EM Ophtha 4: glaucoma meds Flashcards
drugs that decrease production of aqueous humor from ciliary epithelium
BETA BLOCKERS Timolol Levobunolol Carteolol Metipranolol Betaxolol (B1 selective)
OSMOTIC AGENTS
Mannitol
ALPHA 2 AGONISTS
Brimonidine (may be used as first line)
Apraclonidine
CARBONIC ANHYDRASE INHIBITORS
Acetazolamide
Dorzolamide
Drugs that increase outforw my ciliary muscle contraction, opening the travecular meshflow
CHOLINOMIMETICS NON-SELECTIVE MUSCARINIC AGONISTS Pilocarpine ACETYLCHOLINESTERASE INHIBITORS Physostigmine Echothiopate
drugs that increase outflow via the uveoscleral pathway
PROSTAGLANDIN ANALOGUE
Latanoprost
Brimatoprost
these are preferred first line agent for most patients
eye antibiotics
erythromycin (not for contact lens wearers)
ciprofloxacin
trobramycin
gentamycin
erythromycin
ophthalmic ointment
not agent of choice for contact lens wearers
1/2 inch applied to lower eyelid 2-4x/day
ciprofloxacin
solution, 1-2 drops when awake, every 2 hours for 2 days
ointment, 1/2 in applied to lower eyelid 3x/day for 2 days
tobramycin
one drop per time period is sufficient in most cases
- 3% solution, 1-2 drops q4
- 3% ointment, 1/2 inch to lower eyelid 2-3x/day
gentamicin
1 drop per time period is sufficient in most cases
- 3% solution, instill 1-2 drops q4
- 3% ointment, 1/2 inch to lower eyelid 2-3x/day
eye antibiotic-steroid combination
dexamethasone, neomycin sulfate, polymyxin B sulfate
dexamethasone, tobramycin
dexamethasone neomycin sulfate, polymycin B sulfate
do NOT use for corneal abrasion if contact lens wearer
ointment, 1/2 in conjunctival sac up to 3-4x/day
suspensino, 1-2 drops 4-6x/day, up to every hour
dexamethasone, tobramycin
do NOT use for corneal abraison if contact lens wearer
ointment, 1/2 in ribbon 3-4x/day
susp., 1-2 drops q4-6 h
ST: 1 droip every 4-6 h
eye topical steroids
prednisolone acetate 1%
1 drop 4-5x/day
