PHARM D APP

CASE PRESENTATION ON IMMATURE

SENILE CORTICAL CATARACT

PRESENTED BY:

T.M.SUDARSHAN

IIIrd pharm.D.
 PATEINT DEMOGRAHIC DETAILS :

• NAME : XYZ.

• AGE : 56 yrs.

• SEX : MALE

• RELIGION : HINDU

• DOA : 10/07/2019

• I.P no : 19071009

• WARD : OPTHAMOLOGY
CHIEF COMPLIANTS :
Insidious onset of pain and gradually progressive pain , seeing halos, blurred vision during dim light.

HISTORY OF PRESENT ILLNESS :

No history of redness, watering of eyes, no history of trauma.

DRUG ALLERGY:
No drug allergy.

PAST MEDICAL HISTORY:

Diabetes mellitus
PAST MEDICATION HISTORY:

METFORMIN 500 mg once a day.

PERSONAL DIET :

• DIET : Mixed

• APPETITE : Normal.

• BOWEL : Regular.

• BLADDER : Regular.

• SLEEP : Regular.
GENERATION EXAMANITATION :

• PALLAR : Present.

• ICTERUS : Absent.

• CYANOSIS : Absent.

• LYMPHEDENOPATHY : Absent.

• EDEMA : Absent.
SYSTEMIC EXAMATION :

• Temperature : 98.6℉

• CVS : S1,S2+

• BP : 120/80 mm Hg

• RR : 23 bpm.

• RS : B/L clear

• P/A : soft

PROVISIONAL DIGNOSIS :

Immature Cataract
 ADVICES AND LABORATORY REPORTS

• BP :140/70 mm hg
• IOP:12.2 mm Hg
• VISUAL ACUITY TEST
• SLIT LAMP EXAMINATION.
BIOCHEMISTRY :

Parameters Result Normal values

Serum creatinine 1.24 mg/dl 0.6-1.50 mg/dl
RBS 115 mg/dl 80-130 mg/dl
Blood urea 31.2 mg/dl 10-50 mg /dl
DAY 1:Pre-0P instruments
Vitals:
Temperature: Normal
BP:140/80 mm Hg
PR:78b/min
RR:18/min

TREATMENT: Preparation of right eye, Dilation of right eye.CATARACT SURGERY

carried out
Brand name Generic name ROA Dose Frequency
Tab.Diamox Acetazolamide Oral 250 mg BD
Ciplox Ciprofloxacin/ Eye drops 0.3%w/v./ 6 times/day
Benzalkonium 0.01%w/ v
chloride IP
Flur Flurbiprofen Eye drops 2 drops 6 times/day
sodium IP.
DAY 2:Post operative instruments

VITALS: GC:Fair
Temperature : Normal

BP : 166/100 mm Hg

PR : 80b/min

RR: 22 times per min

TREATMENT:

Brand name Generic name ROA Dose Frequency

Tab.Temla Telmisartan Oral 40 mg OD
Tab.Amlong Amlodipine Oral 5 mg OD
DAY 3:
VITALS:

Temperature: Normal

BP:130/80 mm Hg

PR:82/min

TREATMENT:

CST+ Tab.ultracet

Brand name Generic name ROA Dose Frequency

Tab.Ultracet Acetaminoph Oral 1 mg SOS
en and
tramadol
DAY 4:

VITALS:

Temperature: Normal

BP:110/70 mm Hg

PR:82/min

TREATMENT:

CST
SOAP NOTES :
SUBJECTIVE :

A 65 years old man was admitted in Ophthalmology with chief complaints Insidious onset of
pain and gradually progressive, pain less ,Seeing halos ,blurred vision .

OBJECTIVE:

• Abnormal RBS,blood urea.

• On comprehensive eye examination.

• Visual acuity test.

ASSESSMENT : Immature Senile Cortical Cataract

PLAN :
Brand name Generic name ROA Dose Frequency
Tab.Diamox Acetazolamide Oral 250 mg BD
Ciplox Ciprofloxacin Eye drops 0.3%w/v./ 6 times/day
Benzalkonium/c 0.01%w/ v
hloride IP
Flur Flurbiprofen Eye drops 2drops 6 times/day
sodium IP

Tab.Temla Telmisartan Oral 40 mg OD

Tab.Amlong Amlodipine Oral 5 mg OD
Tab.Ultracet Acetaminophen Oral 1 mg SOS
and tramadol
DRUG INTERACTIONS:

DRUG-DRUG INTERACTIONS:

Flurbiprofen-Amlodipine:The combination may cause your blood pressure to increase. If you are
already taking the combination and stop taking flurbiprofen,your blood pressure may decrease.

Flurbiprofen-Telmisartan:Combination these medications may reduce the effects of telmisartan in

lowering blood pressure. In addition, these medications may affect your kidney function, frequently or
chronically.

DRUG-FOOD INTERACTIONS:

Telmisartan-Food: If you are taking telmisartan you should avoid potassium containing salt substitutes
or over the counter potassium supplements without first talking to your doctor. This can cause high levels
of potassium in your blood. High levels of potassium can cause weakness, irregular
heartbeat,confusion,tingling of the extremitis ,or feeling of heaviness in the legs.
NON PHARMACOLOGICAL TREATMENT :
• Have regular eye examinations. 
• Quit smoking.
• Manage other health problems.
• Choose a healthy diet that includes plenty of fruits and vegetables. 
• Wear sunglasses. 
• Reduce alcohol use. 
PATIENT COUNSELLING:
• A diet that includes plenty of fruits and vegetables may reduce your risk of cataracts later in life.

• Consumption of omega 3 fatty acids, reduce the risk of cataracts.

• Food rich in a variety of vitamins and minerals may help delays the development of cataracts.

• Higher intakes of or the combined intake of multiple antioxidants reduced the risk of cataracts.

• Almonds,sunflower,seeds,hazelnuts which are rich in vitamin E supplements .

• Like cigarettes, excess alcohol consumption can pose a number of health risks,one of which is an
increased chance of developing cataracts.

• Routine visits allow your eye care professional to look for signs of cataracts,glucoma etc..

• Eating foods high in antioxidants such as beta- carotene, selenium, vitamins C and E may also
help ward off cataract development.
THANK YOU