β Adrenergic Blockers in Ophthalmology
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Questions and Answers

Which of the following is NOT affected by topical β blockers?

  • Intraocular pressure (i.o.t.)
  • Pupil size (correct)
  • Tone of ciliary muscle
  • Outflow facility
  • Why are ocular β blockers designed to be lipophilic?

  • To increase aqueous formation
  • To avoid corneal hypoesthesia
  • To reduce systemic effects (correct)
  • To increase systemic effects
  • What is the likely mechanism behind the reduction in ocular blood flow by β blockers?

  • Blockade of β2 receptors in the ciliary epithelium (correct)
  • Activation of adenylylcyclase
  • Upregulation of β2 receptors
  • Increased aqueous formation
  • What is a common systemic adverse effect associated with ocular β blockers?

    <p>Bronchospasm in asthmatic patients</p> Signup and view all the answers

    How can systemic adverse effects of ocular β blockers be minimized?

    <p>Applying pressure on the inner canthus of the eye</p> Signup and view all the answers

    What ocular side effect is generally mild and infrequent with β blockers?

    <p>Corneal hypoesthesia</p> Signup and view all the answers

    What is the primary mechanism by which β blockers lower intraocular pressure (i.o.t.)?

    <p>Reducing aqueous formation</p> Signup and view all the answers

    Why are ocular β blockers preferred over miotics in current practice?

    <p>They cause less ocular side effects</p> Signup and view all the answers

    What is a distinguishing characteristic of ocular β blockers that helps reduce systemic effects?

    <p>High ocular capture</p> Signup and view all the answers

    Which of the following systemic adverse effects is commonly associated with ocular β blockers?

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

    How do systemic adverse effects occur in patients using ocular β blockers?

    <p>Absorption through the nasolacrimal duct</p> Signup and view all the answers

    Which population is at higher risk for experiencing life-threatening bronchospasm when using ocular β blockers?

    <p>Elderly individuals</p> Signup and view all the answers

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