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Ocular Pharm Block 15 > Dr. Reeder > Flashcards

Dr. Reeder Flashcards

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1
Q

Irrigating solutions

A

Saline causes less swelling

Morgan lens: good for high risk chemical exposure

Commercial eye washes: contain BAK

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2
Q

Anti-edema drugs

A

HyperOSMOTIC: water pulled out of cornea, higher conc that pt tears - muro 128

HyperONCOTIC: high colloidal osmolarity, may pull water from cornea - FreshKote

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3
Q

Allergy pathophysiology

A

Increased IgE

Histamine starts process followed by neutrophils

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4
Q

Dry eye pathophysiology

A

Inflammation and T cells

Testing: ANA and ENA

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5
Q

OSD Mx

A

Allergic: thin lubricating drops

Dry eye: thick drop

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6
Q

Artificial tear components

A

Ions: mimic tears, buffer, normal osmolarity

Viscosity agents: increase wetting and retention

Glycerin: mimics mucin layer, bind and heals epi

Trehalose: bio and osmoprotectant

HA: reduces inflamm and epi healing

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7
Q

Which tears to choose

A

PF: for TID or higher doses

Lipid containing: low LLT or MGD

HA containing: SPK or inflammation

Allergies: thin tears or avoid lipids

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8
Q

Manuka honey

A

Help with evaporative dry eye

Not FDA approved

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9
Q

Coconut oil

A

For skin and lids

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10
Q

Lacrisert

A

Small rod of hydroxycellulose

Reduces reliance on tears

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11
Q

Verkazia

A

Calcinuerin inhibitor

For VKC

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12
Q

Acetlycysteine

A

Cystic fibrosis medication

Filamentary keratitis

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13
Q

Eysuvis

A

DED

QID for 2 weeks

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14
Q

Flonase
Sensimist
Fluticasone

A

Allergic rhinoconjunctivitis

Risk in IOP risk

Preg cat C

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15
Q

Which 2 have rebound redness

A

Naphazoline

Pheniramine

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16
Q

Alaway PF

A

Allergy

First PF drop

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17
Q

Dymista

A

Allergies with rhinitis component

Only combo for nasal

Azelastine and fluticasone

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18
Q

Singulair

A

Leukotriene inhibitor

Perennial allergic rhinitis indication

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19
Q

Piolcarpine

Cevimeline

A

Increases all secretions

SE: dyspnea, polyuria, tachphylaxis

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20
Q

Tyrvaya

A

Stimulates trigeminal nerve and lacrimal unit

Increased schirmer

True basal tear

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21
Q

SLIT

Study These Flashcards
A

Sub-lingual immuno therapy

RAGWITEK- ragweed
GRASTEK- grass
ORALAIR- grass KY
ODACTRA- dust mites

22
Q

Omalizumab

Study These Flashcards
A

Anti IgE

Severe allergy mediated asthma

23
Q

Dupilumab

Study These Flashcards
A

Blocks IL4 and IL3

Atopic dermatitis, asthma

Risk: conjunctivitis, keratoconj

24
Q

Abrocitinib

Study These Flashcards
A

JAK1 inhibitor

Atopic dermatitis

25
Oxervate
Neurotrophic keratitis Recombinant human growth factor
26
Gabapentin
Herpetic disease and neuralgia in OSD Blocks Ca channels
27
Lorailaner | Tarsus
Demodex Reduces collaretes, mites, redness
28
Zocular
Okra derived product Eczema
29
Metronidazole
Ointment at night on eyelids only
30
Tetracycline derivatives
Minocycline more effective than doxycycline Azithromycin helps when other tetras dont
31
Lumify
Ocular BAK Max QID
32
Mirvaso
Derm Gel Face only QD
33
Upneeq
Alpha agonist Muellers muscle QD
34
Dacryoadenitits
Acute: viral, supportive, oral analgesics Bacterial: Amos/clav: 500/125 BID, Cephalexin 500 BID
35
Canaliculitis
Amos/clav: 875/125 BID Requires DCR
36
Dacryocystitis
Amos/clav: 875/125 BID 10-14 days Consider antibiotic lavage
37
Refresh optive
Glycerin
38
Systane ultra
HP guar
39
lipid based artificial tears
Refresh optive advanced
40
Hylonight
Vitamin A
41
Lacrlube
Chlorobutanol bad
42
Soothe night time
PF
43
Lifitegrast
I CAM blocker
44
REproxalap
RASP inhibitor
45
Ketorolac
NSAID allergy
46
Low potency derm
OTC hydrocortisone
47
High potency derm
Momentasone ointment
48
Pilocarpine
Increases all secretions Risk: dyspnea Challenges: polyuria and Tachyphylaxis
49
Tyrvaya
Stimulates trigeminal nerve and lacrimal unit True basal tear
50
Oxervate
NKC SE: pain

Ocular Pharm Block 15 (3 decks)

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