EYE DISORDER
MEDICINES
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For questions
1-6; match the descriptions in the table with an eye disorder (a-f) by writing
the correct letter into the answer column.
You should use each eye disorder once.
Descriptions
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Answer
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Q1) The eyelid and the roots of the eyelashes
are red and swollen
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Q2) The coloured part of the eye is inflamed. The eye is painful and vision
is impaired. If this condition is not treated then permanent visual problems
can occur
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Q3) The main symptom is dry eyes. If it is not treated, ulceration may
occur
|
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Q4) The conjunctiva is inflamed. There is a yellow discharge coming from
the eye
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Q5) The conjunctiva is inflamed. The commonest cause of this condition is
hayfever
|
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Q6) There
is a staphylococcal infection of the hair follicle gland at the base of an
eyelash
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(f) Iritis
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(b) Allergic conjunctivitis
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(d) A stye
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(e) Infected conjunctivitis
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(a) Tear deficiency
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(c) Blepharitis
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Complete the columns
below for Question 7Primary Open Angle
Glaucoma and Question 8 Primary Closed Angle Glaucoma.
Q7 - Primary Open Angle Glaucoma
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Q8 -
Primary Closed Angle Glaucoma
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What happens in the eye?
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What is the speed of symptom onset?
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What are the symptoms?
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What are the risk factors or triggers?
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For
each of the eyedisorders in questions9-15 you will be given the name of a drug and
an action. Firstly decide whether the drug can be used for the disorder. Then
decide if the action described would help the disorder. Then make a decision on
whether the action is a correct description of how the drug is used to help the
patient.
After
this, select the appropriate answer using the options below:
A – The drug can be used for this disorder and the
action is a correct description of how the drug works
B – The drug can be used to treat this disorder but the
action is not the correct description of how the drug works
C – The drug is NOT used for this disorder but the
action described would help to treat a patient with this disorder
D – The action is a correct description of how the drug
works, however the drug is NOT used for this disorder
|
Questions 9 and 10 are concerned with
tear deficiency
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9) Drug: Timolol eye drops
Action: Reduces the production of the aqueous humour
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Action: Acts as artificial tears
Questions 11 and 12 are concerned
with theiritis
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11)Drug: Acetazolamide
tablets
Action: Reduces
inflammation
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Action: Increases the
production of the aqueous humour
Questions 13 and14are concerned with primary
closed angle glaucoma
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13)Drug: Pilocarpine
eye drops
Action: Constricts the ciliary muscle,
which facilitates aqueous outflow
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14) Drug:Atropine eye
drops
Action:Reduces intraocular pressure
Question 15 is concerned with open
angle glaucoma
|
Action: Increases the outflow of humour
For questions
16-21, match the medications in the table with their side effects (a-e)
by writing the correct letter into the table.
Medication
|
Side effects
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Q16)
Timolol eye drops
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Q17) Betamethasone drops (for eyes)
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Q18)
Pilocarpine eye drops
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Q19) Acetazolamide
tablets
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Q20)
Atropine eye drops
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Q21)
Bimatoprost eye drops
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(b) Ocular side effects include stinging and raised
intraocular pressure. Contact
dermatitis can also occur.
Systemic side effects include dry mouth, constipation and slow
heart rate.
|
(a)
Thinning of the cornea and sclera, glaucoma and cataracts
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Side effects
(you should use each of
these once)
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(c)
Bronchospasm and slow heart rate can occur. There may be ocular side effects such
as burning, stinging and allergic reactions, which can result in
anaphylaxis.
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(e)Blood disorders and rashes can occur. There may be gastro-intestinal disturbance,
loss of appetite, headache, dizziness and hearing disturbances.
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(f)
Headache and browache, which can be worse in the first 2–4 weeks of
treatment.There may be ocular side effects such as burning, itching, lens
changes and blurred vision. Systemic side-effects are rare.
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(d) Brown pigmentation of the iris,
blepharitis, eye pain and irritation, skin rash, headache. The eyelashes
may become thicker, longer and darker
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Questions
22 to 24 refer to a lady who comes into your pharmacy with a prescription for
Lumigan® eye drops (containing bimatoprost 100 micrograms/ml)
22)
What time of the day should she apply this medication? (P2)
a) Morning only
b) Evening only
c) Night time
only
d) Morning and
night time
23) What
counselling could you give on how to use these eye drops? (P4)
24)
The lady says that she is thinking of getting contact lenses. Bearing in mind
thatshe has been prescribed Lumigan eye drops, what counseling would you give
her on contact lens use? (P4)
Question 25 to 28 refer to a gentleman who
comes into the pharmacy with symptoms of infected conjunctivitis.
25) What over the counter product could the pharmacist
recommend? (P2)
26) What are the dosage instructions for this product
and how long should it be used for? (P2)
27) Describe 3 common side effects of this product and
explain what counselling you would give to the gentleman on how to store the
product correctly. (P3 and P4)
28)
When should the patient discard the medication? (P4)
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