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MYDRIATIC DRUGS &
ANTI-GLAUCOMA
MYDRIATICS
Agents that induce dilation of the pupil.
 To permit examination of the retina and other deep structures of the eye, and also to
reduce painful ciliary muscle spasm.
Anticholinergic drugs:
• Block action of acetylcholine that constricts pupillae muscle.
• Relaxation of ciliary muscle.
• Increase intraocular pressure.
Adrenergic drugs:
• Contract radial muscles of the iris.
• Increase drainage of aqueous humor.
TIMOLOL
Non-selective beta blocker
• Eye drops: used to treat open-angle glaucoma by reducing aqueous humor
production through blockage of the β receptors on the ciliary epithelium.
• Adverse effects: burning sensation, eye redness.
DORZOLAMIDE
Carbonic anhydrase inhibitor (diuretic)
• Used topically to lower increased intraocular pressure (20%) in open-
angle glaucoma and ocular hypertension.
• Inhibition of carbonic anhydrase II in the ciliary processes of the eye decreases
aqueous humor secretion, who are insufficiently responsive to beta-blockers.
• Dorzolamide/timolol
• Adverse effects: Ocular stinging, burning, itching and bitter taste.

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Glaucoma Treatment & Mydriatics

  • 2. MYDRIATICS Agents that induce dilation of the pupil.  To permit examination of the retina and other deep structures of the eye, and also to reduce painful ciliary muscle spasm. Anticholinergic drugs: • Block action of acetylcholine that constricts pupillae muscle. • Relaxation of ciliary muscle. • Increase intraocular pressure. Adrenergic drugs: • Contract radial muscles of the iris. • Increase drainage of aqueous humor.
  • 3. TIMOLOL Non-selective beta blocker • Eye drops: used to treat open-angle glaucoma by reducing aqueous humor production through blockage of the β receptors on the ciliary epithelium. • Adverse effects: burning sensation, eye redness.
  • 4. DORZOLAMIDE Carbonic anhydrase inhibitor (diuretic) • Used topically to lower increased intraocular pressure (20%) in open- angle glaucoma and ocular hypertension. • Inhibition of carbonic anhydrase II in the ciliary processes of the eye decreases aqueous humor secretion, who are insufficiently responsive to beta-blockers. • Dorzolamide/timolol • Adverse effects: Ocular stinging, burning, itching and bitter taste.

Editor's Notes

  1. Inhibition of carbonic anhydrase II in the ciliary processes of the eye decreases aqueous humor secretion, presumably by slowing the formation of bicarbonate ions with subsequent reduction in sodium and fluid transport.