Contact Lens Solution Hypersensitivity

In any patients in whom sensitivities to ingredients are a strong possibility, the use of preservative-free care systems is strongly recommended. ALL products need to be switched to nonpreserved. Due to the hydrophilic nature of soft contact lenses, whenever these lenses are exposed to products that the patient is sensitive to, the lenses usually need to be replaced in order to solve any related problems. This is not typically true of rigid lenses (since they are not hydrophilic, they do not...

Endophthalmitis

(a) Postoperative, Acute (< 1 Week) Most common organism encountered is Staph, epidermidis others include Staph, aureus, Streptococcus species, Serratia marcescens, Proteus species, and Pseudomonas species) Notes 1. Intravitreal antibiotics are the treatment of choice, combined with topical antibiotics the benefit of subconjunctival antibiotics is controversial at this time and is not frequently used. 2. Immediate pars plana vitrectomy is beneficial if visual acuity on presentation is light...

Beta Blockers1 025light Blue Top 05yellow

Mechanism of Action Beta blockade in ciliary body reduces intraocular pressure by decreasing aqueous humor production. Side Effects Local Blurred vision, corneal anesthesia, superficial punctate keratitis. Systemic Bradycardia heart block, bronchospasm, fatigue, mood change, impotence, decreases sensitivity to hypoglycemic symptoms in insulin dependent diabetics, worsening of myasthenia gravis. Contraindications Asthma, severe COPD, bradycardia, heart block, CHF, myasthenia gravis....