Page 107 - NAME OF CONDITION: REFRACTIVE ERRORS
P. 107

Prostaglan   Increased uveoscleral  25-33%     Cystoids macular edema       Macular edema
               dins         outflow                           conjunctival injection       history of herpes
                                                              periocular                   keratitis
                                                              hyperpigmentation
                                                              eyelash growth
                                                              iris colour change, uveitis
                                                              possible herpes virus
                                                              reactivation

               Beta-        Decreased aqueous       20-25%    Corneal toxicity                  COPD, asthma,
               blockers     production                        allergic reactions           bradycardia, first
                                                              congestive heart failure     degree heart block,
                                                              bronchospasm                 Myasthenia  gravis
                                                              bradycardia                  CHF, hypotension
                                                              depression
                                                              impotence
               Alpha-       Non-selective:          20-25%    Conjuctival injection,       Monoamino oxide
               adrenergic  improve aqueous                    allergic reaction,           inhibitor therapy
               agonists     outflow                           somnolosence, fatigue,       infants and children
                            Selective: decrease               headache                     <2 yrs
                            aqueous production,
                            decrease episcleral
                            venous pressure,
                            increase uveoscleral
                            outflow
               Carbonic     Decrease aqueous        15- 20%   Topical use: metallic taste   Sulfonamide allergy,
               anhydrase  production                          Corneal edema, allergic      aplastic anemia, Renal
               inhibitors                                     dermatoconjunctivitis,       calculi and Renal
                                                              Systemic use: Steven         failure, sickle cell
                                                              Johnson syndrome,            disease
                                                              aplastic anemaia,
                                                              thrombocytopenia, renal
                                                              calculi,metallic taste,
                                                              malaise, anorexia, gastric
                                                              irritation, depression,
                                                              serum electrolyte
                                                              disturbance
               Parasyma     Increased trabecular    20-25%    Myopia, brow ache,           Neovascular
               pathomim     outflow                           decreased vision, cataract,  glaucoma, malignant
               metic                                          corneal toxicity,            glaucoma, periodic
               agents                                         dermatoconjunctivitis,       retinal evaluation
                                                              uveitis, development of
                                                              peripheral anterior
                                                              synechiae.





                                                           107
   102   103   104   105   106   107   108   109   110   111   112