drug-induced ophthalmic disorders Flashcards

stoll

1
Q

what drugs can cause dry eyes?

A

alpha-1 antagonists
alpha-2 agonists
anticholinergics
anticonvulsants
antihistamines
antimalarials
antineoplastic
antipsychotics
anxiolytics
beta agonists and beta antagonists
bisphosphonates
cannabinoids
systemic and topical decongestants
diuretics
retinoids
oral contraceptives
tricyclic antidepressants
benzalkonium chlorid preservative

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2
Q

what drugs can cause cataracts?

A

corticosteroids
phenothiazine
alkylating agents
statins

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3
Q

how is cataracts presented?

A

will not reverse once form
cloudiness in specific parts of lens
surgical removal of lens may be necessary

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4
Q

how is intraoperative floppy iris syndrome presented?

A

irreversible flopping of the iris
progressive constriction of the pupil
prolapse of iris through surgical wounds
preoperative screening

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5
Q

what drugs can cause intraoperative floppy iris syndrome?

A

alpha-1 antagonists

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6
Q

what drugs can cause optic neuropathy?

A

amiodarone
ethambutol
linezolid
PDE-5 inhibitors

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7
Q

how is optic neuropathy presented?

A

bilateral vision loss
decrease visual acuity
decreased color vision (occurs slowly over time and does not cause pain)

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8
Q

what drugs can cause retinopathy?

A

aminoquinolones
antiestrogen agents
phenothiazines
retinoids

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9
Q

what is amiodarone associated with?

A

corneal deposits

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10
Q

what is digoxin associated with?

A

yellow tinted vision or halos (toxicities)

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11
Q

what are anticholinergic agents associated with?

A

blurred vision

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12
Q

what are antidepressants associated with?

A

blurred vision

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13
Q

what are PDE-5 inhibitors associated with?

A

color changes (blue tint)

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14
Q

what are bisphosphonates associated with?

A

inflammation/redness

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15
Q

what is topiramate associated with?

A

angle closure glaucoma

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16
Q

what are SSRIs associated with?

A

eye tics