Home' Australian Pharmacist : May 2011 Contents Vol.30–May#05
The articles in this series are independently researched and compiled by PSA commissioned authors and peer reviewed.
Matthew returns to the pharmacy after
a couple of weeks to pick up some of
his prescription medications. His GP
has decided that ongoing therapy for
his GORD is no longer required as he
is currently symptom free.
His blurred vision has settled
down nicely since stopping the
lansoprazole and, in fact, he thinks
his vision may have improved. He
has made an appointment to see
an ophthalmologist next month for
Key learning points
The eye can be affected by a number
of systemic conditions, medications,
chemicals, and ocular disturbances
including trauma and infection, all of
which can lead to the symptom of
blurred vision. Adverse reactions to
medications are an important health
problem and it is the role of the
pharmacist to detect, treat, refer and
educate their patients about them.
Deciding that there is no underlying
organic disease can be difficult in the
pharmacy setting without a specialist
opinion. An accurate history together
with a simple eye examination
can help the pharmacist to make
an informed decision about the
cause and referral to an optometrist
or general practitioner may well
1. Rutter P, Newby D. Community Pharmacy: Symptoms,
diagnosis and treatment. Sydney: Elsevier; 2008.
2. Examination of the Eye [online]. [Accessed 10 Jan
2011]. At: www.patient.co.uk/doctor/Examination-of-
3. Pharmaceutical Society of Australia. Provision of
chloramphenicol for ophthalmic use as a pharmacist
only medicine. Apr 2010.
1. The pharmacist can perform a
simple eye examination in the
pharmacy to detect signs of:
d) pupils’ reaction to light.
e) All of the above.
2. The pharmacist should refer
the patient who presents with
a) associated vomiting or headache.
b) irregular shaped pupil.
c) severe eye pain.
d) pupil not responsive to light.
e) All of the above.
3. Which of the following is
NOT a risk factor for the
development of diabetic
a) Poorly controlled diabetes.
b) High cholesterol.
c) Viral conjunctivitis.
d) High blood pressure.
4. Which of the following
medications has NOT been
associated with ocular toxicity
or visual disturbances?
b) Tricyclic antidepressants.
A score of 4 out of 5 attracts 1 CPD credit.
5. Which of the following is
INCORRECT? The extent and
severity of adverse ocular drug
effects can be affected by:
a) eye colour.
b) patient age.
c) drug dosage.
d) duration of therapy.
e) excretion of the drug.
4. Blurred vision [online]. [Accessed 10 Jan 2011]. At:
5. Eye in Systemic Disease [online]. [Accessed 10 Jan
2011]. At: www.patient.co.uk/doctor/The-Eye-In-
6. Diabetic Retinopathy [online].[Accessed 10 Jan 2011].
7. Bartlett, JD, ed. Ophthalmic drug facts. USA: Wolters
Kluwer Health; 2006.
8. Santaella RM, Fraunfelder FW. Ocular adverse effects
associated with systemic medications. Drugs. 2007:
9. Rossi S, ed. Australian Medicines Handbook. Adelaide:
Australian Medicines Handbook; 2010.
10. Chew ML, Mulsant BH, Pollock BG, et al. Anticholinergic
activity of 107 medications commonly used by older
adults. J Am Geriatr Soc. 2008; 56:1333–41 .
11. Shingleton BJ, O’Donoghue MW. Blurred vision. NEJM.
24 Aug 2000; 556–62.
12. Li J, Tripathi RC, Tripathi BJ. Drug induced ocular
disorders. Drug Safety. 2008: 31(2);127–41.
13. Claessens AAM, Heerdink ER, Van Eijk JTM, et al.
Safety review in 10,008 users of lansoprazole in daily
practice. Pharmacoepidemiology and drug safety. 2000:
14. Drug Facts and Comparisons. USA: Wolters Kluwer
15. National Prescribing Service. Proton pump inhibitors: step
down to symptom control. NSW: NPS; May 2009: 45.
Melbourne Convention Exhibition Centre
6–9 October 2011
Discovery • Development • Diversification
PAc11 includes a
Self care stream to meet
your pharmacy needs.
• Smoking cessation
• Harnessing patient involvement and motivation
• Getting the most out of your pharmacy team
• Conditions in young skin
• Conditions in ageing skin
For further program information and to register online visit:
Education for pharmacists and
Counter Connection – A monthly
distance education module for
Facts Behind the Fact Cards – Monthly
detailed clinical and practice education
for pharmacists. CPD points are available.
Self Care Your professional edge
Health information for your customers
Fact Cards – Fact Cards provide
independent, concise and factual
information for the pharmacy team
Health campaigns – Comprehensive
health promotion pharmacy
packages designed to educate and
raise public awareness.
Promotion tools for your pharmacy
John Bell’s Health Column – Self Care
Adviser, John Bell, writes an informative
weekly column that can be personalised
to member pharmacies and used in
local media such as newspapers and
Pharmacy’s leading health information and education program Join now at www.psa.org.au/selfcare or call 1300 369 772
Links Archive June 2011 April 2011 Navigation Previous Page Next Page