Monday week 11

Question 1

How can be applied to eyes

Answer 1

solutions- can see through, evaporates
gels - fat
ointments - more fat better contact tme
medicated contacts
collagen sheilds
injection

Question 2

what types of eye meds

Answer 2

• anesthetic - opthane
• staining agents
• mydriatics - dialate
• cycloplegics - paralysis of accomination
• miotics

Question 3

what should you do if anyone comes with eye complaint

Answer 3

always do a visual aquity exam, may need opthane anesthetic if necessary

Question 4

down side of eye anesthesia, corneal abrasion

Answer 4

slows down eye epithelia healing** increase risk of infection ulcer

Question 5

myriatics

Answer 5

dialte puple

Question 6

cycloplegics

Answer 6

paralysis of accommodation

Question 7

miotics

Answer 7

pupillary constriction

Question 8

2 agents for eye exams

Answer 8

mydriatics - dilate

mytotics - pupil constriction

Question 9

Fluroescein dye: orange

Answer 9

affixes to damage in eye, abrasion, infx, ulceraion then luminesence
- can stain contact lenses

Question 10

light to use with fluroescein

Answer 10

Colbalt blue light

Question 11

whaat infections can you see

Answer 11

• herpes keratitis

- herpes zoster

Question 12

how is fluroescein dye appliec

Answer 12

imbeded pieces of paper, wet with salene then hold against lower lid in multiple

Question 13

ocular steroids

Answer 13

herpes infection:

must be used with an anti viral and possibly anti bacterial

Question 14

Etiologies of dry eye

Answer 14

• auto immune, lupus , sjogrens
• contact lense - most common***
• envirionment

Question 15

what do OTC lubricants ususally have

Answer 15

Glycerin solutions

Question 16

Cyclosporine/Restasis

Answer 16

anti rejection drug immune modulation

wetting agent for eyes

Question 17

MOS cyclosporine

Answer 17

T cell inhibition diminished inflammation which allows tear production

Question 18

Conjunctivitis

Answer 18

Pink eye

• allercic most common hear
• viral
• bacterial
• ultraviolet burns
• chemical toxins
• contact overuse

Question 19

conjunctivits, sx

Answer 19

conjunctivitys is itchy, lid swelling and discharge, but no swelling over iris and pupil,

Question 20

bacterial

Answer 20

pyogenic

stringy grey or yellowish discharge

Question 21

Tetrahydrozoline/visine

Answer 21

ocular astringent, redness reliever

Question 22

moa of tetrahyrozoling/visine

Answer 22

vasocontrictor

Question 23

side effects of visine overuse

Answer 23

rebound redness vasodilation, local irritation

Question 24

why zinc in visine

Answer 24

act as astringent to keep from watering .

Question 25

Azelastine/optivar

Answer 25

ocular antihistamine - workse good, for allergic conjunctivitis

Question 26

MOA of azelastine/optivar

Answer 26

antihistamine | - H1 receptor blocker

Question 27

side effects of azelastine

Answer 27

local irritation, limited systemic absorption

Question 28

visine

Answer 28

tetrahydrozoline- eye redness

Question 29

optivar

Answer 29

azelastine - ocular antihistamine

Question 30

Ketorolac/acular

Answer 30

occular discomfort from swelling- eye strain

Question 31

Ketorolac/acular - MOA

Answer 31

cyclooxygenase inhibitor | non steroidal - eye discom

Question 32

side effects ketorolac/Acular

Answer 32

slight increase risk of glaucoma

Question 33

ocular antimicrobials

Answer 33

``` sulfonamides macrolides aminoglycosides fluroquinolones - ciprofloxins bacitracin-polymyxin ```

Question 34

Polysporen opthalmic class

Answer 34

antibiotic

Question 35

Polysporin indication

Answer 35

Bacterial conjunctivitis, blepharitis, corneal ulcers, dear duct infection prophylactic after abrasion

Question 36

Vidarabine/Ara-A

Answer 36

antiviral, specific HSF | Keratoconjunctivitis

Question 37

MOA - Vidarabine/Ara - A

Answer 37

Inhibit viral DNA synthesis

Question 38

how can Vidarabine /ara-a be used

Answer 38

ointmen | IV for systemic used, Ie herpes in eye

Question 39

problem with glaucoma

Answer 39

damage optic nerve, visual field loss, leading to blindness

Question 40

acute angle closure glaucoma

Answer 40

acute pain, injection to iris past limbus past pupil, this is very concering . medical emergency

Question 41

chemosis

Answer 41

swelling of the schelera if the eye

Question 42

how is glaucoma treated

Answer 42

- Beta blockers | - prostaglandins analogues to shrink pupil- more space to drain

Question 43

beta blockers

Answer 43

light headedness | orthostatic hypotension even with eyedrops

Question 44

Timolol/Timoptic class

Answer 44

beta blocker for chronic glucoma

Question 45

Timolol timoptic

Answer 45

concern with COPD, low blood pressre, fatigue, impotence especially if very senstitive .

Question 46

Latanoprost/xalatan

Answer 46

eyelash one

Question 47

mitotic agents for glaucoma

Answer 47

pilocarpine o