Tomycin-D

T-Dex is used for steroid-responsive inflammatory conditions of the eye (affecting the palpebral and bulbar conjunctiva, cornea, and anterior segment of the globe) where a superficial bacterial eye infection is also present. It is also used for chronic anterior uveitis and for corneal injury caused by chemical, radiation or thermal burns, or by penetrating foreign bodies. A combination product containing an anti-infective component is appropriate when the risk of superficial eye infection is high.

Tobramycin, the antibiotic in this combination, most often causes hypersensitivity and local irritation of the eye, such as itching and swelling of the eyelids and redness of the conjunctiva. These reactions affect fewer than 4% of patients. The steroid component (Dexamethasone) may cause a rise in pressure inside the eye, which can lead to glaucoma and, rarely, damage to the optic nerve. It may also cause a posterior subcapsular cataract to form and may delay wound healing.