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