Ocular side effects of systemic medication Flashcards

1
Q

Name some antidepressants

A
Citalopram
Fluoxetine
Amitriptyline
Sertraline
Diazepam
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2
Q

Ocular side effects of antidepressants?

A

Dry eye
Intermittent blurring
Photophobia
Blepharospasm

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3
Q

Ocular side effects of contraceptive pill?

A

Dry eye

Decreased tolerance to contact lens wear

Retinal vascular abnormalities (haemorrhage, thrombosis etc)

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4
Q

Name some HTN medications

A

Ramipril
Losartan
Amlodopine
Atenolol

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5
Q

Ocular side effects of HTN meds?

A

Dry eye, miotic pupils

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6
Q

Ocular side effects of blood thinner (anit-coagulants-warfarin)?

A

Subjconjunctival haemorrhage

Retinal haemorrhage

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7
Q

Name some statins (antihyperlipidemic for high chol)

A

Simvastatin

Atorvastatin,

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8
Q

Ocular side effects of statins?

A

Dry eyes

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9
Q

Name some medications for cardiac arrhythmia

A

Amiodarone

Digoxin

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10
Q

Ocular side effects of amiodarone?

A

Vortex keratopathy

Corneal epithelial depos

Optic neuropathy

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11
Q

Ocular side effects digoxin?

A

Photopsia

Red-green colour deficiency

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12
Q

Name some anti-malarials and what else are they used for?

A

Chloroquine
Hydroxychloroquine

Malaria and rheumatoid arthritis

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13
Q

Ocular side effects Chloroquine &

Hydroxychloroquine?

A

Bull’s eye maculopathy

Corneal deposits

Colour vision defects

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14
Q

What tests should optometrist carry out to best detect abnormality on patient taking Hydroxychloroquine?

A

Amsler chart (red)

Central fields
HFA 10-2

Or test with red stimuli

Colour vision testing

Fundus photography

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15
Q

Name some corticosteroids used for allergic, rheumatic and inflammatory disease etc

A

Prednisolone

Dexamethosone

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16
Q

Ocular side effects of steroids

A

Posterior subcapsular cataract

Severe reduction in visual acuity is rare but patients may complain of glare and photophobia

Raised IOP

Potentiation of viral, bacterial and fungal ocular infections (keratitis)

Scleral thinning

Papillodema

17
Q

Name a breast cancer medication

A

Tamoxifen

18
Q

Ocular side effects of tamoxifen?

A

Corneal change- whorl keratopathy

Macula oedema, pigmentary change and haemorrhage

If VA becomes reduced- its irreversible

19
Q

Name a medication taken for prostate enlargement

A

Flomax

20
Q

Ocular side effects of flomax?

A

floppy iris syndrome

21
Q

Name a medication for under-active or removed thyroid

A

Levothyroxine

22
Q

Ocular side effects of Levothyroxine?

A

Diplopia
Ptosis
EOM paralysis
Hyperaemia

23
Q

Name a medication for Tuberculosis

A

Ethambutol

24
Q

Ocular side effects Ethambutol

A

Optic neuritis

25
Q

Name a medication for MS and hepatitis

A

Interferons

26
Q

Ocular side effects of Interferons

A

Optic neuritis, conjunctivits, cotton wool spots, dry eyes

27
Q

Name some anti allergy medications

A

antihistamine: cetirizine,
olopatadine

Mast ceel stabilisers: sodium cromoglicate,
lodoxamide

28
Q

Ocular side effects of anti allergy medications?

A

Dry eye, reduced accomodation/blurring, mydriasis

29
Q

Name an epilepsy medication

A

Topamax

30
Q

Ocular side effects of topamax?

A

ACG

31
Q

Name an acne medication

A

Minocycline

32
Q

Ocular side effects of Minocycline?

A

Raised ICP and papilloedema