Eye Disorders

Only available on StudyMode
  • Topic: Ophthalmology, Blindness, Eye
  • Pages : 14 (649 words )
  • Download(s) : 107
  • Published : February 25, 2013
Open Document
Text Preview
EYE DISORDERS

REVIEW NORMAL ANATOMY & PHYSIOLOGY

EFFECTS OF AGING

ASSESSMENTS

TYPES OF DISORDERS

CLINICAL MANIFESTATIONS

Review assessment of the eye
• History
• Physical Exam
• Gerontologic considerations

DEFINITIONS

Ophthalmologist

Optician

Optometrist

REFRACTIVE ERRORS

This defect is a result of irregular corneal curvature, length of the eye, or the focusing power of the lens

*Myopia
* Hyperopia
* Presbyopis
* Astigmatism
* Aphakia

GERONTOLOGIC CONSIDERATIONS

Normal Changes

Psychosocial Impact

* Common Dysfunctions
• Cataracts
• Macular Degeneration
• Glaucoma

VISION
HEALTH PROMOTION

HEALTH EDUCATION

EARLY RECOGNITION OF PROBLEMS

HAZARD AVOIDANCE

Eye exam

Recommended every 3-5 years under age 40

Then should be at least every 2 years, especially for glaucoma screening

If history of vision problems, eye disease, diabetes, CV disease, HTN etc., eye exams should be more frequent

VISION ASSESSMENT

Health History

• Past History
• Life-style & Health Practices

Safety glasses

Sunglasses

Medications

Last eye exam

TYPICAL EYE SYMPTOMS

Recent changes in vision

Spots or floaters, blind spots

Halos, rings around lights

Flashing lights

Tunnel vision

Trouble seeing at night

Diplopia

Eye pain, redness, discharge

Blurred vision

Excess tearing, crusting

Itching, burning

Photophobia

Diplopia

Visual Assessment

External Structure examination

Visual acuity

Pupil Function

Muscle function

Tonometry

Opthalmoscopy

DIAGNOSTIC STUDIES

Study Guide – Appendix M

• Visual Acuity Test - Snellen Eye Chart
• Tonometry
• Gonioscopy
• Ophthalmoscopy
• Color
• Vision (Ansler Grid Test) Slit Lamp Microscopy
• Fluorescein Angiography

VISION IMPAIRMENT

FUNCTIONAL BLINDNESS

LEGAL BLINDNESS

PARTIALLY SIGHTED

NURSING DIAGNOSES

ALTERATION WITH

SENSORY PERCEPTION

SELF CARE

SELF ESTEEM

RISK FOR INJURY

SOCIAL ISOLATION

FEAR

ANTICIPATORY GRIEVING

OVERALL GOAL

CLIENT MAKES A SUCCESSFUL ADJUSTMENT TO THE IMPAIRMENT

VERBALIZES FEELINGS

IDENTIFY STRENGTHS & RESOUCES

USE OF APPROPRIATE COPING STRATEGIES

COMMUNICATION

TALK IN NORMAL TONES

INTRODUCE YOURSELF EACH TIME

EXPLAIN PRESENT ACTIVITIES

EXPLAIN PROCEDURES

ANNOUNCE WHEN LEAVING ROOM

VERBALIZE BEFORE TOUCHING

ORIENT TO SURROUNDINGS

MAY RESENT UNSOLICITED ASSISTANCE

GUIDE CLIENT WHEN WALKING

MEDS – INFORM RE #, ½ GLASS FULL, ETC.

HAZARD FREE ENVIRONMENT

VISUAL AIDS

LARGE TYPE BOOKS

MAGNIFYING GLASS

AUDIO BOOKS

SEEING EYE DOGS

ETC.

VISION CORRECTIONS

NONSURGICAL

GLASSES

CONTACTS

OPTICAL DEVICES

SURGERY

RADIAL KERATOTOMY (RK)

(Keratorefractive Surgery) – to alter the cornea surface

INTRAAOCULAR LENS IMPLANTATION

CONTACT LENSES

TYPES

CARE PRACTICES

PROPER REMOVAL & STORAGE @ EMERGENCIES

S/S OF PROBLEMS - RSVP

REDNESS- SENSITIVITY

VISION PROBLEM_ PAIN

EYE INJURY

CAN RESULT IN PERMENANT VISUAL IMPAIRMENT

TYPES OF EYE INJURY

SYMPTOMS

INTERVENTIONS

EYE INJURIES

TRAUMA

BLUNT VS. PENETRATING

BURNS

CHEMICAL

THERMAL

FOREIGN BODIES

TRUE EMERGENCIES

BURNS

HYPHEMA

RUPTURE

EMBEDDED FOREIGN BODY

ACUTE GLAUCOMA

EYE INJURY

TAKE A GOOD HISTORY

FLUORESCEINE FOR FB’S

GLAUCOMA –MEASURE IOP

REMOVE CONTACTS IF CHEMICAL BURN

PENETRATING – STABILIZE WITHOUT PRESSURE

KEEP NPO

CAUTION...
tracking img