GLAUCOMA

Question 1

Trusopt AKA

Answer 1

Dorzolamide

Question 2

Diamox AKA

Answer 2

Acetazolamide

Question 3

CI for beta blockers

Answer 3

Heart + lung problems

• raynauds
• pregnancy
• Myesthenia gravis
• hypotension

Question 4

Vyzulva AKA, MOA

Answer 4

Latanoprostene bunod
Bisarta
Prostaglandin-> it increases US outflow by donating NO in the smooth TM muscle
Activates cGMP signaling

Question 5

Glaucoma drug most likely to cause allergy

Answer 5

Apraclonidine -Iopidine (alpha 2 agonist)

Question 6

Main side effects of CAIs

Answer 6

Bitter taste
Stinging 
Hyperemia 
Corneal endothelium 
Aplastic anemia 
Bone marrow 
Kidney stones 
Electrolyte 
Metabolic acidosis 
Paresthesia

Question 7

Drug that doesn’t decrease AH production

Answer 7

Pilocarpine

Question 8

Side effects of Beta blocker

Answer 8

Bradycardia 
Bronchoconstriction 
Corneal hypoesthesia 
Low BP 
Tachyphylaxis

Question 9

POAG patient who is allergic to BAK what do you use?

Answer 9

Zioptan/ tafluprost
Tavatan/travoprost
Xelpros

Question 10

Med not used w herpes

Answer 10

Prostaglandins

Question 11

Prostaglandins drug causes lash growth

Answer 11

Bimatoprost/ Lumigan

Question 12

Xalatan AKA has to be used cautiously on pts w the following

Answer 12

Latanoprost 
Iritis- inflammation 
ME 
Aphakia, torn lens capsule 
HSK 
Renal/ hepatic problems

Question 13

Pt having angle closure attack, whats a poor treatment choice

Answer 13

Acetazolamide

Question 14

Prostaglandin ocular side effects

Answer 14

Droopy eyelids, sunken eyes, itching, pigmentation changes, lash growth

Question 15

Alpha agonist ocular side effects

Answer 15

Allergy, burning, allergic conjunctivitis, blurring, HA

Question 16

CAIs ocular side effects

Answer 16

Stinging, eye discomfort, bad taste, hyperemia

Question 17

RhoKinase inhibitor ocular SE

Answer 17

Eye redness, corneal deposits sting, small bleeds on white eye

Question 18

Pilocarpine ocular SEs

Answer 18

Browache, miosis, angle closure, RD

Question 19

Alpha agonist systemic SEs

Answer 19

Fatigue, HA, drowsiness, dry mouth/ nose , allergies

Question 20

Alpha agonist systemic SE in kids

Answer 20

Coma

Question 21

CAIs systemic side effects

Answer 21

Tingling hands/feet, fatigue, stomach upset, memory problems, urination, acidosis

Question 22

Pilocarpine systemic SEs

Answer 22

Dumbells

Question 23

Apraclonidine

Answer 23

Allergies

Question 24

Drugs that are bad for Fuchs

Answer 24

CAIs and alphagan

Question 25

Ester linkages

Answer 25

Shorter duration of action and localized | Anesthetics

Question 26

Indomethacin

Answer 26

Whorl corneal opacities

Question 27

Flomax AKA

Answer 27

Tamulosin

Question 28

NOT a common side effect of anti-VEGF

Answer 28

``` Blurred vision Scratchy sensation RD Subconjunctival hemorrhage New floaters Hemes Infection ```

Question 29

Mast cell stab names

Answer 29

Cromolyn (crolom) | Lodoxamide (alarmast) and nedocromil (alocril)

Question 30

Topical anesthetic injectable are used w epinephrine

Answer 30

To increase duration by preventing systemic absorption and decrease bleeding

Question 31

Not an adverse effect of antihistamines

Answer 31

Diarrhea

Question 32

Not an alpha agonist thats used as a decongestant

Answer 32

Diphenhydramine | Benadryl

Question 33

TM outflow SOA

Answer 33

Adenosine a1 agonist RhoKinase inhibitors+ Norepinephrine M3agonist (pilocarpine)

Question 34

US pathway SOA

Answer 34

Prostaglandins | A2 agonist

Question 35

AH inflow SOA

Answer 35

``` BB A2 agonist CAIs RhoKinase Trabedenoson (a1) ```

Question 36

Drugs that decrease AH production

Answer 36

Timolol, Betaxolol, levobunolol, cartelol (Topical Beta bLoCkers) Apraclonidine, Brimonidine (alpha 2 selective) Acetalazolamide, brinzolamide, dorzolamide ( CAIs)

Question 37

Drugs that increase US outflow

Answer 37

Prostaglandins | Latanoprost, Brimatoprost, tafluprost

Question 38

Increase TM outflow

Answer 38

Non selective alpha agonist - phrine | Cholinomimetic drugs - pilocarpine, physostigmine, Echothiophate