Optometry Pharmacology: Local Steroid Injections Quiz

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What is one of the advantages of using topical steroid administration for anterior segment disease?

It leads to adrenal suppression

It can aggravate dendritic ulcers

It has a high risk in children

It allows for simple application (correct)

According to Adamczyk's Rule of Steroid Treatment, why is it preferred to treat only the infected eye in Uniocular disease?

To avoid potential adrenal suppression

To cause aggravation of dendritic ulcers

To increase the chances of systemic effects

To reduce the risk of systemic effects (correct)

Which type of administration route is used for severe inflammation like chorioretinitis or optic neuritis?

Intravitreal

Systemic (correct)

Intracanalicular

Topical

What is a potential disadvantage of using topical steroid administration for anterior segment disease?

Aggravation of dendritic ulcers (A) Signup and view all the answers

When is Intravitreal steroid administration typically employed?

For severe anterior uveitis and chorioretinitis (C) Signup and view all the answers

What is the purpose of a loading dose in drug treatment?

To start with a higher dose before decreasing to a maintenance dose (C) Signup and view all the answers

According to Adamczyk's Rule of Steroid Treatment, what is advised when treating inflammation with steroids?

Give a large amount of steroid judiciously (B) Signup and view all the answers

In pulse therapy, how are high doses of medication administered?

Giving high doses intermittently in pulses (C) Signup and view all the answers

What is the rationale behind tapering off long-term, high-dose steroid therapy?

To avoid side effects and potential relapse (C) Signup and view all the answers

What type of treatment typically does not produce significant side effects according to the Principles of Steroid Treatment?

Short-term, low-dose topical treatment (D) Signup and view all the answers

What is the purpose of a loading dose?

To enhance the therapeutic effect of the drug (B) Signup and view all the answers

According to Adamczyk's Rule of Steroid Treatment, what should the dosage of steroids be dependent on?

Location and severity of inflammation (B) Signup and view all the answers

What does pulse therapy involve?

Administering high doses of drugs intermittently to enhance therapeutic effect (B) Signup and view all the answers

In comparison to antibiotics, how is the dosing frequency of steroids determined?

Varies based on the severity of inflammation (A) Signup and view all the answers

When treating idiopathic iritis with steroids, what may determine the dosing strategy according to the text?

Trial and error (C) Signup and view all the answers

What is the main reason to wait a few days after administering an antiviral before giving a steroid?

To prevent the virus from becoming more active (A) Signup and view all the answers

According to Adamczyk's Rule of Steroid Treatment, why are steroids needed in stromal infections?

To address the inflammatory response in the eye (D) Signup and view all the answers

When is a sub-Tenon's injection of steroids typically recommended?

For chronic illness treatment (B) Signup and view all the answers

Why is it crucial to administer both antiviral and steroid treatments in cases of epithelial and stromal infection?

To achieve synergistic effects (A) Signup and view all the answers

What is the key reason for giving periocular injections of steroids?

To provide long-lasting anti-inflammatory effects (B) Signup and view all the answers

What is the advantage of local steroid injections?

Minimize systemic side effects (D) Signup and view all the answers

Which adverse reaction is associated with local steroid injections?

Optic nerve atrophy (B) Signup and view all the answers

What is a disadvantage of local steroid injections?

Potential for adrenal suppression (C) Signup and view all the answers

Which condition can be treated with a Triamcinolone acetonide injection beneath Tenon’s capsule?

Severe chronic anterior uveitis (D) Signup and view all the answers

When is local steroid injection particularly good for patients?

For non-compliant patients who are not using topical treatments as prescribed (C) Signup and view all the answers

Which of the following is a common systemic steroid used in treating posterior segment inflammation?

Prednisone (A) Signup and view all the answers

Adamczyk's Rule of Steroid Treatment emphasizes the importance of:

Avoiding most systemic effects (B) Signup and view all the answers

Which route of steroid administration is known to have the potential risk of adrenal suppression?

Systemic (D) Signup and view all the answers

One of the disadvantages of topical steroid administration is:

Potential adrenal suppression (A) Signup and view all the answers

In steroid treatment, what is a significant consideration highlighted in Adamczyk's Rule?

Avoiding systemic side effects (A) Signup and view all the answers

What is the purpose of Retisert implant?

Treatment of chronic posterior segment uveitis (B) Signup and view all the answers

How long can the Retisert implant deliver sustained levels of drug?

30 months (B) Signup and view all the answers

What is a notable adverse drug reaction (ADR) associated with Retisert implant?

Increased intraocular pressure (D) Signup and view all the answers

Which drug is released by Iluvien and what is its use according to the text?

Fluocinolone acetonide; Treatment of Diabetic Macular Edema (D) Signup and view all the answers

What is the unique feature of Iluvien as mentioned in the text?

It eventually settles to the bottom of the eye (D) Signup and view all the answers

What is the main advantage highlighted about Dextenza intracanalicular inserts?

Convenient single insertion lasting for 30 days (C) Signup and view all the answers

What is a common concern associated with the use of Retisert implant?

Vision loss due to increased IOP (C) Signup and view all the answers