Glaucoma

Question 1

Which drugs can cause vision trouble at night and why?

Answer 1

Cholinergics like carbachol and pilocarpine

Cause pupil constriction

Question 2

Latisse

Answer 2

Bimatoprost for eyelash growth

Question 3

Lumigan

Answer 3

Bimatoprost

Question 4

What is the dosing for Lumigan?

Answer 4

1 drop QHS

Question 5

Travatan Z

Answer 5

Travoprost

Question 6

Timoptic, Timoptic XE, Istalol

Answer 6

Timolol

Question 7

What steroids effect IOP most significantly?

Answer 7

Ophthalmic roid prednisolone (Predforte)

Question 8

What do BBs do for glaucoma?

Answer 8

Reduce aqeuous humor production

Question 9

What is the dosing for cosopt?

Answer 9

1 drop BID

Question 10

What do Rho Kinase inhibitors do and what do they end in?

Answer 10

Sudil

Increase aqeuous outflow

Question 11

What do carbonic anhydrase inhibitors do and what do they end in?

Answer 11

zolamide

Reduce humour production

Question 12

OD and OS?

Answer 12

Right eye

Left eye

Question 13

What do prostaglandin analogs do?

Answer 13

Increase aqueous outflow

Question 14

What is the component that can be abosrbed in contact lenses?

Answer 14

Benzalkonium Chloride (BAK)

Can discolor contact lenses wait 15 minutes to put contacts back in

Question 15

Xalantan

Answer 15

Latanoprost

Question 16

What are the 3 goals for glaucoma treatmetn?

Answer 16

1. Make less fluid with BB liks timolol
2. Move fluid out with prostaglandin analogs
3. Or do both

Question 17

4 key Side Effects of Prosts?

Answer 17

1. Blurred vision
2. Stinging
3. Increased pigmentation of the iris or eyelashes
4. Eyelash growth

Question 18

What do alpha 2 agonists do for glaucoma and what do they end in?

Answer 18

Nidine

Increase both outflow and decrease production

Question 19

Cosopt, Cosopt PF

Answer 19

Timolol + dorzolamide

Question 20

2 main side effects of BBs? for glaucoma

Answer 20

Stinging

Burning

Question 21

What prostaglandin also has an indication for eyelash hypertrichosis as well as glaucoma?

What are the two brand names

Answer 21

• Bimatoprost
• Lumigan for glaucoma
• Latisse for hypotrichosis

Question 22

What product does not contain BAK?

Answer 22

Travatan Z

Question 23

How should unopened bottles of latanaprost be stored?

Answer 23

In fridge

Question 24

Prostaglandins end in?

Answer 24

Prost

Question 25

Which BBs are non-selective?

Answer 25

All but betaxolol

Question 26

Dosing for timolol

Answer 26

1 drop daily or BID

Question 27

Important insturctions for Gels

Answer 27

Shake once before use wait 10 minutes after inserting other eye drops before using gel

Question 28

Do BB eye drops contain BAK?

Answer 28

Yes some do

Question 29

What is a warning of Carbonic anhydrase inhibitors?

Answer 29

Sulfa allergy

Question 30

What is the major warnings for prosts?

Answer 30

* Darkening of the Iris, eyelid skin and eyelashes, can increase length and number of eyelashes

Question 31

What are the 3 prostaglandin analogs

Answer 31

Bimatoprost Latanaprost Travoprost

Question 32

Examples of cough cold and motion sickness meds that can increase IOP? 2

Answer 32

1. Antihistamines 2. Scopalamine

Question 33

AD and AS?

Answer 33

Right ear: AD Left ear: AS

Question 34

What is the goal for the treatment of glaucoma?

Answer 34

Decrease IOP

Question 35

What 4 sets of drugs increase IOP?

Answer 35

1. Anticholinergics 2. Cough/cold and motion sickness med 3. Chronic steroids especially in the eye 4. Topiramate

Question 36

What do cholinergic (miotics) do for glaucoma?

Answer 36

Increase outflow

Question 37

What are the 5 examples of anticholinergic that increase IOP?

Answer 37

1. TCAs 2. Oxybutnin 3. Tolterodine 4. Benztropine 5. trihexphenidyl

Question 38

What are the most effective drugs for lowering IOP? What do they end in?

Answer 38

Prostaglandin analogs Prost

Question 39

What drug is preferred if pressure is only in one eye?

Answer 39

BBs

Question 40

Timoptic XE, Timolol GFS dosing?

Answer 40

Gels Daily

Question 41

Conjuctivitis or pink eye commonly occurs in what population and can it spread?

Answer 41

Young children and is highly contagious

Question 42

What 4 things should a parent do to reduce the risk of conjuctivitis?

Answer 42

1. Not touch their eyes 2. Hand hygiene 3. Change towels and wash clothes daily 4. Discard eye cosmetics

Question 43

Most common virus for conjuctivitis?

Answer 43

Adenovirus

Question 44

What is the treatment for viral conjuctivitis?

Answer 44

No topical treatment

Question 45

Common cause of bacterial conjuctivitis?

Answer 45

Staph Aureus

Question 46

More severe bacteria that can cause conjuctivitis? 2

Answer 46

N. Gonorrhoeae or Chlamydia

Question 47

4 main topical antibiotics used for the treatment of bacterial conjuctivitis

Answer 47

1. Moxifloxacin 2. Neo/pol/dexamethasone 3. Ofloxacin 4. TMP/Polymyxins

Question 48

Vigamox

Answer 48

Moxifloxacin

Question 49

Maxitrol

Answer 49

Neo/poly/dexamethasone

Question 50

Ocuflox

Answer 50

Ofloxacin

Question 51

Polytrim

Answer 51

TMP/Polymyxin B

Question 52

Azasite generic, storage and stability

Answer 52

Store in fridge stable for 14 days at room temp

Question 53

Antihistamines for allergic conjuctivitis? 2

Answer 53

1. Azelastine 2. Olaptadine (Patanol, Pataday)

Question 54

What is Blepharitis and what is the treatment?

Answer 54

Eyelid inflammation and treat with warm moist compress

Question 55

How can eye inflammation be reduced? 3 things

Answer 55

1. Cold compress 2. NSAID if mild 3. Steroids if severe

Question 56

Roid eye drops for Inflammation?

Answer 56

Prednisolone Omnipre, Preforte, Pred Mild Limit use due to increase ocular pressure

Question 57

NSAIDs for ocular inflammation?

Answer 57

Ketorolac Acular

Question 58

Acular

Answer 58

Ketorolac

Question 59

Treatment for dry eyes?

Answer 59

Cyclosporine

Question 60

Restasis?

Answer 60

Cyclosporine emulsion eye drop

Question 61

Drugs that cause retinal changes/ retinopathy? 2

Answer 61

1. Chloroquine 2. Hydroxychloroquine

Question 62

3 drugs that cause optic neuropathy?

Answer 62

1. Amiodarone + corneal deposits 2. Ethambutol 3. Linezolid

Question 63

Floppy iris syndrome what issues can it cause and what drugs can cause ti?

Answer 63

1. Problems in cataract surgery 2. Alpha blockers (Doxazosin)

Question 64

Color discrimination? 3 drugs what are the changes for each?

Answer 64

1. Digoxin yellow green with toxicity 2. PDE-5 Inhibitors (Sildenafil) green tinge around objects 3. Voriconazole color vision changes

Question 65

Vision loss/Abnormal Changes 5

Answer 65

1. Digoxin with toxicity blurriness or halos 2. PDE-5 vision loss in one or both eyes can be permanent 3. Isotretinoin decrease nice vision which can be permanent 4. Vigabitrin permanent vision loss, high risk 5. Voriconazole: abnormal vision, photophobia

Question 66

What conditions should you be cautious with when counseling someone on timolol? 5

Answer 66

COPD, Chronic Bronchitis, emphysema, asthma, advanced cardiac disease

Question 67

Otitis Externa Drug Treatment?

Answer 67

Ciprodex Ciprofloaxacin and dexamethasone

Question 68

Treatment of cerumen block

Answer 68

Carbamide peroxide (Debrox) triethanolamine