Bandage CLs

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14 Terms

1
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  1. hx

  2. VAs

  3. look at cornea

  4. anesthetic

  5. NaFl

  6. r/o chance of penetrating injury

  7. assess amount of blunt force trauma/posterior pole risks/IOP effects

  8. rinse & remove any foreign matter

  9. cycloplege w/ 5% homatropine

  10. discuss tx options (BCL, topical antibiotic, topical pain meds)

what are the steps to an abrasion anaysis?

2
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  1. protect against infection

  2. promote corneal healing

  3. promote pt comfort

  4. maintain surface hydration

what are the goals of abrasion therapy?

3
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  1. patch basically incubates any infection that is present underneath

  2. eye is not visible so pt cannot monitor

  3. pt usually just removes patch once out of office

  4. can be uncomfortable

  5. cannot give any topical pain relief

why is pressure patching not very good?

4
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  1. can instill antibiotic drops as often as needed

  2. can use an antibiotic ung at night

  3. still have tear circulation & rinsing

  4. eye is visible so pt can monitor

  5. pt can monitor vision changes

  6. lens keeps lid away from healing epithelium

  7. more oxygen is allowed to the cornea

  8. pt comfort is better

  9. can instill topical pain meds PRN

  10. better cosmetically

why is a BCL preferable over pressure patching?

5
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50

as many as ___% of pressure patched eyes removed their patch before their next appt

6
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EW

minimally, a BCL needs to be an ____ approved lens

7
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moderately tight SiHy EW

what is the best BCL fit/type?

8
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CIBA night & day, Purevision & Purevision 2, Acuvue Oasys

what are some FDA approved BCLs/

9
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CIBA night & day & Oasys

what are usually the best BCLs?

10
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fluoroquinolones QID

what is typically the best antibiotic type & dosage for an abrasion?

11
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T

T/F: you can Rx antibiotic ung at bedtime for the pt if the risk of infection for an abrasion is deemed high

12
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OTC (aspirin, tylenol, ibuprofen, naproxen), Ultram

what are some systemic pain relievers given for an abrasion?

13
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Acular, Voltaren, QID

what are some topical pain relievers given for an abrasion & what dosage are they approved for?

14
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  1. recurrent corneal erosions

  2. severe dry eye or ocular surface disease

what are some other uses for BCLs besides erosions?