Ketogate Eye Drop BAK Free is a sterile ophthalmic solution combining Gatifloxacin 0.3% w/v, a broad-spectrum fluoroquinolone antibiotic, and Ketorolac 0.4% w/v, a nonsteroidal anti-inflammatory drug (NSAID). This formulation is designed to treat bacterial eye infections while simultaneously reducing inflammation and pain associated with ocular conditions. Gatifloxacin exerts its antibacterial effect by inhibiting bacterial DNA gyrase and topoisomerase IV, thereby preventing bacterial replication and effectively managing infections caused by susceptible gram-positive and gram-negative organisms. Ketorolac contributes to the therapeutic effect by inhibiting cyclooxygenase enzymes (COX-1 and COX-2), leading to decreased synthesis of prostaglandins responsible for inflammation, pain, and edema. The BAK-free formulation minimizes the risk of preservative-related ocular surface irritation, making it suitable for patients with sensitive eyes or those requiring prolonged treatment. Ketogate Eye Drop BAK Free is indicated for the treatment of bacterial conjunctivitis and for the management of postoperative inflammation following ocular surgery. It should be used under medical supervision, with adherence to prescribed dosing to prevent resistance development and ensure optimal therapeutic outcomes. Patients should avoid contact lens use during treatment unless otherwise advised by a healthcare professional.