Lube/ Cyclosporine / Hyperosmotics
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| What are the three main viscoelastics? | Sodium hyaluronate, Chondroitin sulphate, methylcellulose
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| Where are viscoelastics utilized? | Surgery
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| Aqueous is produced by? | Lacrimal gland
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| Mucin layer of tear film is produced by? | Conjunctival goblet cells
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| Lipid layer of tear film is produced by? | Meibomian glands
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| Name at least 6 type of drugs classifications that may lead to dry eye symptoms. | Anti-‐histamines, anti-‐depressive, High blood pressure, hormones, diuretics, Beta blockers (heart med), Sleeping pills, appetite suppressants
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| What is the maximum number of times preserved artificial tears should be used in a day? | 4
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| Name some topical eye drops that may contribute to dry eye. | Glaucoma gtts [Beta blockers (Timolol), Prostaglandin analogues, CAI drops], "Red out" eye gtts
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| Purite and Na Perborate are what type of preservatives? | "Disappearing" -break down to oxygen and water on touching the eyes
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| Emollients are used where? | Eye ointments
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| Name three emollients? | Lanolin, mineral oil, petrolatum
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| What is the generic name for Restasis®? | Cyclosporine
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| What type of drug is Restasis®? | Immunosupressive - anti-inflammatory
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| How long does it take to achieve the full effect of Restasis®? | 4-8 weeks, sometimes longer
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| Name two types of punctal plugs. | Permanent and Collagen
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| How long do collagen punctal plugs work? | 24, 48, or 72 hours (1-3 days)
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| What is Enuclene® used for? | Cleaning prosthesis
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| Intraocular irrigating solutions should have a pH of ____ and a tonicity of ____. | 7.4 / 0.9
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| What intraocular irrigating solution is used in cataract surgery for complicated cases? | BSS Plus
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| What is the name of the irrigation contact lens used in severe chemical burns? | Morgan lens
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| Name two topical hyperosmotic agents. | 2-5% Sodium Chloride and Glycerine
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| What are hyperosmotic agents used for and what do you tell the patient? | To reduce corneal edema (epithelial edema). Tell them they will sting
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| What agent is used for gonioscopy? | Methylcellulose (Goniosol, Gonak)
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| Acetylcysteine is what type of drug? | Mucolytic
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| Name five systemic disorders that may have dry eye problems. | Sjögren’s, Graves, Sarcoid, Rheumatoid arthritis, Reactive arthritis, Aids, Rosacea, Bell's Palsy.
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