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17 Cards in this Set
- Front
- Back
Amiodarone |
· Whorl keratopathy · Anterior subcapsular effects – causes deposits · Drug-induced intracranial HTN (pesudotumorcerebri) · Optic neuropathy/optic atrophy |
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Chloroquine/hydroxychloroquine (Plaquenil) |
· Whorl keratopathy · Cycloplegia · Affect retina – Bull’s eye maculopathy · Affect VF |
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Tamoxifen |
· Whorl keratopathy · Affects retina – white or yellow crystallinedeposits (commonly in macula) with or without macular edema |
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Corticosteroids |
· Affect cornea – delayed wound healing · PSC · Blue sclera · Increase IOP · Drug-induced intracranial HTN (pseudotumorcerebri) |
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Sildenafil (Viagra) |
· Conj/Lids – subconj hemorrhage, conj hyperemia · Affects optic nerve – nonarteritic ischemic optic neuropathy · Color vision |
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Sulfonamides |
· Conj/Lids – Stevens-Johnson syndrome, lid edema · Cause myopia · Uveitis · Optic neuritis |
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Digitalis |
o Dyschromatopsia, including yellow or blue tingeto vision and/or colored halos o Colored spots surrounded by coronas o Snowy, hazy or blurred vision o Dimming of vision o Flickering or flashes of light o Glare sensitivity |
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Tamsulosin (Flomax) |
· Sclera/Uvea – intraopterative floppy irissyndrome |
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Bisphosphonates (Fosamax) |
· Uveitis |
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Minocycline (tetracyclines) |
· Blue sclera · Drug-induced intracranial HTN (pseudotumorcerebri) · Tetracycline can cause pigmented cysts on conj |
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Drugs that Increase tear secretion |
· Drugs that Increase tear secretion o Adrenoceptor agonists o Cholinergic agonists o Antihypertensive agents o Antineoplastic agents · Drugs that decrease tear secretion o Anticholinergics o Antihistamines o Beta Blockers o Antidepressants o Phenothiazines o Hormone therapies o CNS stimulants o Diuretics o Isotretinoin (Accutane) o Antianxiety agents o Chemotherapeutic agents |
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Know the drug categories that can causemydriasis/miosis |
· Drugs that can cause Mydriasis o Anticholinergics o Antihistamines o Phenthiazines o CNS stimulants o CNS depressants · Drugs that can cause Miosis o Opiates o Antichoinesterases |
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Know the drug categories that can cause affectEOMs and eye movements |
· Nystagmus · Diplopia · Smooth pursuit impairment · Oculogyric crisis |
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Know which drugs/categories can cause myopia |
· Sulfonamides · Diuretics · CAIs · Isotretinoin (Accutane) · Topiramate (sulfa-containing) |
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What do we need to know about herbal supplements |
Know that herbal and nutritional supplements cancause ocular side effects but usually at higher dosages. |
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What do we need to know about ginkgo biloba |
Know ginkgo biloba inhibits platelet aggregationso can interact with blood-thinning agents such as aspirin and warfarin. · Spontaneous hyphema and retinal hemorrhage · Inhibits platelet aggregation so should be usedwith caution in patients already using blook-thinning agents such as ASA and warfarin |
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Niacin |
· Potential s/e o Blurred vision o CME o DE o SPK o Discoloration of the eyelids o Eyelid edema o Loss of eyebrows and eyelashes |