Exemptions !!!

Question 1

Bacterial Conjunctivitis

Answer 1

Chloramphenicol 1% Eye ointment Ocular Applied every 3 hours Treatment to be continued for 48 hours after the eye appears normal Broad spectrum antibiotic for treatment of bacterial conjunctivitis Orthoptists should be aware of antimicrobial stewardship and only use in individual circumstances where treatment maybe warranted.

Fusidic Acid 1% Modified release eye drops 1 drop applied twice daily Treatment to be continued for 48 hours after the eye appears normal Antibiotic drops for the treatment of bacterial conjunctivitis where the organisms is known to be susceptible to the antibiotic (gram positive). Orthoptists should be aware of antimicrobial stewardship and only use in individual circumstances where treatment maybe warranted.

Question 2

refraction or occlusion

Answer 2

Atropine sulphate 1% Eye drops For refraction: 1 drop daily for 3 days prior to appointment For atropine occlusion: 1 drop twice weekly into the better seeing eye Iritis/Uveitis: 1 drop into the eye max 4 times a day (3 in children) For refn: 3 doses For atropine occlusion: 12 doses (6 week supply) Should not be used in patients with narrow anterior chamber or closed angle glaucoma. Use in caution with children especially children with low body weight. Lowest dose of atropine should be administered to achieve the desired effect. Children should be carefully monitored for 30 mins after administration of the drug. If product falls outside the eye it should be washed immediately.

Question 3

allergic conjunctitivitis

Answer 3

Sodium Cromoglicate 2% Eye drops One or two drops into
the eye four times a
day Up to two
weeks Use with caution in first trimester
of pregnancy.

Question 4

anaesthesia for administering only

Answer 4

Lidocaine 4% with fluorescein 0.25 (Oxybuprocaine 0.4%, Proxymetacaine 0.5%, Tetracaine 1%) Eye drops 1 or more drops as
required To be used as
topical
anaesthesia for
diagnostic
procedures such
as Goldmann
tonometry Protect the anaesthetised eye for 30mins or longer in elderly patients from foreign body contamination. Use with caution in hyperaemia as greatly increases the rate of systemic absorption through the conjunctiva.

Question 5

dilation for refraction

Answer 5

Cyclopentolate 0.5% Eye drops 12 years to adult 1 drop which can be repeated after 10 mins if necessary For refraction and fundus check: One or two drops as required Topical mydriatic and cycloplegic.
Caution advised in hyperaemia as
systemic absorption can increase
Do not use in confirmed or
suspected narrow angle glaucoma
Children should be observed for
45mins post instillation.

Tropicamide 1% Eye drops Adults 1 drop followed by a second after a 5 minute interval, a further drop can be instilled after 30 minutes if required Adults 1 drop
followed by a
second after a 5
minute interval,
a further drop
can be instilled after 30 minutes
if required. Mydriatic and cycloplegic
Contraindicated in glaucoma
Use with caution in hyperaemia as
increases systemic absorption. se in pregnancy only if deemed
essential

Cyclopentolate 1% Eye drops 3 months – 12 years 1 drop to both eyes For refraction and fundus check: One or two drops as required opical mydriatic and cycloplegic. Do not use in confirmed or suspected narrow angle glaucoma Caution advised in hyperaemia as systemic absorption can increase Recovery of accommodation occurs within 24 hours Children should be observed for 45mins post instillation.