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52 Cards in this Set

  • Front
  • Back
What drugs can cause Whorl Keratopathy?
CHAI-T
chloroquine
hydroxychloroqine
amiodarone
indomethacin
tamoxofen
What drugs can cause SPK?
isotretinoin (Accutane)
What preservative can cause SPK?
BAK
What category of topical drops can cause SPK?
aminoglycosides
What 2 drugs can cause endothelial/descemet's pigmentation?
chlorpromazine (anti-psychotic)
thioridazine
What drug can cause gold deposits in the stroma?
Gold salts
What category of drugs can cause delayed corneal healing?
corticosteroids
What drug can cause stellate cataracts?
Chlorpromazine (anti-psychotic)
What drug can cause anterior lens deposits?
Amiodarone
What category of drugs can cause vacuoles on the lens?
Miotics
Ecothiophate
Pyridostigmine
What drug can lead to gold deposits on the lens?
gold salts
What drug category can cause PSC?
corticosteroids
What ethnicity is at highest risk for developing PSC from steroid use?
Hispanics
Which drug can cause blepharoconjunctivitis, dryness, and lid edema?
Isotretinoin (Accutane)
What category of drugs can cause a subconj heme?
NSAIDS
What category of drugs can cause SJS and lid edema (rarely)?
Sulfonamides
What drug can cause pigmented cysts on the conj?
Tetracycline
What drug can cause a subconj heme as well as conjunctival hyperemia?
Sildenafil (Viagra)
What category of drugs can cause increased growth and pigmentation of the conj and lids?
Prostaglandin Analogs
There are a ton of drugs that can cause Dry Eye. Name 9 drugs/categories.
Anticholinergics (Atropine, Scopolamine)
1st Gen Antihistamines (Benadryl, Chlor-Trimeton, Dimetane)
Isotretinoin (Accutane)
Beta Blockers (Timolol, Atenolol, Propanolol)
Antidepressants (Fluoxetine, Amitriptyline, Imipramine)
SSRI – Fluoxetine
Phenothiazines (Chlorpromazine, Thioridazine)
Hormone Therapies (BCP, HRT)
CNS Stimulants (Ritalin, Dexadrine)
Diuretics (Hydrochlorothiazide)
Name 5 drugs/categories that can cause mydriasis.
Anticholinergics (Atropine, Scopolamine)
1st Gen Antihistamines (Benadryl, Chlor-Trimeton, Dimetane)
Phenothiazines (Chlorpromazine, Thioridazine)
CNS Stimulants (Ritalin, Dexedrine)
CNS Depressants (Phenobarbital, Diazepam)
Anti-anxiety – Diazepam (Valium)
Which of the above drug categories that can cause mydriasis can lead to acute angle closure in someone with narrow angles if use is prolonged?
CNS Stimulants (Ritalin, Dexedrine)
What drugs can cause miosis?
Opiates (Morphine, Heroine, Codeine)
Anticholinesterases (Neostigmine)
MG drug
Which irreversible anticholinesterase inhibitor is found in many nerve gases and insecticides?
Echothiophate
How long can miosis last due to the exposure to nerve gas or insecticides?
Over a month
How can this toxicity of the nerve gas or insecticide be counteracted?
Pralidozime (metabolizes the drug)
Which drugs can cause nystagmus?
Phenytoin (Dilantin)
Phenobarbital
Salicylates (NSAIDs – Aspirin)
Which drugs can cause diplopia?
Antidepressants
Antianxiety agents
Which drug can cause smooth pursuit impairments?
Alcohol
Which drugs can cause Oculogyric Crisis?
Phenothiazines (MORE LIKELY CAUSE)
Zyrtec
Which drug can cause Floppy Iris Syndrome?
Flomax
Which drugs can cause uveitis?
Cidofuvir
Mycobutin (Rifabutin - Rifampin derivative - TB)
Sulfonamides
Which drugs can turn the sclera blue?
Corticosteroids
Minocycline
Which drug can cause Retrobulbar Optic Neuritis, Blue-Yellow Color Defects, and Entopic Phenomenon?
Digoxin
Which drug can cause Optic Neuritis that is usually RETROBULBAR AND BILATERAL?
Ethambutol (TB)
What are some other antibiotics that can cause Optic Neuritis?
Chloramphenicol
Streptomycin
Sulfonamides
What drugs can cause NAION?
Viagra
Imitrex
Amiodarone
Patients can get NAION VIA drugs
Can BCP cause ONH problems?
Yes, but very rarely (Optic Neuritis, Papilledema, Psuedotumor Cerebri)
Which drug most commonly causes a granular pigmentation surrounded by an area of non-pigmentation around the macula?
Chloroquine
Bulls Eye Maculopathy
Much more common cause of this than Hydroxychloroquine
Which drug is given topically in an aphakic eye can cause CME?
Epinephrine
Which drug can cause yellow-white deposits (commonly in macula) either with or without macular edema?
Tamoxifen (don’t forget this also can cause Whorl Keratopathy – T in CHAI-T)
Which drug can cause pigmentary retinopathy that looks similar to Bulls Eye Maculopathy?
Thioridazine
Which drug can cause retinal hemorrhages and pigmentary changes in the macula?
Indomethacin (this can cause Whorl Keratopathy too – I in CHAI-T)
What can cause white and shiny emboli within the retinal arterioles?
Talc
What drug can cause color vision loss and as well as nyctalopia?
Isotretinoin (Accutane)
What was the other drug we discussed that could affect color vision?
Digoxin (B-Y Color Vision)
Which category of drugs can cause retinal hemorrhages?
NSAIDs
Which drug can cause vasculopathy (including arterial and vein occlusions) and retinal hemorrhages?
BCP
Which drugs can cause Psuedotumor Cerebri?
Minocycline
Doxycycline
Isotretinoin (Accutane)
Which systemic drugs can decrease IOP?
Beta Blockers
Digoxin
Alcohol
Marijuana
What systemic drugs can increase IOP?
Corticosteroids
Anticholinergics (Atropine, Scopolamine)
1st Gen Antihistamines (Benadryl, Dimetane)
TCAs (Amitriptyline)
Antipsychotics (Chlorpromazine, Thioridazine)
How do corticosteroids increase IOP?
Decrease aqueous outflow