ORAL MEDICATIONS WITH OCULAR SIDE EFFECTS ASHLEY S. REDDELL, OD, FCOVD HOACLS 2015
ABOUT ME FROM HAYSVILLE, KS GRADUATED FROM KU…..ROCK CHALK! WORKED AS A VISION THERAPIST DURING UNDERGRAD GRADUATED FROM SOUTHERN COLLEGE OF OPTOMETRY COMPLETED PEDIATRIC RESIDENCY AT SCO JOINED A PRIVATE PRACTICE IN LEAVENWORTH IN 2010 NOW HAVE 3 LOCATIONS, 5 ODS, AND ~28 STAFF
HOUSEKEEPING I HAVE NO FINANCIAL INTERESTS IN ANY OF THE PRODUCTS I MAY MENTION DURING THIS PRESENTATION. IF YOU HAVE QUESTIONS PLEASE ME….
WHY GIVE THIS COURSE TO PARA-OPTOMETRICS? YOU HAVE ONE OF THE MOST IMPORTANT JOBS IN THE OFFICE….GETTING PATIENT HISTORY MEDICATIONS ARE A VERY IMPORTANT PART OF THAT HISTORY MANY COMMON MEDICATIONS HAVE OCULAR SIDE EFFECTS, IT IS IMPORTANT FOR YOU TO MAKE SURE THE DOC IS AWARE IF PATIENT IS TAKING ANY THAT WE DISCUSS
CORNEA AMIODARONE ANTIARRHYTHMIC VORTEX KERATOPATHY
CORNEA GOLD SALTS RHEUMATOID ARTHRITIS OCULAR CHRYSIASIS
CORNEA HYDROXYCHLOROQUINE PLAQUENIL TX: MALARIA, RHEUMATOID ARTHRITIS, SYSTEMIC LUPUS ERYTHEMATOSUS VERTICILLE KERATOPATHY
CORNEAL SYMPTOMS GLARE PHOTOPHOBIA HALOS AROUND LIGHTS NIGHT DRIVING COMPLAINTS
CONJUNCTIVA ANTI-COAGULANTS ASPIRIN COUMADIN PLAVIX VITAMIN E
CONJUNCTIVAL SYMPTOMS RED EYE TYPICALLY PAINLESS MAY BE ASSOCIATED WITH STRAINING, COUGHING, SNEEZING, ETC.
PUPIL MYDRIASIS – DILATED PUPIL EPINEPHRINE BRONCHODILATOR PRIMATENE MIST EPHEDRINE BRONCHODILATOR PRIMATENE TABLET
PUPIL MYDRIASIS – DILATED PUPIL PSEUDOEPHEDRINE SUDAFED COLD/HAY FEVER DECONGESTANTS SCOPOLAMINE PATCH USED FOR MOTION SICKNESS
PUPIL MIOSIS – CONSTRICTED PUPIL MORPHINE INSECTICIDES
PUPIL TAMSULOSIN FLOMAX IMPROVES URINATION IN MEN WITH BENIGN PROSTRATE HYPERPLASIA CAUSES INTRAOPERATIVE FLOPPY IRIS SYNDROME IMPERATIVE TO KNOW BEFORE CATARACT SURGERY
PUPIL SYMPTOMS MUST BE AWARE OF NARROW ANGLES AND POTENTIAL FOR MYDRIASIS DILATED PUPIL(S) LIGHT SENSITIVITY
LENS CORTICOSTEROIDS PREDNISONE USED TO TREAT INFLAMMATION
LENS PHENOTHIAZINES CHLORPROMAZINE ANTIPSYCHOTICS ANTERIOR STELLATE CATARACT
LENS SYMPTOMS GLARE/HALOS REDUCED VISUAL ACUITY GREATER WITH PSC COMMUNICATE WITH PROVIDERS WEIGH PROS AND CONS OF MEDICATION VS. SIDE EFFECTS
DRY EYE ANTI-HISTAMINES EXP: CLARITIN ANTI-CHOLINERGICS EXP: BENADRYL, SCOPOLAMINE ANTI-ANXIETY MEDS EXP: XANAX SELECTIVE SEROTONIN REUPTAKE INHIBITOR EXP: ZOLOFT, CELEXA, PROZAC
DRY EYE DIURETICS USED TO TREAT HYPERTENSION HORMONE REPLACEMENT THERAPY ESTROGEN
RETINA PLAQUENIL HYDROXYCHLOROQUINE TX: MALARIA, RA, SLE RETINOPATHY
RETINA TALC ADDITIVES TO IV DRUGS IMPORTANT TO ASK SOCIAL HISTORY
RETINA TAMOXIFEN TX FOR BREAST CANCER
RETINA SYMPTOMS REDUCED VISION DIMMING OF VISION GLARE DISTORTION IN CENTRAL VISION
OPTIC NERVE CORTICOSTEROIDS TX INFLAMMATION: RA, COLITIS, ASTHMA, BRONCHITIS LONG TERM USE CAN CAUSE INCREASED IOP
OPTIC NERVE/RETINA SILDENAFIL VIAGRA VISUAL SIDE EFFECTS BLUISH-TINGED, PINK-TINGED, YELLOWISH-TINGED VISION CAN LAST SEVERAL MINUTES TO HOURS THOUGHT TO AFFECT PHOTOTRANSDUCTION
OPTIC NERVE TETRACYCLINES ANTIBIOTICS SOMETIMES USED TO TX ACNE IN TEENS CAN CAUSE OPTIC NERVE HEAD EDEMA ORAL CONTRACEPTIVES
OPTIC NERVE SYMPTOMS CHANGES IN COLOR VISION REDUCED VISION VISUAL FIELD CHANGES
QUESTIONS