Ocular Therapeutics Final Exam Review 2024
1. -pain persists up to 30 days from onset of rash
-pain that resolves within 4 months of onset of rash
-pair persisting beyond 4 months from initial rash: Acute herpetic neuralgia- Subacute herpetic neuralgia-
Post-herpetic neuralgia-
2. Common cause...
1. -pain persists up to 30 days from onset of rash
-pain that resolves within 4 months of onset of rash
-pair persisting beyond 4 months from initial rash: Acute herpetic neuralgia- Subacute herpetic
neuralgia-
Post-herpetic neuralgia-
2. Common causes of Anterior Uveitis: 1. Idiopathic
2. HLA-B27 (acute/ sudden onset)
3. Trauma
4. Herpes
3. High IOP with uveitis (what 2 conditions do you suspect?): Herpes glaucomatocyclic
crisis (Posner-Schlossman Syndrome)
4. Common signs of uveitis: -Consensual pupil constriction pain
-photophobia
-sluggish pupillary response
5. Signs of Granulomatous uveitis: 1. Mutton-fat KP
2. Iris Nodules
6. Scale for Flare & Cells 0
1+
2+
3+
4+: Flare: / Cells:
Complete absence/ None
Faint/ 5-10
Moderate/ 10-20
Marked (hazy details)/ 20-50 Intense
(fixed/ coagulated)/ 50+
7. Minimum lab tests for Uveitis if bilateral, severe or recurrent, granulomatous or posterior
involvement (5): 1. HLA-B27 (ankylosing spondylitis)
2. PPD (TB)
3. ACE (Sarcoidosis)
4. VDRL/ FTA-ABS (Syphilis)
5. Chest x-ray (TB & Sarcoidosis)
8. Snow banking or snowball formation indicates what type of uveitis?: Inter- mediate (Pars
planitis)
Anterior vitreous cells are pathognomonic!!
9. Uveitis Treatment:
Photophobia: Comfort:
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, Ocular Therapeutics Final Exam Review 2024
Break Synechia:
Reduce Inflammation:
Elevated IOP:
CME:: P: sun protection (hat, sunglasses) C:
Cycloplegic (Cyclopentolate 1-2%)
BS: Phenylephrine 2.5-10%
Inflamm: Pred Forte 1% or Loteprednol 0.5% (No less than q2h to start, then taper) Durazol- as
effective as pred at half the dose
IOP: Combigan/ Cosopt
(avoid prostaglandins & pilocarpine) CME:
topical NSAID
10. What is inhibited by corticosteroids:
What is inhibited by NSAIDS:: -Phospholipase A2
-Cyclo-oxygenase
11. What med can be used prophylactically to reduce recurrence of uveitis: -
Oral NSAIDs
Immunosuppressives
12.Common Uveitis surgeries:: Vitrectomy Cataract
Sx
iridotomy/ iridectomy
Filtering surgery
13.Calculating a child's oral medication dose: 1lb= 0.45kg kg x dose
mg/kg= mg per day
14. Oral Treatment for:
Rosacea-based ocular conditions Herpes
Simplex
Herpes Zoster: Doxycycline 100mg BID (with food) Acyclovir
400mg 5x day 7 days
Acyclovir 800mg 5x day 10 days
15.First Generation cephalosporin: Keflex 500mg PO BID 7-10 days
16. Oral Allergy Medication: Allegra (fexofenadine) 60mg BID
(adult)
30mg BID 6-11yrs
Zyrtec/ Allegra
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