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17 Cards in this Set

  • Front
  • Back
topically applied drugs only reach what part of the eye?
anterior.... except in aphakic patients, where it can reach posterior chamber
First Order Kinetics involves
passive diffusion of molecules across a NONsaturated barrier, like the cornea.
The rate of movement is directly proportional to the conetration differences across the parrier
Zero order kinetics involves
a rate limiting barrier that controls the passage of drug
What is the order kinetcs MOST commonly encoutere in ocular drug movement?
FIRST order
Total volume of tears that can be held in eyelid?
30, so the average size drop of 50 ul does not enter the eye, but enters systemically thru drainaige by the nose
T/F Concentration of drug available in the tears for transcorneal absorption is PROPORTIONAL to tear flow, due to the drugs dilution and removal by the lacrimal duct and by lid spillover.
FALSE
INVERSELY PROPRTIONAL

The greater the tear flow, the less is avaiblable for absoprtion
T/F if more than one drop is given, an interval of 10 minutes between drops should be ued
True
T/F elder have a higher eye drop absoprtion than children
true, they produce less tears, due to decrease basal and reflex tear production
To penetrate the cornea effectively, the drug must posses a balance of
hydrophilic (to penetrate functional layers) and lipophilic (to be absorbed) properties

Lipophilic drugs readily enter epithellium and can remain there and be stored, allowing the drug to have a long half life
If drug is too hydrophilic, it will not penetrate the epithelium, but if it is too lipophilic, it will enter and remain i the epithlium for a proloonged period of time
T/F Iris contains pigment granules that absorb ipophilic drugs, and allows the release of drug over time
True

Therefore, iris COLOR influences response to a single or multiple dosing of a drug
Where is the major ocular source of drug metabolizing enzymes respoisble for the reactions that being the process of drug detox and removal of eyes?
Ciliary body
Phase 1 of drug metabolization
oxidatio nand reduction of drugs. Results in copound that are highly reactive and potentially more toxic than parent compound.
Melanin granules of pigmented ciliary epithelium absb
polycyclic compounds
T/F Passage of drugs from aqueous to vitreous greatly decreases after cataract surgery?
False
INCREASES
What provents the movement of antibiotics and other drugs from blood in the choroid into the retin and vitreous?
zonula occlude\ns of RPE
3 Blood vessels responsibe flr the removal of drugs in the eye are?
Uveal vessels, Retinal vessels, Episcleral veins
Inactive form of a drug is known as a
Prodrug