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10 Cards in this Set
- Front
- Back
6 classes of glaucoma drugs with their cap colors
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cholinergic agonists (GREEN)
adrenergic agonists (including alpha2) (PURPLE) Beta blockers (YELLOW) Carbonic anhydrase inhibitors-CAIs (ORANGE) prostaglandin analogs (White) hyperosmotic agents (n/a) |
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Eye drop volume
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20-50 microliters
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Tear lake volume
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7-10 microliters
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Benzalkonium chloride (BAK)
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preservative that allows drops to penetrate the corneal epithelium. Can cause corneal toxicity.
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Pilocarpine
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old school direct acting cholinergic, increases aqueous outflow stimulating CB contraction and opening of trab meshwork; also DECREASE uveoscleral outflow--which can increase IOP if trab is blocked; dosed TID or QID
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Echothiophate iodide and carbachol
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organophosphate AchE inhibitor (cholinergic); dosed BID
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To what irido-corneal angle structure is the longitudinal muscle of the ciliary body attached
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scleral spur (cholinergics cause contraction of longitudinal muscle and opening of the scleral spur)
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What ocular effects of cholinergic agents do not affect IOP?
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miosis (which can increase VA via PH effect) and accomodation (up to 15D in young pts)
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Why is it sometimes helpful to increase pilocarpine in pts with dark irides?
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pilocarpine is bound by uveal pigment
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Ocusert
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controlled-release pilocarpine inserted under lid
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