Eye Application

1. Which eye conditions are contagious? (select ALL that apply) a) Viral conjunctivitis b) Bacterial conjunctivitis c) Blepharitis d) Dry eyes e) Allergic conjunctivitis A and B are correct 2. TJ come to your pharmacy to pick up prescription for Restasis. He has a couple questions for you: a) What is the generic name for Restasis? Cyclosporine ophthalmic emulsion b) What should the patient do if the patient is wearing contact lenses? Remove their lenses before using Restasis. Can’t reinsert the contact 15 minutes after applying the drops. c) What should the patient do if he/she also use another eye drop in addition to Restasis? Wait at least 15 minutes before using another eye drop to ensure proper absorption and avoid washout of the medication 3. TF comes to your pharmacy with bilateral red eye, watery discharge, itching and crusting of her eyelashes as she wakes up in the morning. She has been having this eye issue for a couple days now and it started after catching a cold. What would you recommend to her, please include non pharm and pharmacological therapy, as well your rationale for therapy selection? Recommendation for TF with bilateral red eye, watery discharge, itching, and crusting of eyelashes after a cold: • • Non-pharmacological therapy: o Apply a cold compress to reduce itching and swelling. o Maintain good hand hygiene to prevent spreading the infection. o Avoid rubbing the eyes. o Use artificial tears to help soothe irritation. Pharmacological therapy: o Recommend lubricating eye drops (preservative-free artificial tears) for comfort. o If the symptoms strongly suggest viral conjunctivitis (which is common after a cold), symptomatic relief is the primary approach as it is self-limiting. o If bacterial conjunctivitis cannot be ruled out or symptoms worsen (thick discharge, significant eyelid swelling), a short course of broad-spectrum antibiotic eye drops like erythromycin ophthalmic ointment or polymyxin B/trimethoprim drops may be considered. 4. PS is a 70 year old man who comes to pick up his refill for Flomax. He also tells you he is scheduled for cataract surgery next week. Which of the following statement is true regarding intra-operative Floppy Iris syndrome? Please correct the statement that are not true. a. is TRUE: Flomax is associated with Floppy Iris Syndrome. Patients should be counseled to inform their ophthalmic surgeon about their use of Flomax prior to cataract surgery. a. Flomax is associated with Floppy Iris syndrome, therefore, you should counsel the patient to let his surgeon know that he is taking Flomax. Floppy Iris Syndrome and Flomax (Tamsulosin): TRUE: Flomax is associated with Floppy Iris Syndrome. Patients should be counseled to inform their ophthalmic surgeon about their use of Flomax prior to cataract surgery. b. Floppy Iris Syndrome occurs mostly in female patients; therefore, the risk of floppy iris syndrome is low in this patient FALSE: Floppy Iris Syndrome occurs mostly in male patients, not females, as Flomax is primarily prescribed for benign prostatic hyperplasia (BPH), a condition more common in men. c. Discontinuing Flomax before cataract surgery will result in reduce risk of Floppy Iris Syndrome during the cataract surgery FALSE: Discontinuing Flomax before cataract surgery does not significantly reduce the risk of Floppy Iris Syndrome. The risk persists even after stopping the medication, so proper surgical techniques should be employed regardless. 5. CJ is a 56 YOM who presents to your clinic with increased intraocular pressure in the evening. Pt has been on latanoprost with no significant improvement. What is the most appropriate next step? Please explain your therapeutic selection. The most appropriate next step is to add a second agent from a different class, such as a beta-blocker (timolol), alpha agonist (brimonidine), or a carbonic anhydrase inhibitor (dorzolamide). Latanoprost is a prostaglandin analog and is often first-line therapy for glaucoma. If monotherapy is insufficient, combination therapy is recommended to better control IOP. Timolol is a common choice due to its complementary mechanism (reducing aqueous humor production). Combination eye drops may also improve adherence by simplifying the regimen.