Ocular Surface Disease Treatment Options Pharmacology II Quiz
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Questions and Answers

What is the primary purpose of the component HP-Guar in Systane COMPLETE artificial tear?

  • To decrease osmolarity
  • To create a meshwork gel that retains active lubricants on the ocular surface (correct)
  • To promote healing of corneal edema
  • To enhance electrolyte balance
  • What is the measure of effective osmolarity referred to as?

  • Osmosis
  • Pharmacokinetics
  • Tonicity (correct)
  • Preservatives
  • Which component is responsible for resisting a change in pH in tear formulations and includes examples such as phosphate, borate, and sodium hydroxide?

  • Preservatives
  • Buffers (correct)
  • Tonicity enhancers
  • Nutrients
  • What is the potential adverse reaction associated with the preservative thimerosal in artificial tear formulations?

    <p>Allergic reaction</p> Signup and view all the answers

    What is the purpose of using hypertonic solutions in artificial tear formulations?

    <p>To promote healing of corneal edema</p> Signup and view all the answers

    Which vitamin is essential for the differentiation and maintenance of mucosal epithelium and its absence can lead to loss of goblet cells?

    <p>Vitamin A</p> Signup and view all the answers

    What is the primary purpose of buffers in artificial tear formulations?

    <p>To resist a change in pH</p> Signup and view all the answers

    What is the main cause of tear hyperosmolarity in Evaporative Dry Eye (EDE)?

    <p>Excessive evaporation from the exposed tear film</p> Signup and view all the answers

    What is the primary effect of tear hyperosmolarity in Dry Eye Disease (DED)?

    <p>Goblet cell and epithelial cell loss</p> Signup and view all the answers

    Which of the following is a key step in the cascade of signaling events within surface epithelial cells due to tear hyperosmolarity?

    <p>Release of inflammatory mediators</p> Signup and view all the answers

    What role do inflammatory mediators play in the Vicious Circle of Dry Eye Disease (DED)?

    <p>Lead to goblet cell and epithelial cell loss</p> Signup and view all the answers

    What is a potential consequence of tear film break-up in Dry Eye Disease (DED)?

    <p>Neovascularization of the cornea</p> Signup and view all the answers

    What is the recommended approach for managing and treating Dry Eye Disease (DED)?

    <p>Relieve symptoms and heal ocular surface</p> Signup and view all the answers

    Which type of artificial tears are ideal for reproducing characteristics of natural tears?

    <p>Polymer based with viscoelastic substances</p> Signup and view all the answers

    What function does polysaccharides serve in artificial tears?

    <p>All of the above</p> Signup and view all the answers

    Which substance is an example of a viscoelastic polysaccharide in artificial tears?

    <p>Sodium hyaluronate</p> Signup and view all the answers

    What is the role of vinyl derivatives in artificial tears?

    <p>Wetting agent for contact lenses</p> Signup and view all the answers

    What is the global dry eye definition according to the TFOS DEWS II?

    <p>A disease of the ocular surface characterized by a loss of homeostasis of the tear film and ocular symptoms</p> Signup and view all the answers

    What role does tear film instability play in the etiology of dry eye, according to the TFOS DEWS II?

    <p>It directly damages the ocular surface</p> Signup and view all the answers

    What is the core mechanism of Dry Eye Disease (DED) according to the text?

    <p>Tear hyperosmolarity</p> Signup and view all the answers

    What happens when tear hyperosmolarity damages the ocular surface?

    <p>It sucks fluid from the corneal epithelial cells causing an inflammatory process</p> Signup and view all the answers

    What is the primary characteristic of dry eye disease according to TFOS DEWS II?

    <p>Hyperosmolarity of the tear film</p> Signup and view all the answers

    What plays a role in the etiology of dry eye disease according to the TFOS DEWS II?

    <p>Hyperosmolarity and instability of the tear film</p> Signup and view all the answers

    According to TFOS DEWS II, what characterizes dry eye as a disease of the ocular surface?

    <p>Loss of homeostasis of the tear film and ocular symptoms</p> Signup and view all the answers

    What does tear hyperosmolarity initiate, according to the text?

    <p>Inflammation</p> Signup and view all the answers

    What leads to an inflammatory process by sucking fluid from the corneal epithelial cells, according to the text?

    <p>Hyperosmolarity of the tear film</p> Signup and view all the answers

    What is the primary characteristic that leads to damage of the ocular surface, according to TFOS DEWS II?

    <p>Tear film instability and hyperosmolarity</p> Signup and view all the answers

    What is the primary purpose of Vevye (cyclosporine ophthalmic solution)?

    <p>To treat moderate to severe dry eye</p> Signup and view all the answers

    What is the main difference between Vevye and Miebo?

    <p>Vevye contains cyclosporine, while Miebo does not</p> Signup and view all the answers

    Why is Miebo referred to as the 'self-driven vehicle'?

    <p>Because it penetrates meibomian glands without a drug attached</p> Signup and view all the answers

    What is the primary function of Perfluorohexyloctane in Miebo?

    <p>To interact with the lipophilic layer of tears and prevent evaporation</p> Signup and view all the answers

    What is Lacrisert primarily used for?

    <p>To treat moderate to severe dry eye</p> Signup and view all the answers

    What distinguishes Lacrisert from Miebo and Vevye?

    <p>Lacrisert is an ophthalmic insert, while Miebo and Vevye are ophthalmic drops</p> Signup and view all the answers

    Describe the mode of action of NOV03 (perfluorohexloctane) according to the text.

    <p><strong>It interacts with tear film lipophilic part, forming a layer at tear film-air interface which prevents evaporation</strong></p> Signup and view all the answers

    What distinguishes Eyesol® from other solutions mentioned in the text?

    <p>It contains cyclosporine and perfluorohexyloctane</p> Signup and view all the answers

    What is the core mechanism of Dry Eye Disease (DED) according to the text?

    <p>Tear hyperosmolarity</p> Signup and view all the answers

    What is the primary characteristic of dry eye disease according to TFOS DEWS II?

    <p>Ocular surface inflammation and damage</p> Signup and view all the answers

    What does tear hyperosmolarity initiate, according to the text?

    <p>Ocular surface inflammation</p> Signup and view all the answers

    What role do neurosensory abnormalities play in the etiology of dry eye, according to the TFOS DEWS II?

    <p>They contribute to tear film instability</p> Signup and view all the answers

    What is the potential adverse reaction associated with the preservative thimerosal in artificial tear formulations?

    <p>Allergic reactions</p> Signup and view all the answers

    What is the primary cause of tear hyperosmolarity in Evaporative Dry Eye (EDE)?

    <p>Excessive evaporation from the exposed tear film</p> Signup and view all the answers

    What is the main role of inflammatory mediators and tear hyperosmolarity in Dry Eye Disease?

    <p>Cause epithelial cell loss and damage to the glycocalyx</p> Signup and view all the answers

    What is the primary function of lubricants in treating Dry Eye Disease (DED)?

    <p>Relieve ocular surface discomfort</p> Signup and view all the answers

    Which substance is an example of a viscoelastic polysaccharide in artificial tears?

    <p>Sodium hyaluronate</p> Signup and view all the answers

    What is the net result of punctate epitheliopathy and tear film instability in Dry Eye Disease (DED)?

    <p>Tear film break-up</p> Signup and view all the answers

    Which form of DED is characterized by tear hyperosmolarity resulting from reduced lacrimal secretion?

    <p>Aqueous Deficient Dry Eye (ADDE)</p> Signup and view all the answers

    What is the primary role of preservatives in artificial tear formulations?

    <p>To kill or inhibit microorganism growth</p> Signup and view all the answers

    Which vitamin is essential for the differentiation and maintenance of mucosal epithelium, with its absence leading to loss of goblet cells?

    <p>Vitamin A</p> Signup and view all the answers

    What is the primary characteristic of Sodium Perborate in Thera Tears artificial tears?

    <p>It dissociates to H2O2 then to oxygen and water by tear catalase</p> Signup and view all the answers

    What is the primary role of HP-Guar in Systane COMPLETE artificial tears?

    <p>To create a meshwork gel that helps retain active lubricants on the ocular surface</p> Signup and view all the answers

    What is the primary characteristic of Sodium chlorate in Systane lubricant family artificial tears?

    <p>It dissociates to H2O2 then to oxygen and water by tear catalase</p> Signup and view all the answers

    What is the primary purpose of using hypertonic solutions in artificial tear formulations?

    <p>To promote epithelial healing</p> Signup and view all the answers

    What is the primary mode of action of Miebo (perfluorohexyloctane ophthalmic solution) as described in the text?

    <p>It dissolves the altered, viscous meibum in the meibomian glands</p> Signup and view all the answers

    What distinguishes Miebo from Vevye and Eyesol® based on the information provided?

    <p>Miebo is solely a lubricant without carrying any drug, unlike Vevye and Eyesol®</p> Signup and view all the answers

    What is the key advantage of using Miebo (perfluorohexyloctane ophthalmic solution) over gels or ointments, as mentioned in the text?

    <p>It causes minimal visual disturbances due to low surface tension</p> Signup and view all the answers

    Which statement accurately represents the mode of action of NOV03 (perfluorohexloctane) as described in the text?

    <p>NOV03 interacts with tear film lipophilic part, forming a protective surfactant layer</p> Signup and view all the answers

    What is the primary purpose of Lacrisert according to the text?

    <p>To provide long-lasting lubrication with gradual dissolution</p> Signup and view all the answers

    What distinguishes Eyesol® from Miebo and NOV03 based on the information provided in the text?

    <p>Eyesol® contains a drug while Miebo and NOV03 do not</p> Signup and view all the answers

    What is the primary characteristic of Lacrisert according to the information provided in the text?

    <p>Lacrisert softens within 1 hour and dissolves in 14-18 hours</p> Signup and view all the answers

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