Ocular ADRs Flashcards
Amiodarone (Cordarone)
Anti-arrhythmic - vortex keratopathy
digoxin, digitoxin
Anti-arrhythmic, CHF - color changes = toxicity
tamsulosin (Flomax)
benign prostatic hypertrophy, HTN - floppy iris syndrome. Watch out in cataract surgery
sildenafil (Viagra)
Colour perception (transient), NAION.
hydroxychloroquine (Plaquenil)
Whorl opacity in cornea, bullous maculopathy (do 10-2)
quinine
Leg cramps, malaria, suicide - VA decrease, flickering vision, sudden complete loss of vision and fixed pupils, VF loss, night vision problems
Gold salts
RA - stromal deposits
indomethacin (Indocin)
NSAID - RPE changes perifoveally, CV loss, VA and VF defects
clomiphene (Clomid)
Infertility - ocular migraine Sxs
COX2 inhib - ‘coxibs’…Vioxx, Celebrex, Bextra, Prexige
Blurred vision, conjunctivitis
Retinoids (isotretinoin/Accutane, Vit A, vesanoid, Soriatane, Tegison)
Dry eye, corneal opacities, ICH, CV loss temporary
topiramate (Topomax)
Epilepsy, migraines, weight loss - bilateral acute angle closure glaucoma secondary to AC shallowing secondary to suprachoroidal effusion and acute myopia.Treatment = hyperosmotics, cycloplegics, IOP lowering agents
vigabatrin (Sabril)
Anticonvulsant - VF constriction (irreversible) bilateral w/temporal and macular sparing. CV loss. Do baseline VF and CV…FU q6mnths.
pamidronate disodium (Aredia) and other bisphosphates (the ‘dronates’)
Decreased calcium absorption in malignancy, Paget Dx, bone metastasis) - blurred vision, pain, photophobis, uveitis, lid edema, RETROBULBAR NEURITIS, diplopia, visual hallucinations
cetirizine (Zrtec/Reactin)
oculogyric crisis/rolling back eyes. Stop taking it.
tamoxifen (Nolvadex)
Chemo for primary metastatic breast cancer. Crystalline retinopathy, PSC, whorl keratopathy. May want to do amsler and CV