Dr. Reeder Flashcards by Emily Workman

Q

Irrigating solutions

A

Saline causes less swelling

Morgan lens: good for high risk chemical exposure

Commercial eye washes: contain BAK

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Q

Anti-edema drugs

A

HyperOSMOTIC: water pulled out of cornea, higher conc that pt tears - muro 128

HyperONCOTIC: high colloidal osmolarity, may pull water from cornea - FreshKote

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Q

Allergy pathophysiology

A

Increased IgE

Histamine starts process followed by neutrophils

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Q

Dry eye pathophysiology

A

Inflammation and T cells

Testing: ANA and ENA

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Q

OSD Mx

A

Allergic: thin lubricating drops

Dry eye: thick drop

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Q

Artificial tear components

A

Ions: mimic tears, buffer, normal osmolarity

Viscosity agents: increase wetting and retention

Glycerin: mimics mucin layer, bind and heals epi

Trehalose: bio and osmoprotectant

HA: reduces inflamm and epi healing

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Q

Which tears to choose

A

PF: for TID or higher doses

Lipid containing: low LLT or MGD

HA containing: SPK or inflammation

Allergies: thin tears or avoid lipids

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Q

Manuka honey

A

Help with evaporative dry eye

Not FDA approved

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Q

Coconut oil

A

For skin and lids

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Q

Lacrisert

A

Small rod of hydroxycellulose

Reduces reliance on tears

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Q

Verkazia

A

Calcinuerin inhibitor

For VKC

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Q

Acetlycysteine

A

Cystic fibrosis medication

Filamentary keratitis

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Q

Eysuvis

A

DED

QID for 2 weeks

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Q

Flonase
Sensimist
Fluticasone

A

Allergic rhinoconjunctivitis

Risk in IOP risk

Preg cat C

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Q

Which 2 have rebound redness

A

Naphazoline

Pheniramine

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Q

Alaway PF

A

Allergy

First PF drop

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Q

Dymista

A

Allergies with rhinitis component

Only combo for nasal

Azelastine and fluticasone

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Q

Singulair

A

Leukotriene inhibitor

Perennial allergic rhinitis indication

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Q

Piolcarpine

Cevimeline

A

Increases all secretions

SE: dyspnea, polyuria, tachphylaxis

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Q

Tyrvaya

A

Stimulates trigeminal nerve and lacrimal unit

Increased schirmer

True basal tear

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Q

SLIT

A

Sub-lingual immuno therapy

RAGWITEK- ragweed
GRASTEK- grass
ORALAIR- grass KY
ODACTRA- dust mites

Q

Omalizumab

A

Anti IgE

Severe allergy mediated asthma

Q

Dupilumab

A

Blocks IL4 and IL3

Atopic dermatitis, asthma

Risk: conjunctivitis, keratoconj

Q

Abrocitinib

A

JAK1 inhibitor

Atopic dermatitis

Q

Oxervate

A

Neurotrophic keratitis

Recombinant human growth factor

Q

Gabapentin

A

Herpetic disease and neuralgia in OSD

Blocks Ca channels

Q

Lorailaner

Tarsus

A

Demodex

Reduces collaretes, mites, redness

Q

Zocular

A

Okra derived product

Eczema

Q

Metronidazole

A

Ointment at night on eyelids only

Q

Tetracycline derivatives

A

Minocycline more effective than doxycycline

Azithromycin helps when other tetras dont

Q

Lumify

A

Ocular

BAK

Max QID

Q

Mirvaso

A

Derm

Gel Face only

QD

Q

Upneeq

A

Alpha agonist

Muellers muscle

QD

Q

Dacryoadenitits

A

Acute: viral, supportive, oral analgesics

Bacterial: Amos/clav: 500/125 BID, Cephalexin 500 BID

Q

Canaliculitis

A

Amos/clav: 875/125 BID

Requires DCR

Q

Dacryocystitis

A

Amos/clav: 875/125 BID 10-14 days

Consider antibiotic lavage

Q

Refresh optive

A

Glycerin

Q

Systane ultra

A

HP guar

Q

lipid based artificial tears

A

Refresh optive advanced

Q

Hylonight

A

Vitamin A

Q

Lacrlube

A

Chlorobutanol bad

Q

Soothe night time

A

PF

Q

Lifitegrast

A

I CAM blocker

Q

REproxalap

A

RASP inhibitor

Q

Ketorolac

A

NSAID allergy

Q

Low potency derm

A

OTC hydrocortisone

Q

High potency derm

A

Momentasone ointment

Q

Pilocarpine

A

Increases all secretions

Risk: dyspnea

Challenges: polyuria and Tachyphylaxis

Q

Tyrvaya

A

Stimulates trigeminal nerve and lacrimal unit

True basal tear

Q

Oxervate

A

NKC

SE: pain