Should We Be Administering Besivance or Azasite Via DuraSite After Phaco?
October 21, 2010
An article in AJO compared Besivance, Azasite (both using DuraSite vehicle) and Cipro when injected into rabbit eye anterior chambers. It seems the Durasite blocks the trabecular meshwork and may be toxic. The authors advise not using these drops after clear corneal surgery unless a suture is placed. I don’t know anybody who uses anything but Zymar and Vigamox post-op.
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Have used Besivance for a year now as pre-operative medication for my sutureless, clear corneal cataract surgeries (approx 1100 cases). No adverse events related to the medication (neither from besifloxacin nor durasite)