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What does DPA stand for?
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Diagnostic pharmaceutical agents
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What are the 8 things that you need to do before you instill drops?
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1. Case history
2. VA's
3. A/C angle evaluation
4. Pupil Testing
5. Tonometry
6. Near point visual performance testing
7. Blood pressure
8. Patient Education
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What are 3 specific things you want to look for in the patients ocular history?
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1. contraindications to DPA's
2. Dilation history: any reactions?
3. Angle closure glaucoma
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What are the 8 signs of glaucoma?
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(1) Pain (2) Photophobia (3) Abrubt onset (4) blurry vision (5)Red eyes (6) nausea (7) frontal headaches (8) halos around lights
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What are the 4 things to look for in the pt's systemic medical history?
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1. Is the patient allergic or have a reaction to any medications?
2. Is the patient currently on any medications?
3. Does the patient have any systemic conditions?
4. Does the patient have any reaction to the dentist?
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What are the two types of drugs that you can't use phenylepinepherines with?
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1. MAO inhibitors
2. TCA antidepressants
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What will you see in a diabetic patient when they're dilated?
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It makes the dilation stay longer.
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What are the 5 conditions that are contraindicated with the use of phenylephrine?
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1. Diabetes 2. Hypertention 3. Heart problems 4. Arteriosclerosis 5. Pregnancy
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What does PAPA stand for?
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Pupils, Acuities, pressures, Angles
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Who has more narrrower angles: hyperopes or myopes?
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Hyperopes
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Will angles increase or decrease with age?
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Angles increase.
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What are the different ways that you can measure anterior chamber angles?
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1. anterior chamber angle estimation
2. Limbal glow
3. Van Herrick
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Describe what you see with a limbal glow if your patient has open, moderate or narrow angles?
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Open Angles: large, round glow
Moderate Angle: small, thin glow
Narrow Angle: very dim glow
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What are the grades for van herrick that are safe for dilation?
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3 or 4
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In how many hours will the angle close after instillation?
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4 - 6 hours
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