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ch 49 vision problems
ch 46 vision problems
85
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11/03/2013

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Cards

Term
blepharitis what is it and who gets it
Definition
inflammation of the eylid occurs mostly in older adults with dry eyes
Term
what are the s/s of blephritis
Definition
red itchy eyes with seborhea (scaling of the eyebrows)
Term
how to avoid blephritis
Definition
warm compresses scrub with baby shampoo
Term
entropin
Definition
turning inward of the yelid causing the lashed to rub against the eye
Term
i feel as though i have something in my eye
Definition
entropin
Term
ectropin what si it who gets it and what is caused from having this
Definition
turning outward of the lashes of the eye occurs with aging
this position redces the washing action of tears
Term
ectropin what si it who gets it and what is caused from having this
Definition
turning outward of the lashes of the eye occurs with aging
this position redces the washing action of tears
Term
hordeolum or stye
Definition
infection of the sweat gland in the eyelid of the sebacceous gland
Term
vision is not affected witha a hordeulum what is
Definition
affects one eyelid at a time caused by strep staph
Term
how to care for a stye, when is the pain relived
Definition
warm compresses- when leasion opens the pain is gone
Term
chalazion what is it
what are the s/s
how to treat
Definition
inflammation of the sebacoeus gland in the eyelid
the pt has eye fatigue light sesitivity and tears
warm compress
Term
keratonconjunctivits sicca
Definition
dry eye syndrome from cahnges intear produciton
Term
what does the pt feel with keratonoconjunctivitis
Definition
something in the eye
photophobia
mucus strnads in tears
Term
what is the treatment for keratoconjuntivits
Definition
eye drops
Term
when can a hemorrhage occur int he eye
Definition
increased pressure from sneezing coughing vomintting
Term
allergic conjunctivits/ bacterial conjutivits
Definition
edema and buring with blood shot appearance
bacterial is pink eye
Term
trachoma what is it and how is it passed
Definition
chronic conjuctivits from chlamydia- it scars the conjuctivea most common in climates where sanitation is poor
Term
what happens as the disease progresses with trachoma
Definition
eyelashes turn inward and scratch the cornea
Term
corneal abrasion
Definition
scrape or scratch of the cornea from organisms, truama or contact lens
Term
corneal ulceration
Definition
from bacterial protozoal fungal infections of the epithelium
Term
why is a corneal ulceration a emergency
Definition
because it can separate the blood supply and permentaly impair vision
Term
what will the cornea look like with an ulcer
Definition
cloudy or patchy
Term
what meds are used in a corneal abrasion
Definition
broad spectrum until results are known steroids may be used also to reduce inflammatory response
Term
what are some rules to use when a pt has a corneal ulcer
Definition
do not wear makeup dont wear contact lenses
Term
keratoncocu
Definition
degeneration of the corneal tissue resulting n abnormal corneal shape
Term
what is done to cure keratoconus
Definition
keratoplasty- corneal transplant
Term
how is a kertonaplasty done
Definition
nerves around or behind the eye are numbed 7-8m of the center of the cornea are removed the corneal graft is sutrued into place
Term
if the pt has discharge or bleeding from around the graft site of a keratoplaty what should be done
Definition
report to the surgeon immediately
Term
what should we teach the pt to report within 48 hours of a keratonoplasty
Definition
eye pain
light flashes
floaters
Term
what would graft rejection look like in a corneal transplant
Definition
inflammation at the edge of the cornea to the center- cornea becomes cloudy
Term
if a pt is deceased and is a eye donor what s done
Definition
raise hob 30
instill antibiotic drops
close eyes and apply ice pack
Term
cataract
Definition
lens that distorts the image projected onto the retina
Term
what are some s/s of early cataracts
Definition
blurred vision and decreased color perception- like a smudge on a lens
Term
what is the only cure for cataracts
Definition
surgery
Term
what is stressed to care for after a catarcts surgery
Definition
instillation of different types of drops daily
Term
what is the pt to wear after cataracts surgery
Definition
dark glasses
Term
what to tell a pt about pain after cataract surgery
Definition
[ain should be mild with a blood shot appearance but if it is increased it culd mean there is increased IOP{
Term
what is normal discharge after cataract suregery
Definition
white and creamy crusty
Term
what should be avoided after cataracs surgery
Definition
water in the eyes
driving
and anything that iwll increase IOP
Term
glaucoma
Definition
eye disorder that causes IOP
Term
what is the patho behind glaucoma
Definition
vitroues humor is made as the eye forms and when it is complete the amount of volume does not change but the aqueous humor continues to be made and the ciliary bodies secrete this fluid too much is made
Term
what does a normalIOP pressure require a balance of
Definition
between produciton of the aqueouos humor and outflow
Term
primary open ended angle glaucoma
Definition
affects both eyes because the fluid cant leave the eye at the same rate it is produced
Term
priamry angle closed glaucoma
Definition
sudden onset and is an emergency forward displacement of the iris which obstructs the lfow of the aqueous humor
Term
early manifestation and late of pimary open angle glaucoma
Definition
loss of vision but its lsow so it may go unnoticed/ late is irreversibel damage to the optic nerve the pt sees halos and has a loss of peripheral vision
Term
what will an exam revela in a pt with glaucoma
Definition
atrophy of the optic disc and turn grey in color
Term
s/s of primary angle closure glaucoma
Definition
sudden with sever pain aorund the eye blurred vison seeing halos
Term
when more then one drug is used for eyedrops what is taught
Definition
to wait 10 to 15 min between drops to avoid wash out of the drugs
Term
whenare systemic osmotic eye drops given
Definition
angle closure glaucoma to rapidlyreduce iOP
Term
sclerotomy
Definition
removes a section of the scleara to allow more drainage of aqueous humor
Term
a serious complication of a glaucoma surgery is chorodal hemorrhage what happens if IOP is too low
Definition
fluid may enter subarachnoid spce and casue detachment
Term
what are 3 s/s of choroidal hemorrhage
Definition
acute paindecreased vision
vital sign changes
Term
vitreous hemorrhage what is it and how does it occur
Definition
bleeding into the viterous cavity can result from aging truama diabetes
Term
what will a pt with a mild vitreous hemorrhage see
Definition
red haze or floaters
Term
uveitis
Definition
when any part of the uveiti is inflammed; the iris capillary or the choroid
Term
anteroir uvietis what does this affect and why/ what are the s/s
Definition
inflammation of the iris or the ciliary body or both- usually allergies but can be viral or bacterial-
pt has aching, tearing, nonreactive pupil and bloodshot
Term
posterior uvetisis whats is infected and how do they get it
Definition
retinits or chroiretinits- occurs with tb, syphilis and toxoplasmosis
Term
the onset of posterior uveitis is slow and painless with reduced vision what is the pupil/ what is done to treat this
Definition
small and noreactive-
rest ciliary muscels and use a drug to paralyze ciliary muscles
Term
macular degeneration what are the 2 types
Definition
age related or exudative
Term
macular degeneration dry; how does this happen
Definition
caused by blockage of the retinal capillaries, this allows the cells to become ischemix and necrotic
rod and cone recpetors die
Term
who has a more progressive rate of dry macular degeneration
Definition
smokers and hypertension short
Term
executive degeneration what is the patho behind this
Definition
can occur in one eye or bothsudden decrease in vision after a serious detachment of epithelium in the macula
newly formed blood vessels blister resulting in scar formation and visual distortion
Term
how is dry macular degenreation treated
Definition
there is no cure so they suggest increasing intake of antioxidants, b12, and carotenes
Term
retinal holes
Definition
break in the retina
Term
rhegmatogenous detachments
Definition
occur following a hole or tear in the retina from mechanical force
Term
how is the onset of any retinal detachement
Definition
sudden and painless
Term
why is retinal detachment painless
Definition
no pain receptors there
Term
retinal detachment s/s
Definition
curtain being pulled over their eyes flashes of light
Term
if a retinal hole or tear is discovered before detachment how can it be sealed or closed
Definition
cryotherapy photocoagulation or diathermy
Term
how can you promote reattachment of the retina
Definition
silicone is placed against sclera and held in place by a band to keep retina attached to the choroid and promote attachement
Term
after a sclear buckling surey what will occur if the surgen has used gas or oil in the eye
Definition
postion the pt on their abdomen with head turned so affected eye is facing up so gas can be absorbed
Term
what should you teach the pt to NOT do after sclera buckling usrgery
Definition
close hand projects like sewing writng and reading becuase it promotes rapid eye movements and detachment
Term
retinitis pigmetosa
Definition
when retinal nerves degenerate and the pigmented cells of the retina grow
Term
what is the earliest manifestation of retinal pigmentosa
Definition
night blindness occuring inchildhood
Term
what drug should be avoided in those with retinal pigmentosa
Definition
isotrentioin and drugs that help erectile dysfunciton
Term
what is recomended in those with retina pigmentosa
Definition
vitamin a 15.000 units
Term
what are some complications of lasiks
Definition
overcorrection or undercorrection of he problem
Term
hyphema
Definition
hemorrhgae in the inter chamber from force applied to the eye that breaks blood vessles
Term
what is management for hyphema
Definition
bedrest in semifowlers minimal eye movements
Term
cycloplegic
Definition
paralyzing eye drops
Term
why is a corneal laceration an emergency
Definition
it can prolapse thru the laceration
Term
why does a opthamalogist only remove an object int heeye
Definition
it may be the only thing holding it into place
Term
ocular melanoma how can it spread to the brain
Definition
because of its rich blood supply can invade the brain and nearby tissue
Term
never leave the pt in the center of a unfamilar room if they have
Definition
reduced vision
Term
how to ambulate a pt with reduced vision
Definition
let them grasp their hand and arm or elbow
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