6.1.11 Flashcards

1
Q

treatment of cataract

A

IOL surgery (phacoemulsification)
pred-forte x4 daily (4/52)
chloramphenicol x4 daily (4/52)
lubricating drops x4 daily (4/52)
6 week optometric review

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2
Q

treatment of AMD

A

Dry: low vision aids, increase mag/contrast/lighting. amsler, supplements (macushield - lutein)
Wet: anti-VEGF (lucentis), low vision aids, amsler

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3
Q

treatment of diabetic eye disease

A
  • DRS (annual)
  • manage diabetes
  • laser (PRP - pan retinal photocoagulation)
  • anti-VEGF (lucentis)
  • vitrectomy for haem
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4
Q

treatment of conjunctivitis (8)

A
  • 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!!

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5
Q

treatment of dry eye

A
  • chronic/no cure
  • lubricating drops
  • treat underlying cause (MGD/bleph)
  • environmental changes
  • omega 3, vitA, H2O
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6
Q

treatment of blepharitis

A
  • chronic/no cure
  • hot compress and massage
  • lid hygiene (wipes)
  • lubricating drops
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7
Q

anti-VEGF

A

lucentis

wet AMD or DR

blocks vascular growth = prevents and reduces leakage of NBV

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8
Q

PRP

A

panretinal photocoagulation

laser seals new leaky BV. can stop progression of DR but cannot reverse

(avoid if NBV near fovea)

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9
Q

pathophysiology of DR

A

microvascular occlusion = VEGF = NV/IRMA = loss of integrity = leakage = haem and odema

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