Therese Duclos, a 65-year-old African American woman, visits her ophthalmologist with reports of blurry vision and not being able to see well at night while driving. Her health history includes...

Therese Duclos, a 65-year-old African American woman, visits her ophthalmologist with reports of blurry vision and not being able to see well at night while driving. Her health history includes adult-onset diabetes for the past 10 years and osteoporosis since age 55. Her medical regimen includes diet control for the diabetes and Boniva monthly. She denies any injury to her eyes and last had an eye check-up 1 year ago.

1. What factors are present in Mrs. Duclos’s health history that you identify as predisposing conditions for the development of primary open-angle glaucoma?

2. Therese needs to learn the proper administration of eyedrops. What teaching would you provide to ensure that the skill will be performed correctly?

3. What would be possible effects from systemic absorption if the patient were taking beta-adrenergic drops (e.g., timolol, carteolol)? Prostaglandin drops (e.g., latanoprost, bimatoprost)? Cholinergic agonists (e.g., carbachol, pilocarpine)?