Eye disease and ocular drugs Flashcards

1
Q

Ocular manifestations of disease

A
  • RA, menopause, Parkinsons
  • Downs syndrome
  • Steven Johnsons syndrome
  • Thyroid
  • Dermatitis, eczema, acne rosacea
  • Vit A deficiency
  • Clotting deficiencys
  • CMV, syphilis, herpes
  • IBD, ankolysing spondylitis, psoriasis
  • Diabetes Leukaemia, autoimmune conditions
  • Tumour, CVA
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2
Q

What can you treat OTC

A
  • Dryness- short term
  • Mild irritation
  • Conjunctivitis (uncomplicated)
  • Blepharitis
  • Styes
  • Meibomian cyts
  • Sub-conjunctival haemorrhage
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3
Q

Promoting general eye health

A
  • Stop smoking
  • Eat healthily and watch your weight
  • Keep eyes covered in the sun
  • Safety goggles
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4
Q

Chemical burns

A
  • Alkaline
    • Ammonia, lye, KOH, Mg, Lime
    • Fertiliser, cleaning products, plaster, cement
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5
Q

Side effects from ocular products

Beta-blockers

A
  • Occular irritation
  • Bronchospasm
  • Bradycardia
  • Heart block
  • Exacerbation of HF
  • Nightmares
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6
Q

Side effects from ocular products

Alpha-2 stimulants

A
  • Eyelid retraction
  • Dry mouth
  • Hypotension
  • Headache
  • Drowsiness
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7
Q

Side effects from ocular products

SYmpathomimetic agents

A
  • Palpitations, tachycardia
  • Hypotension fainting
  • Headache, pallor, sweating
  • MI
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8
Q

Side effects from ocular products

Muscarinic stimulants

A
  • Blurring of distance vision
  • Difficulty seeing in the dark
  • Brow ache
  • Sweating
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9
Q

Side effects from ocular products

Anti-muscarinics

A
  • Confusion, agitation
  • Glaucoma
  • Dermatitis, irritation
  • Dry mouth
  • Arrhythmias
  • Urinary problems
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10
Q

Side effects from ocular products

Pg analogues

A
  • Conjuctivalhyperaemia
  • Exacerbation of asthma
  • Eyelash growth
  • Bitter taste
  • Darkening of palpebral skin
  • Iris darkening
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11
Q

Ocular side effects from systemic drugs

A
  • Ocular ADR’s form around 4% of all ADR’s reported
  • Drug toxicity can present in a number of forms= eyes specalised tissues an integration into the CNS
  • Eyes may exhibit the earliest sensitivities to drug toxicity
  • Diagnosis can be complicated
    *
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12
Q

Ocular side effects from systemic drugs

A
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13
Q

Drugs which require counselling due to occular effects

A
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