6.1.11 Flashcards
treatment of cataract
IOL surgery (phacoemulsification)
pred-forte x4 daily (4/52)
chloramphenicol x4 daily (4/52)
lubricating drops x4 daily (4/52)
6 week optometric review
treatment of AMD
Dry: low vision aids, increase mag/contrast/lighting. amsler, supplements (macushield - lutein)
Wet: anti-VEGF (lucentis), low vision aids, amsler
treatment of diabetic eye disease
- DRS (annual)
- manage diabetes
- laser (PRP - pan retinal photocoagulation)
- anti-VEGF (lucentis)
- vitrectomy for haem
treatment of conjunctivitis (8)
- lid hygiene
- cold compress
- contagious nature
- self-limiting (7 days) - review
- stop CL use
- lubricating drops/ointment
- urgent referral if persists after 7 days or if corneal involvement
B: chloramphenicol, gentamicin (gram -ve)
0.5% drops only for BC >2yrs
every 2 hrs for 2 days, every 4 hrs for 3 days - finish even if Sx improves!!
treatment of dry eye
- chronic/no cure
- lubricating drops
- treat underlying cause (MGD/bleph)
- environmental changes
- omega 3, vitA, H2O
treatment of blepharitis
- chronic/no cure
- hot compress and massage
- lid hygiene (wipes)
- lubricating drops
anti-VEGF
lucentis
wet AMD or DR
blocks vascular growth = prevents and reduces leakage of NBV
PRP
panretinal photocoagulation
laser seals new leaky BV. can stop progression of DR but cannot reverse
(avoid if NBV near fovea)
pathophysiology of DR
microvascular occlusion = VEGF = NV/IRMA = loss of integrity = leakage = haem and odema