Glaucoma Flashcards

1
Q

Glaucoma ass with inc fluid pressure in the eye.

  • Closed angle glaucoma
  • Open angle glaucoma
A

Close:
- Medical emergency. Appears sudden, is painful, and can cause visual loss quickly. The discomfort often leads pt to seek medical attention b/4 damage occurs

Open

  • It progresses at a slow rate and pts don’t notice they have lost vision until the disease has progressed.
  • It’s called the silent thief of sight.
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2
Q

Treatment:

  • Closed glaucoma
A

Close glaucoma: reduce intraocular pressure
- Acetazolamide: 500mg IV x 1. Then 250mg PO QID
- Once intraocular pressure has started to fall:
Pilocarpine 4% topic QID

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3
Q

Cosopt
Cosopt PF

  • PF
  • Indication
A

Dorzolamide + Timolol

  • PF = preservative free = single use sol’n
  • Indication: open glaucoma
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4
Q

Combigan

  • Indication
A

Brimonidine + Timolol

  • Indication: open glaucoma
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5
Q

Travatan

  • Indication
  • Dose
  • Storage
A

Travoprost

  • Indication: Open glaucoma
  • Dose: QD QHS
  • Storage: RT
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6
Q

Lumigan

  • Indication
  • Dose
  • Storage
A

Bimatoprost 0.03%

  • Indication: Open glaucoma
  • Dose: QD QHS
  • Storage: RT
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7
Q

Xalatan

  • Indication
  • Dose
  • Storage
A

Latanoprost

  • Indication: open glaucoma
  • Dose: QD QHS
  • Storage: refrigerate unopened. RT for 6wks
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8
Q

Zioptan 0.0015%

  • Indication
  • Dose
  • Storage
  • SEs
A

Tafluprost

  • Indication: open glaucoma
  • Dose: QD QHS
  • Storage: refrigerate unopened. RT for 28d

SEs:

  • can darken the iris
  • Cause dark circles under the eyes
  • Can lead to ingrown eyelashes
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9
Q

Betopic

  • Indication
  • Dose
A

Betaxolol

  • Indication: open glaucoma
  • Dose: 1-2 gtts BID
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10
Q

Ocupress

  • Indication
  • Dose
A

Carteolol

  • Indication: open glaucoma
  • Dose: 1 gtts BID
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11
Q

Betagan

  • Indication
  • Dose
A

Levobunolol

  • Indication: open glaucoma
  • Dose: 1-2 gtts QD/BID
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12
Q

Timoptic

  • Indication
  • Dose
A

Timolol

  • Indication: open glaucoma
  • Dose: 1 gtts BID
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13
Q

Diamox

  • Indication
  • Dose
  • C/I
A

Acetazolamide

  • Indication: close glaucoma

Dose:

  • Acute: 500mg IV x 1
  • 250mg PO QID
  • C/I: sulfa allergy
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14
Q

Azopt

  • Indication
  • Dose
  • Instruction
A

Brinozolamide

  • Indication: glaucoma
  • Dose: 1 gtts TID
  • Instruction: shake well
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15
Q

Trusopt

  • Indication
  • Dose
A

Dorzolamide

  • Indication: glaucoma
  • Dose: 1 gtts TID
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16
Q

Alphagan P

  • MOA
  • Dose
  • C/I
A

Brimonidine

  • MOA: alpha 2 agonist decr aqueous fluid production
  • Dose: TID
  • C/I: receiving MOAI
17
Q

Lopidine

  • MOA
  • Indication
  • Dose
A

Apraclonidine

  • MOA: Alpha 2 adrenergic agonist
  • Indication: glaucoma for short term adjunctive therapy
  • Dose: 1gtt 1H prior to laser eye surgery and another after procedure is complete
18
Q

Propine

A

Dipivefrin

  • Prodrug of epinephrine
19
Q

Simbrinza

A

Brinzolamide + Brimonidine

20
Q

Latisse

  • Direction
A

Bimatoprost 0.03%

  • 3mL w/ 60 sterile disposable applicators
  • Eyelashes: apply QHS at the base of the eyelashes
21
Q

Mirvaso

  • Form
  • Indication
  • Frequency
A

Brimonidine

  • F: topical gel
  • I: Facial redness of rosacea
  • Apply QD