Dr. Susan Resnick on Blepharoptosis and Upneeq

[AdminWolf]

In this CEwire2020 clip, @susan resnick discusses the diagnosis and treatment of blepharoptosis in her NY-based optometric practice. We also chat about a new drug, Upneeq, and which patients might be good candidates for this treatment.

Enjoy!

 

[Matt Judd]

Nice video adam. Thx for doing

 

[Scott Blahnik]

I've run into a little snag with Upneeq. My rep was stopping by regularly to leave samples and often commented on the relatively high percentage of patients of mine who actually purchased the product through their pharmacy.

The rep hasn't been by in about a month-a call to the company says samples are now ordered online, with a maximum of three samples.

After some difficulty the three were ordered online. I have patient names already attached to these, so it looks like this new sampling policy is going to significantly curtail my usage.

(Took their sign down today)

 

[Scott Blahnik]

I've run into a little snag with Upneeq. My rep was stopping by regularly to leave samples and often commented on the relatively high percentage of patients of mine who actually purchased the product through their pharmacy.

The rep hasn't been by in about a month-a call to the company says samples are now ordered online, with a maximum of three samples.

After some difficulty the three were ordered online. I have patient names already attached to these, so it looks like this new sampling policy is going to significantly curtail my usage.

(Took their sign down today)

Um, time to retract my tirade. The 3 samples arrived today, but they were 5# per box. Apologies for spreading bad information.

 

[Kristin Bartlett]

I have a patient who has ectropion on one eye. I was addressing blepharitis with lid debridement and instilled a drop of Predniferen (prednisolone and phenylephrine) following, and noticed incidentally that that lower lid went back up into place after the drop for unknown short length of time. So I postulate that the ectropion has a cause due to neurology. Has Upneeq ever been used for ectropion of the lower lid in the same way that it can be used for upper lid ptosis?

 

[Matt Judd]

I have a patient who has ectropion on one eye. I was addressing blepharitis with lid debridement and instilled a drop of Predniferen (prednisolone and phenylephrine) following, and noticed incidentally that that lower lid went back up into place after the drop for unknown short length of time. So I postulate that the ectropion has a cause due to neurology. Has Upneeq ever been used for ectropion of the lower lid in the same way that it can be used for upper lid ptosis?

as upneeq works similarly to phenylephrine, may be worth it to start pt on upneeq and see how it goes

 

[Kristin Bartlett]

as upneeq works similarly to phenylephrine, may be worth it to start pt on upneeq and see how it goes

I can't Rx here and we don't have Upneeq in Aus. I would have to suggest his GP to have this compounded for him but wanted to see if anyone else has done this first.