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13 Cards in this Set
- Front
- Back
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NSAID eye drops
- drugs in class, products |
1. Diclofenac (Voltaren Optha) - 0.1%.5mL and x30 single use droppers
2. Flurbiprofen (Occufen) - 0.03%.5mL and x5 single use droppers 3. Ketorolac (Acular) - 0.5%.5mL |
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NSAID eye drops
- indications - dose |
1. Inhibition of miosis during & prevention of inflammation after cataract surgery (Diclofenac, Occufen)
**Effect on miosis is INSIGNIFICANT 2. As an alternative to steroids (opthamologists only) 3. Analgesia following surgery (opthamologists only) 5. Allergic conjunctivitis (Accular only) ***Restrict use: may mask symptoms of infection 1 drop 3-5 times daily, accular is 1 qid. |
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NSAID eye drops
- NSAID sensitivity? - Pregnancy Cat C? - A/Es? |
1. CI
2. short term low dose should not be a concern 3. stinging |
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Corticosteroid eye drops
- drugs in class, products |
1. Dexamethasone (Maxidex - 0.1% suspension)
2. Fluorometholone (Flucon, FML 0.1% suspension & Flarex 0.1% F. acetate suspension) 3. Hydrocortisone (Siguent Hycor 1% & 0.5% ointment) 4. Prednsiolone (0.5%x20 Minims single use & 1%/0.12% P. acetate / PE suspension Prednefrin Forte) |
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Corticosteroid eye drops
- Comparative potency and rise in IOP |
High potency: dexamethasone, prednisolone acetate, fluorometholone acetate with highter risise in IOP (Flarex rise slightly less)
Low: Hydrocortisone ointment with lower rise in IOP |
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Corticosteroid eye drops
- CIs - Considerations - Preg/BF - A/Es |
- CI with infections, esp herpes simplex and fungus
- Caution with contact lens wearers - there is a risk of indescriminate long term use - Caution with glaucoma and children (risk of increased IOP) - Safe in preg and BF Adverse Effects (1) retearded corneal healing (2) rebound inflammation (3) dose dependent, usually reversible IOP (4) infection (infrequent) |
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What is the usual dose for a steroid eye drop?
What about Prednefrin forte? |
Dose is titrated to disease: usually 1 2-4 times daily, or every hour prn. Prednefrin Forte is the same
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Eye examination
- what's the difference and use of mydriasis vs cycloplegia? |
Mydriasis (dilation): to examine lens and retina
Cycloplegia (paralysis of accommodation): pain relief of iridocylitis, diagnostic aid, other things |
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Eye examination
- what drugs are used |
Anticholinergic drugs
- atropine (Atropt) - Cyclopentolate - Homatroptine - Tropicamide & Phenylephrine (mydriatic - 2.5% and 10% Minims drops) |
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A/Es of mydriatics
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- stinging on instillation
- photophobia, blurred vision - transient increase in IOP |
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Local anaesthetic eye drops
- drugs in class |
1. amethocaine (minims)
2. oxybuprocaine (minims) 3. proxymetacaine (Alcaine dropper) 4. lignocaine with fluorescein (minims) |
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LA eye drops
- clinical use |
- short term occular anaesthesia
- prolonged use impairs healing, prevents ocular protection and masks disease - should only be used for short procedures (less than 20 mins) - NEVER prescribe for home use |
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LA eye drops
- administration advice |
1. they sting initially (10-30seconds)
2. instil before other drops because they reduce stinging of other drops and increase their BA. |
