Calcium citrate

What it is used for

For use as an extraocular and intraocular irrigating solution during ocular surgical procedure involving perfusion of the eye with an expected maximum duration of less than 60 minutes.

How to take it

The irrigating solution should be used according to standard format for each surgical procedure. Follow directions of the particular administration set to be used. Allow the fluid to flow and remove air from the tubing before irrigation begins.

Side effects, and when to stop

Irrigation or any other trauma to the corneal endothelium may result in corneal swelling or bullous keratopathy.

Post-operative inflammatory reactions as well as incidents of corneal edema and corneal decompensation have been reported.

Warnings

• NOT FOR INJECTION OR INTRAVENOUS INFUSION.
• Do not use unless overwrap is intact, product is clear, seal is intact, and container is undamaged.
• Do not use if product is discolored or contains a precipitate.
• SINGLE patient use only. The contents of this container should not be used in more than one patient.
• This solution contains no preservative, unused contents should be discarded.

Open under aseptic conditions only.

Studies suggest that intraocular irrigating solutions which are iso-osmotic with normal aqueous fluids should be used with caution in diabetic patients undergoing vitrectomy since intraoperative lens changes have been observed.

There have been reports of corneal clouding or edema following ocular surgery in which Balanced Salt Solution Sterile Irrigating Solution was used as an irrigating solution.

Storing it

Store at 20–25°C (68–77°F). Excursions permitted to 15–30°C (59–86°F). Protect from freezing.

Revised: August 2021

EXCEL ® is a registered trademark of B. Braun Medical Inc.