Glaucoma Flashcards
Glaucoma ass with inc fluid pressure in the eye.
- Closed angle glaucoma
- Open angle glaucoma
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.
Treatment:
- Closed glaucoma
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
Cosopt
Cosopt PF
- PF
- Indication
Dorzolamide + Timolol
- PF = preservative free = single use sol’n
- Indication: open glaucoma
Combigan
- Indication
Brimonidine + Timolol
- Indication: open glaucoma
Travatan
- Indication
- Dose
- Storage
Travoprost
- Indication: Open glaucoma
- Dose: QD QHS
- Storage: RT
Lumigan
- Indication
- Dose
- Storage
Bimatoprost 0.03%
- Indication: Open glaucoma
- Dose: QD QHS
- Storage: RT
Xalatan
- Indication
- Dose
- Storage
Latanoprost
- Indication: open glaucoma
- Dose: QD QHS
- Storage: refrigerate unopened. RT for 6wks
Zioptan 0.0015%
- Indication
- Dose
- Storage
- SEs
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
Betopic
- Indication
- Dose
Betaxolol
- Indication: open glaucoma
- Dose: 1-2 gtts BID
Ocupress
- Indication
- Dose
Carteolol
- Indication: open glaucoma
- Dose: 1 gtts BID
Betagan
- Indication
- Dose
Levobunolol
- Indication: open glaucoma
- Dose: 1-2 gtts QD/BID
Timoptic
- Indication
- Dose
Timolol
- Indication: open glaucoma
- Dose: 1 gtts BID
Diamox
- Indication
- Dose
- C/I
Acetazolamide
- Indication: close glaucoma
Dose:
- Acute: 500mg IV x 1
- 250mg PO QID
- C/I: sulfa allergy
Azopt
- Indication
- Dose
- Instruction
Brinozolamide
- Indication: glaucoma
- Dose: 1 gtts TID
- Instruction: shake well
Trusopt
- Indication
- Dose
Dorzolamide
- Indication: glaucoma
- Dose: 1 gtts TID