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Question: Name some oral medications that we check in ophthalmology?
Answer: Fortunately, there are few oral medications that affect us in ophthalmology. These include:
- Beta-blockers: it’s nice to know if a patient is on a beta-blocker before we start a beta-blocker in the eye
- Terazosin: The BPH medications cause floppy-iris syndrome and makes cataract surgery difficult
Comments and Feedback
5 Comments
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You may also want to check if the patient is on plaquenil or hydroxychloroquine, as these can cause retinopathy or corneal deposits.
Comment by Shannon — September 6, 2008 @ 1:58 pm
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Amioridone auses cornea vercitella, sworl like deposits in the corneal stroma.
Topamax can cause acute cilo-choroidal effusion and cause acute myopia and also acute glaucoma..
Hydrochloroquine can cause macular retinopathy (bulls-eye) pigmentary depositon and effect color vision
Corticosteroids cause Posterior Subcapsular Cataract, and in about 15% of patient cause elevated IOP
Comment by Gary Levin MD — September 25, 2010 @ 9:18 pm
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u probably ment amiodarone about cornea verticillata.
tamsulosine (flomax) is going to BPH medications as well.
Comment by Anton V — December 15, 2010 @ 1:58 pm
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photosensitizing drugs like sulfa drugs can make one susceptible to cataract and macula degeneration. Other examples are
# Antihistamines
# Birth control pills
# Tranquilizers
# Oral anti-diabetic drugs
# Antidepressants
# NSAIDS (eg. aspirin, ibuprofen, advil, meclofen) etc
Comment by Listowell — March 19, 2011 @ 6:30 am
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Also Ethambutol for TB causes optic neuritis with color vision problems
Comment by Bibi — November 27, 2011 @ 5:50 pm
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