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Ocular Pharmacology > 1693 - Oc Pharm Cases > Flashcards

1693 - Oc Pharm Cases Flashcards

1
Q

Traumatic Iritis

A

tx - cycloplegic (for pain) and steroid (for inflammation, unless there is an epithelial defect)
can occur with a hyphema (elevate head until it resorbs)
f/u in 5-7 days to see if tx is helping and check IOP
f/u in 1 month to do gonio, check for angle recession or synchechiae

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2
Q

Pingueculitis

A
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3
Q

Anterior Uveitis

A
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4
Q

Subepithelial infiltrates

A
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5
Q

Scleritis

A
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6
Q

Post-LASIK care

A
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7
Q

Marginal Keratitis

A
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8
Q

Thygeson SPK

A

ATs, BCL if severe

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9
Q

Contact Dermatitis

A

hydrocortisone ?

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10
Q

Horner’s Syndrome

A
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11
Q

Acute allergic conjunctivitis

A

mild - ATs, cool compresses
mod - antihistamines
severe - steroids

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12
Q

Acute angle closure

A
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13
Q

Adie Pupil

A

dx with 0.125% pilocarpine or 2.5% methacholine (supersensitive system)
tx with 0.125% pilocarpine and brimonidine which blocks the impulse to dilate
(apraclonidine loses strength over time, not for chronic use, and vuity is too strong)
can use prosthetic CL to make eyes look equal

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14
Q

AMD

A

AREDS vitamins for moderate dry stage. anti-VEGF injections if CNVM/wet AMD

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15
Q

Atopic keratoconjunctivitis

A
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16
Q

Bacterial conjunctivitis

A

antibiotic drop (w/gram negative coverage for CL wearers) f/u 3-5 days, culture

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17
Q

Bacterial keratitis

A

Vigamox, polytrim, loading dose in office, fortified tobramycin
steroid to prevent scarring once the infection is under control

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18
Q

Blepharitis

A

BAD - bacitracin, augmentin, doxycycline

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19
Q

BRVO

A
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20
Q

Chlamydia

A
  • inferior palpebral conj follicles and purulent discharge
  • oral Azithromycin 1 gram (zpak) f/u 1 week to give time for antibiotics to work
  • report to county public health service within 5 days!
21
Q

CLPU

A
22
Q

CME

A
  • steroid injection
  • NSAID for cat. sx. related CME (Irvine-Gass)
  • if not working, increase steroid, oral CAI, IVT steroid, or anti-VEGF
23
Q

Corneal abrasion

A

mild - ATs, f/u 3 days
severe - antibiotic cover f/u 1 day. make sure to use antibiotic with gram negative coverge for CL wearers, can use BCL for non-CL wearers only, and can use oral NSAIDs for any pain

24
Q

Demodex

A

look for collarettes, 50% tea tree oil (use proparacaine!) in office, Blephex, send pt home with 25% to use once a day
new drug - Lotilaner

25
Q

EKC

A
26
Q

Ethambutol toxicity

A
27
Q

Fungal keratitis

A
28
Q

GPC

A
29
Q

Hordeolum

A

warm compress, massage to point and drain, antibiotic cover for when the bacteria comes out
BE CAD: bacitracin or erythromycin for ointment cover, Keflex 500mg po BID, Augmentin 250-500mg/125mg po TIF, Dicloxacillin 100mg po QD-TID
if blepharitis also: BAD - bacitracin, augmentin, doxycycline
if penicillin allegy - use doxy, azithro or moxi

30
Q

HSV

A

trifluridine (Viroptic) 9x/d then 5x/d
acyclovir ung 5x/d then 3x/d
gancyclovir (Zirgan) 5x/d then 3x/d
prophylaxis - oral acyclovir 4oomg 5x/d halved

31
Q

Metalic foreign body

A
32
Q

Microbial keratitis

A
33
Q

Moderate pain

A
34
Q

Myasthenia gravis

A
35
Q

Normal tension glaucoma

A

IOP lowering drops, but not beta-blockers

36
Q

Ocular burn

A
  • 10min pH checks and irrigation with water
  • cycloplegic, tylenol, can do T3 for pain
  • oral acetazolamide if IOP is too high and don’t want to put drop in eye
  • antibiotic cover
  • oral doxycycline and vitamin C to help corneal healing
37
Q

Ocular hypertension

A

10% risk for POAG, but when on drops risk falls to 5% risk for POAG

38
Q

Optic neuritis

A
39
Q

Phlyctenulosis

A
40
Q

POAG

A

IOP lowering drops, SLT, etc.

41
Q

Post cataract sx care

A

Vigamox (antibiotic cover), Pred Forte, and NSAID drop to prevent Irvine Gass

42
Q

TASS

A
43
Q

post LASIK - CLAPIKS

A
44
Q

post LASIK - DLK

A
45
Q

post LASIK - epithelial ingrowth

A
46
Q

Punctate keratitis

A
47
Q

Superglue ocular accident

A

warm compress, cut eyelashes, peel glue off cornea with forceps if needed, antibiotic cover, oral NSAID for pain

48
Q

VKC

A

mild - ATs, cold compress
mod - antihistamine, steroid (FML)
severe - steroid (pred forte), cyclosporine
if mucus - acetylcysteine
prophylaxis - mast cell stabilizer couple of weeks before spring (or combo mastcell stabilizer+antihistamine since it is cheaper)

49
Q

A

A

Ocular Pharmacology (10 decks)

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