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30 treatment hordeolum and chalazion warm compresses

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30 Treatment Hordeolum and Chalazion Warm compresses and gentle massage 3 to 4 times per day for 5 to 10 minutes Nodules that persist after 1 week require referral Persistent hordeolum External: topical antibiotics Internal: oral antibiotics May require surgical drainage OTC homeopathic Syte ® Photographs from: http://www.drugsdepot.com
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31 Contact Lenses > 36 million Americans use contact lenses > 100 OTC products are on the market Regulated by ophthalmic devices division of the FDA Photo adopted from: http://www.iknow2.net/how-do-contact-lenses-work/ Types of lenses: Soft Rigid Glass Permeable (RGP) Hard
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32 Varying Factors of Contact Lens Solutions Buffers to maintain pH Viscosity Isotonicity with tears Stability Sterility Bactericidal preservatives Newer less toxic products: polyquaternium-1, polyaminopropyl biguanide, amidoamine Do NOT mix products from different manufacturers! If their properties differ, a precipitate may form
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33 Soft Lens Care Surface-active cleaners are lens specific Contents: nonionic detergent, wetting agent, chelating agent, buffers, preservatives Use daily or every time contacts are removed Enzymatic cleaners Liquid pancreatin or subtilisin Most are weekly products, some are daily Not needed for disposable lenses worn ≤ 2 weeks
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34 Soft Lens Care Chemical disinfecting solutions Apply after lens is cleaned, prior to insertion Soak overnight (≥ 4 to 6 hours) Hydrogen peroxide 3% AO Sept ® , Oxysept UltraCare ® Multipurpose solution Cleans, removes proteins, disinfects ReNu MultiPlus MultiPurpose Solution ® OptiFree Express ® Adopted from: http://www.bausch.co.nz/en_UK/ecp/visioncare/product/softcare/renumpsolution.aspx
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35 Complications of Improper Use Hypoxia Corneal edema Corneal abrasion Corneal infection Corneal ulcers Most complications are reversible if attended to promptly Patients complaining of eye pain or changes in vision should be referred to an eye care practitioner ASAP Photo adopted from: http://www.perret-optic.ch/optometrie/pathologie_oculaire/patho_complication.htm
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36 36 Patient Case Patient Case A mother brings her 12 month old son into your pharmacy A mother brings her 12 month old son into your pharmacy and asks if you can recommend a product for her sons and asks if you can recommend a product for her sons eye. There is a purulent discharge from the left eye and eye. There is a purulent discharge from the left eye and the child is rubbing his eyes in obvious discomfort. the child is rubbing his eyes in obvious discomfort. http://www.sciencephoto.com/media/256853/enlarge
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37 37 Your answer is: Your answer is: 1. 1.
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30 Treatment Hordeolum and Chalazion Warm compresses and...

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