Experts in Sterile Compounded Ophthalmic Prescriptions.

Our accreditations place us in the top 1% of compounding pharmacies

Town & Country Compounding are experts in compounded eye medications.

Intravitreal injection examples

  • Ganciclovir
  • Amikacin
  • Clindamycin
  • Dexamethasone
  • Methotrexate
  • Vancomycin
  • Voriconazole
  • Ceftazidime
  • Amphotericin B
  • tPA

Other ophthalmic compounds

  • Betadine syringes (single unit dose)
  • Mitomycin
  • Trypan blue
  • Phenylephrine /tropicamide / ofloxacin /tetracaine / flurbiprofen syringes(P10 eyedrops) or custom combinations
  • Lidocaine /epinephrine / BSS (Shugarcaine) syringes or vials

Sterile Compounding Labs for Eye Medications

Town & Country Compounding specializes in a number of sterile eye drops

Town & Country Compounding compounds the high quality sterile compounds your patients need. Whether the compounds are needed for surgical procedure, serious infections or drops that are used daily, we compound the quality they deserve. 

Atropine Eye Drops (Low-Dose For Pediatric Patients)

Related blog: Atropine Eye Drops for Children with Nearsightedness (Myopia) >>

The strength of eyedrops needed for children with myopia is not commercially available. A compounding pharmacist can use the higher-strength commercial product and dilute it for the pediatric patient. This is done only in a sterile compounding lab.

Sometimes a patient needs a compounded medication to be administered at the surgery center for a procedure. 
*These are compounded with a prescription for a specific patient

Autologous Serum Eye Drops (ASED)

Autologous serum eyedrops are often requested when patients have not had success with various medications for chronic dry eyes. Their own serum is used to make their eyedrops.

How Autologous Serum Eyedrops (ASED) Work

Conventional therapies for severe dry eyes fail to heal the epithelial cells, which are the cells on the top layer of the cornea. The dry epithelial cells sometimes fall off of the cornea easily. Autologous serum comes from the patient’s own blood serum and plasma (Source: clevelandclinic.org). 

The fluid contains epithelium-promoting growth factors  and becomes a good replacement for tears. 

Sjogren’s syndrome is an inflammatory condition in which the mucous membranes, especially in the nose and mouth become very dry. Sometimes you will see this in patients who have rheumatoid arthritis and lupus. 

Autologous serum eyedrops (ASED) are thought to contain various growth factors and nutrients from the serum that benefit the surface of the eye and may help with corneal epithelial defects. Serum contains albumin, vitamin A, and nerve and epidermal growth factors that may promote healthy growth and healing of the ocular surface. These nutrients are not in over-the-counter artificial tears preparations. 

They are sometimes used by doctors with patients with neuropathic eye pain, keratitis and may also be used before and after certain high-risk corneal transplants and SLET procedures, or for post-vitrectomy diabetics.

More About Autologous Serum Eye Drops (Step-by-step Guide) >>

Read More:

Fortified Antibiotic Eye Drops

Eyedrops are often needed at a higher strength than what is commercially available for certain conditions and therefore, must be prepared by a compounding pharmacy. Often, the alternative to fortified ophthalmic drops is hospitalization and Intravenous infusions. It is important to get these eyedrops to the patient very quickly when needed!

“Timely intervention will help the most resistant microbial keratitis and prevent the need for surgical intervention”

The conditions that may require fortified eyedrops:

  • Resistant microbial keratitis – This diagnosis is considered an emergency situation.The infection can progress rapidly and can progress quickly and can cause permanent damage that decreases vision.  Around 30,000 cases of microbial keratitis occur annually in the U.S.
  • Corneal ulcers
  • Bacterial infections on the ocular surface

Read more:
– Common Eye Infections
– The Pharmacist’s Role in Managing Microbial Keratitis

Commonly prescribed eye drops

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%)
  •  

Sending prescriptions to
Town & Country Compounding

It’s easy for licensed practitioners to prescribe medications for patients using Town & Country Compounding.