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5B EYE
for val's lecture
11
Nursing
Undergraduate 1
01/27/2010

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Cards

Term
Physical examination of the eye includes
Definition
Observe external structures: eyebrows, eyelids, eyelashes, conjunctiva, iris pupil. --> Visual fields. Visual Acuity. Extra - ocular muscle funtion. Internal structures
Term
visual field test
Definition
determine through visual field testing the full horizontal and vertical range of what you are able to see peripherally.
Term
visual acuity test
Definition
The visual acuity test is used to determine the smallest letters a person can read on a standardized chart or card held 14 - 20 feet away.
Term
Cover uncover test
Definition
focuses on an object about 10 ft (3 m) away, although this may be impractical in a small examining room. An interesting object such as a small toy usually holds the child's attention. The examiner covers one eye with a hand-held occluder or cupped hand, while watching the other eye for any movement of fixation. The examiner then removes the cover to see if the first eye has deviated.
Term
Closed angle Glaucoma
Definition
intra ocular pressure increases
-optic nerve is injured
Axons damaged, optic fibers destroyed, rim of optic disc shrinks and the optic
cup becomes deeper and larger.
Sudden unilateral. Asians, aged at greater risk. 48-72 hrs after pain starts damage can be permanent
Term
open angle
Definition
mostly the same as closed except bi-lateral. no acute pain. Risk factors = >35 and being black.
Term
Strabismus
Definition
s a disorder in which the eyes do not line up in the same direction when focusing.
Directions: Hypertropia, hypotropia, esotropia, or exotropia
Term
Detached Retina
Definition
Risk: myopia, >50, family history, eye injuries.
symptoms: flashing lights, sparks, floaters, progresses to vision loss that appears like a curtain falling, painless. DX: ophthalmic exam of retina
TX: Diathermy: heat coagulates tissue
Cryotherapy: cold coagulates tissues
Laser photcoagulation: thermal alteration of proteins in the tissue by the use of light energy of laser
scleral buckling or banding: a device is sewn in place on the sclera to relieve pressure and allow to tear to settle and heal.
TX: put bubble into vitreous. positioning important
Term
cataract
Definition
clouding of lens. DX: snellen vision test. ophthalmoscopic exam of lens. Symptoms: Blurred vision, visual distortion. Photophobia. complaints of glare. No complaints of pain. TX: stronger eyeglasses or contact lenses. Strong lighting. medication to dilate the pupil. no TX prevents cataract formation.
Term
Macular degeneration
Definition
2 types: nonexudative "dry" and exudative "wet" Risks: >50 family Hx. smoking. Caucasian. Test: Amsler grid
TX: laser photocoagulation, photodynamic therapy, zinc supplements, medications, low vision aids and therapy
Term
corneal abrasion
Definition
defect in epithelial layer of the cornea caused by trauma, foreign bodies, contact lenses, tearing. Sign: pain, photophobia, tearing, loss of vis. acuity, inflammation
DX: flourescein staining, ophthalmoscopic exam
TX: prophylactic topical antibiotics, topical anesthetics, eye patch, pain meds, tetanus booster
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