Azithromycin in topical ophthalmic form is indicated in the treatment of susceptible strains of bacterial conjunctivitis and trachoma related conjunctivitis caused by Chlamydia trachomatis.
The majority of purulent bacterial conjunctivitis cure spontaneously, and azithromycin has shown a similar efficacy and safety profile to tobramycin. There are no trials comparing other antibiotics.
Although its posology is much more convenient, its cost is considerably higher than the other ophthalmic alternatives available.
In the management of trachoma it has not proven superior to the administration of a single dose of oral azithromycin.