*Which are the cycloplegic ocular drugs?
Tropicamide and Cyclopentolate
*What is cycloplegic?
Cycloplegic - the ability to paralyze the ciliary muscle. results in loss of accomodation
*Is Phenylephrine a cycloplegic or mydriatic?
Phenylephrine is a pure mydriatic
*Which are the ocular topical anesthetics?
*Will you ever prescribe or dispense any of the ocular topical anesthetics?
*Will you ever use steroids in the eye?
Not unless you are an opthalmologist
*What is Timolol and what is it used for?
When is it contraindicated?
Timolol = topical beta blocker used in glaumcoma
Contraindicated in asthma
What is the important first step with any patient?
measure vision and record it
What is the prototypical drug used to dilate the eye?
What are the 4 drugs that dilate the eyes?
Which pillary dilators can be used with synergistic effects in emergency?
Tropicamide and phenylephrine
Which pillary dilator increases heart rate and BP?
Phenylephrine (think- kinda sounds like epinephrine)
What is the one contraindication to pupil dilation
shallow anterior chamber on transillumination test
What is the one topical anesthetic mentioned in this lecture?
Proparacaine (notice caine ending)
What are the side effects of Proparacaine?
toxic to the cornea
suppresses blink reflex
difference between bacterial and viral eye infections?
pus = bacterial
is conjunctivitis ever painful?
No - if it is refer them out
What antibiotic drops are good for use in the eye?
What drugs should you never put in the eye?
Cortisporin (steroid and neomycin)
Neosporin (contains neomycin and 30% of people are allergic to neomycin)
What kinds of drugs will GPs never prescribe or dispense of use in the eye?