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Miss Darshini, may I know why we are suppose to ask whether the patients are wearing contact lenses?
If the patients with eye conditions are wearing contact lenses, do we need to refer them? Or we just advise them not to wear it? Thank you.

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In a community setting, you would most likely treat the symptoms only not the disease itself, for comfort. Treatment can include:
cold compresses, lubricants, such as artificial tears.

If it is allergic conjunctivitis, then it would make more sense for oral antihistamine. Viral conjunctivitis not necessary.

Constrictors/ antihistamines may be used for severe itching but generally are not indicated if not severe. Need to use clinical and professional judgement in individual case scenarios.

Thank you.

~Darshini

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Yes you can dispense the medication or device if it is  not on the table.

Thank you,

~Darshini

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Dear Ms Darshini,
For OSPHE station 1 RTS, if the medication is not on the table during that day, can we still dispense? Or we must use the medication on the table?

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Dear Ms Darshini,
For OSPHE station 1 RTS, if the medication is not on the table during that day, can we still dispense? Or we must use the medication on the table

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Dear Ms Darshini,
For OSPHE station 1 RTS, if the medication is not on the table during that day, can we still dispense?

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Dear Ms Darshini,
May I know what can we give to the patient? isit okay if we give oral antihistamine?

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Miss Darshini, may I know how to manage the patients with trichiasis? Do we need to refer them to the doctor?

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If you are confident that the patient has no other red flags/trigger factors that requires a referral and have ruled out all other causes then yes, since it is class C, you are able to counsel and dispense a short course of chloramphenicol eye drop. Ensure you have conducted a good history taking, and made sure you are not masking any other more serious issues.

Thank you.

~Darshini.

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Miss Darshini, for the bacteria conjunctivitis, do we need to refer the patients? Or we can give the patients chloramphenicol eye drops to treat the condition since in MIMS it sated that it is in class C?

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So cold compression is using ice cold water to dampen the cloth ahd applied directly to the affected area, whereas warm compress is using warm water, slightly warmer then room temperature, and slightly higher then your skin temperature to dampen the cloth and applied directly to affected area.

Eye contact dermatitis is an inflammation, the area is itchy and warm to touch due to the the body's inflammatory markers in the area. Cool compress is to cool the area down and provide temporary relief. It is also thought to constrict capillaries and reduce inflammation.

We do not use warm or cold compress for blepharitis, but more for a stye, hordeolum or chalazion. The use of warm compress is thought to dilate capillaries and bring more blood flow to the area, promoting drainage and healing. Most cases of blepharitis treatment is usually eyelid hygiene and if recurrent then a topical antibiotic which may need a prescription.

Hope this answers your question.

Thank you.

~Darshini

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Dear Ms Darshini, may i know why do we use cold compression for eye contact dermatitis, whereas apply warm compression for blepharitis? Is cold compression the same thing as warm compression? What are actually the differences between these two? As what I have understood, warm compression is the use of cloth or cotton wool with boiled and cooled water and compress on the affected area, what about cold compression- is it the use of ice? Thanks

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Where required and needed, the PIL will be given definitely, to be used as information for the side eff., drug function and so on. If it is not given then it is not needed for your use during the OSPhE

Thank you.

~Darshini

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Hi Ms Darshini, so we are not given any PIL? not even the PIL with function & s/e info on it?

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Hello. No, the PIL for the devices showing how the device is to be used will NOT be provided.

Thank you.

~Darshini.

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Eye Contact Dermatitis and Allergic Conjunctivitis

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Eye Contact Dermatitis and Allergic Conjunctivitis

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Hi. So eye contact dermatitis is more on the surface of the eye lid on top the eye; where women put eye shadow and eye liner there. Can be due to an allergy or an irritant. The eyelid will appear inflamed, itchy and swollen, like as if there is a rash there. The eye itself may not be red. If red, it is due to patient scratching or rubbing. Treated with oral antihistamine and cold compress.

Allergic conjunctivitis is more on the conjunctiva itself, the inside of the eye lid, the layer that covers the eyeball. The eye will be red and very itchy and also can be due to an allergy or an irritant. The whole eye would be swollen also in most cases. This would require an eye drop such as sodium cromoglycate 2% (brand name: opticrom/allergocrom) OR naphcon OR naphcon A OR any other decongestant/antihistamine that may be available in the pharmacy.

Hope this answers your question.

Thank you.

~Darshini.

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Hi Ms Darshini, are the patient information leaflets (PIL) provided during the OSPHE device counseling station? Thank you.

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May I know how do we differentiate eye contact dermatitis and allergic conjunctivitis? As both of them are due to allergen, can we differentiate them based on symptoms?

Thank you :)

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For home test kits, focus on glucometer, pregnancy and ovulation test kit, BP both manual and automatic, cholesterol meter and thermometer.
Be able to explain to patients the importance and the function.

~Darshini

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Dear Ms Darshini, for OSPHE home test kits counseling, what should we focus on? :) Thank you

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Dear Student,

Please focus on the following: Nasonex inhaler, Easyhaler, Accuhaler, Handihaler, Metered Dose Inhaler (MDI), Aerochamber + MDI, Turbuhaler and Insulin Pen for the device counseling station.

Thank you.

~Darshini.

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Dear Ms Darshini, for OSPHE preparation on device counseling, should we focus on only the Nasonex inhaler among the other inhalers?
Thank you :)

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The answers to the workshops has already been uploaded.
I do think that this article (link below) provides a good but general insight to home test kits and diagnostics. However bear in mind not all products that are available in US is available here in Malaysia. Always refer to MIMs and the product leaflet that is attached with the product.

http://www.pharmacytimes.com/publications/issue/2009/2009-03/2009-03-10050

Thank you.

~Darshini

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Dear Ms. Darshini and Ms. Peggy,  can you please upload a few reference links/ answer guideline for the home test kits workshop for our revision? Thank you!

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I have uploaded an updated version of handout on Addiction & substance of abuse...
Peggy