Create
Learn
Share

IPDM I WK 9 Glaucoma Part I

rename
alchemist04's version from 2016-06-06 23:58

Section

Question Answer
Rank the IOP reduction from highest to lowest among the agents used to treat glaucomaProstaglandin > B-blocker (Sympatholic) > Parasympathomimetic > A/B agonist (Sympathomimetic)
memorize

 

Question Answer
How does the function of Trabecular Mesh (TM) affects IOP?The aqueous humor flows thru Trabecular out flow and absorbed by TM. The more the outflow, the more the tense the TM and the more IOP bc the TM outflow invariable become reduced. In the end, the drainage canal become blocked
A kind of glaucoma that is caused by "Iris and lens stick together, pressure pushes iris against cornea, blocking mesh work" is calledClosed-Angle or Angle-Closure glaucoma
A kind of glaucoma that is caused by "Drainage canals become obstructed" is calledOpen-Angle Glaucoma
memorize

 

Question Answer
A patient comes to your store and said he has a subtle eye problem w/ gradual loss of peripheral vision for 3 months. Upon checking you discovers that there is an increase IOP, decrease aqueous humor outflow and Optic disc changes. What kind of glaucoma is he having?Open-angle
Parasympathetic Eye innervation that results in eye constriction is?Miosis
A Sympathetic eye innervation that result in eye dilation is?Mydrasis
memorize

 

Question Answer
Trabeculoplasty meansPlastic surgery or reconstruction of Trabecular
A patient told you that he has recently had a surgery to create a reservoir for aqueous humor to drain into, what is this procedure called?Trabeculectomy
What is the purpose of Cyclodestructive surgery?To reduce the rate of aqueous humor production
Trabeculectomy meanscreating a hole or reservoir for aqueous humor to drain
Hypotrichosislow amount of eye latches
memorize

 

Question Answer
After eye surgery, this product is expected to be used as an adjunct to ab externo glaucoma filtration surgery to prevent scarring. What is it called?Mitomycin
Mytomycin brandMtiosol kit
memorize

 

Question Answer
3 things about Mitomycin (1)(1) Must be used w/n 1hr of reconstitution
3 things about Mitomycin (2)(2) Must be prepared in sterile condition
3 things about Mitomycin (3)(3) Must be stored at room temp and disposed in chemotherapy waste bag
memorize

 

Question Answer
Your patient has glaucoma and has a choice btw agents that block aqueous production and the once that open/increase the outflow canals. Which agents could help with aqueous production?(1) Carbonic anhydrase Inhibitors (2) Alpha-2 agonists (3) Beta Blockers
Your patient is refusing to have CAB agents, she prefers the Outflow producing agents, which ones would you recommend?(1) Cholinergic (Trabecular) (2) A-2 agonists - sympathomimetics (Uveoscleral) (3) A/B agonists Sympathomimetics (4) Prostaglandin analogs
memorize

 

Question Answer
MOA of Prostaglandin(1) Increase Uveoscleral outflow (2) May increase trabecular outflow
A patient said he has been using Latanaprost for days for his Close-Angled glaucoma, do you think this is a nice idea? Why?No, Latanaprost is Contraindicated for glaucoma
You patient wants to what Bimatropost is indicated for?(1) Open-Angle Glaucoma (2) Ocular HTN
T or F? Unoprostone reduces IOP more than Beta blockersFalse. All other prostaglandin reduce IOP more than B-blocker
memorize

 

Question Answer
Bimatoprost brandLumigan, QH, Q12hr, store @ Room temp
Latanaprost brandXalatan , Q12hr, refrigerate, stable at room temp for 6 wks
Travoprost brandTravatan Z, Q12hr, Store @ room temp, Contains BAK
Tafluprost brandZioptan, QD, Preservative free, refrigerate unopened foil pouches, stable at room temp. for 28 days
Unoprostone brandRescular, Q12hr, store @ room temperature
memorize

 

Question Answer
Your patient requested for Prostaglandin eye medication that could also help w/ Hypotrichosis, which would you recommend? Bimatoprost (Latisse)
What are the side effects of Prostaglandin?(1) Sensation (foreign body) (2) Burning (3) Itching (4) Hypetrichonisis (5) dry eye (6) Iris Pigmentation
memorize