I have done pretty much every job there can be in ophthalmology that isnt done by a surgeon, anesthesiologist/anesthetist, from visual acuity tests, refractions, tonometry both with a "pen" type and the one of the scope (I never used the puff of air type though) to work ups for cataracts, I also used to see the Day 1 post ops and checked implant placement and for corneal edema or any complications. I have scrubbed in for surgery, been a circulator, I have done Pre-op helping the anesthesiologist and the post op sending patients home. I have helped with cataract surgeries, glaucoma surgeries, corneal transplants, retinal surgeries of various kinds, RK and LASIK refractive surgeries as well, so I had a pretty well rounded tour as an ophthalmic nurse.
Because of these side effects, doctors frequently choose safer medications, such as the 5-ASA drugs and antibiotics, as initial therapy. But there are a number of ways to reduce the risk of developing side effects. These include rapid but careful tapering off of steroids; alternate-day dosing; rectally applied corticosteroids; and rapidly metabolized corticosteroids such as budesonide (described above). To help prevent osteoporosis, many doctors routinely prescribe calcium supplements as well as multivitamins that contain vitamin D. Another option is the use of bisphosphonates, such as risedronate (Actonel®) and alendronate (Fosamax®). These compounds, which have been shown to help avert bone loss, are effective in treating and preventing steroid-induced osteoporosis.