Shared Flashcard Set

Details

Medication used in Ophthalmic Surgery
surgical procedures
30
Medical
Professional
01/18/2018

Additional Medical Flashcards

 


 

Cards

Term
What anesthetic agent is used as a topical anesthetic?
Definition
Propericaine HCI (Alcaine), Tetracaine HCI (pontocaine), Lidocaine HCI (Xylocaine)
Term
What anesthetic agent is used for retrobulbar anesthesia?
Definition
Lidocaine HCI (Xylocaine), Bupivacaine HCI (Marcaine), Hyaluronidase (wydase).
Term
What do antibiotics do, and what are some of the most common?
Definition
Prevent SSI's. Gentamycin (genoptic), erythomycin (ilotycin), tobramycin (tobramycin ophthalmic), ofloxacin (ocuflox), ciprofloxan (ciloxan).
Term
What antibiotics/anti-inflammatory drugs are used, and what is their use?
Definition
tobramycin/dexamethasone (tobradex), neomycin, poly mixin B and dexamethasone (maxitrol).
Term
What drugs are used to gain access to the posterior chamber of the anterior cavity of the eye? (cycloplegics)
Definition
tropicamide (mydriacyl), cyclopentolate (cyclogyl), antropine sulfate (atropisol)
Term
What dye is used to stain the tissue for detection of corneal abrasion or to assess lacrimal duct patency?
Definition
Fluoresceine sodium
Term
What is used to reduce intraocular pressure (IOP)?
Definition
Hyperosmotic agents - Mannitol, Acetazolamide (diamox)
Term
What irrigation solution is to be used?
Definition
Balanced Salt Solution (BSS)
Term
What drug is used to dilate the pupil by paralyzing the iris sphincter?
Definition
Mydriatics - Phenylephrine HIC (Neo-Synephrine)
Term
What drug is used to constrict the pupil and what procedures is it used for?
Definition
Miotics - pilocarpine HCI (pilocar), acetylcholine HCI (miochol), carbochol (miostat). Cataract extraction and to treat glaucoma.
Term
What NSAID is used to prevent post-op inflammation?
Definition
Ketorolac (acular)
Term
What are steroids used for, and what are some of the most common used in ophthalmic surgery?
Definition
prevent post-op inflammation. Prednisolone acetate (predforte), dexamethasone sodium phosphate (ocudex, decadron), betamethasone sodium phosphate/betamethasone acetate (celestone).
Term
What are Viscoeleastic/Viscosurgical drugs used for, and what are some of the most commonly used?
Definition
expands the anterior chamber and protects the corneal epithelium and provides intraocular lubrication. Sodium hyaluronate (Healon, Amvisc)
Term
What are Zonulysis agents used for and what is the most common one used?
Definition
It is used during the extraction of a lense as it dissolves the zonules holding the intracapsular lens in place. Alpha chymotrypsin (alpha-chymar)
Term
Name the most common Ophthalmic agent.
Definition
Sodium chondroitin sulfate sodium hyaluronate  (viscoat)
Term
Drugs used in ophthalmic surgery are used to what?
Definition
Facilitate the diagnosis and treatment of pathological conditions of the eye.
Term
TRUE OR FALSE: The concentrations of ophthalmic medications are usually more potent than the concentrations used in other specialties
Definition
TRUE
Term
Mydriatic and cycloplegic agents have what effect on the eye?
Definition
They cause mydriasis; which is the restriction of the iris, which causes the pupil to dilate.
Term
Miotic agents have what effect on the eye
Definition
They act on the iris resulting in iris relaxation and pupil constriction.
Term
Pilocar, Miochol-E, and Miostat are all what kind of agents?
Definition
Miotic Agents
Term
What agents are used to expand the anterior chamber and prevent injury to the corneal endothelium during cataract extraction?
Definition
Viscoelastic/Viscosurgical Agents
Term
What agents can be used as a replacement for vitreous humor?
Definition
Viscoelastic/Viscosurgical Agents
Term
TRUE OR FALSE: Anti-inflammatory drugs include steroids and non-steroidal anti-inflammatory drugs such as PredForte and Ocudex
Definition
TRUE
Term
Ophthalmic Antibiotic ointments are used for what?
Definition
Used for the treatment or prevention of ocular infections.
Term
What is the most frequently used irrigating fluid during ophthalmic surgery?
Definition
Balanced Salt Solution, BSS- a physiologically balanced irrigating fluid.
Term
aWhat may be necessary for some ophthalmic procedures to block both sensory and motor nerve function of the eye?
Definition
Retrobulbar anesthesia
Term
How is retrobulbar anesthesia accomplished?
Definition
The area around the optic nerve may be injected with lidocaine HCl and bupivacaine.
Term
What are steroids and NSAIDS used for when it comes to ophthalmics?
Definition
They are used in traumatic eye injuries to suppress the inflammatory response and to control postoperative inflammation.
Term
When are miotic agents used?
Definition
They are used intraoperatively when pupil constriction is necessary, as in laser iridectomy or following placement of an intraocular lens (IOL) implant.
Term
Ophthalmic Antibiotic ointments are common delivered in what form?
Definition
They are commonly delivered as a liquid medication injected into the subconjunctival space, or as an ointment placed in the subconjunctival sac.
Supporting users have an ad free experience!