Ocular Side Effects Of Systemic Drugs Flashcards

1
Q

Accutane (isoretinoin) for cystic acne, psoriasis

A

Dry eye

Optic neuritis

Transitory myopia

Decreased night vision

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2
Q

Amiodarone (cordarone, pacerone) for anti arrhythmic

A

Whorl keratopathy

Optic neuropathy

Photophobia

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3
Q

Avandia/Actos (rosiglitazone maleate) for diabetes to increase sensitivity to insulin

A

Macular oedema

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4
Q

Contraceptives (estrogen or progesterone) for pregnancy prevention

A

Pseudotumour cerebri

Optic neuritis

Dry eye

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5
Q

Coumadin (warfarin sodium) to prevent clot formation in atrial fibrillation and thrombosis

A

Retinal haemorrhage

Subconjunctival haemorrhage

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6
Q

Crack cocaine or drug abuse

A

Talc retinopathy

Epithelial defects

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7
Q

Digoxin (Digitek) for congestive heart failure

A

Red green colour defects

Light flash/flicker/coloured spots

Snowy/Hazy/Dimming vision

Xanthopsia yellow tinge vision

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8
Q

Ethambutol (myambutol) for tuberculosis

A

Optic neuropathy

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9
Q

Flomax (tamsulosin) for benign prostate hypertrophy

A

Loss of tone in iris dilator causing poor dilation/prolapse during cataract surgery = constricts

  • floppy iris syndrome
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10
Q

Fosamax (alendronate/bisphosphonates) for osteoporosis treatment and prevention

A

Anterior uveitis

Episcleritis/Scleritis/Hyperaemia

Blurred vision

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11
Q

Interferons (Intron A/Avonex/Pegasys) used to treat hepatitis and MS

A

Ocular pain

Optic neuritis

Conjunctivitis

Cotton wool spots

Severe dry eye

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12
Q

Levothyroxine (Synthroid) to replace thyroxin that is not produced by thyroid

A

Paralysis of EOM

Diplopia

Ptosis

(Similar to myasthenia)

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13
Q

Lipitor/Zocor (atorvastatin/simvastatin) for HYPERLIPIDEMIA

A

Pseudo Cystoid Macular Edema

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14
Q

Phenothiazine (Thorazine/Mellaril) for depression and anxiety

A

Night blindness “nyctalopia”

Brown vision

Anterior subcapsular cataract

Salt/Pepper fundus

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15
Q

Plaquenil (hydroxychloroquine) for malaria, rheumatoid arthritis and lupus erythematosis

A

Bulls eye maculopathy

Corneal deposits

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16
Q

Prednisone (steroid) for lupus, rheumatoid arthritis and immune conditions

A

Posterior subcapsular cataract

HIGH IOP

17
Q

Prozac/Antidepressants (fluoxetine/SSRI) for depression

A

Dry eye

Blurred vision

Mydriasis and photophobia

Diplopia And Ptosis

Conjunctivitis

18
Q

Tamoxifen citrate (Nolvadex) For breast cancer

A

Crystalline retinopathy

19
Q

Topamax (topiramate) for headaches/migraines/seizures

A

Acute myopia

Bilateral angle closure glaucoma

20
Q

Viagra/Levitra/Cialis (sildenafil) for erectile dysfunction

A

Cyanopsia blue tinge vision

NAION

Macular edema