Podcast
Questions and Answers
What is classified as 'absolute blindness'?
What is classified as 'absolute blindness'?
- Vision that can be corrected with glasses
- Inability to see light (correct)
- Legal blindness with BCVA of 2200
- Vision of 2400 with correction
At what BCVA is a person considered legally blind?
At what BCVA is a person considered legally blind?
- 1600
- 2200 (correct)
- 2000
- 2400
Which of the following activities can be affected by visual impairment?
Which of the following activities can be affected by visual impairment?
- Making phone calls (correct)
- Planning vacations
- Playing video games
- Negotiating business deals
What is one way to assist someone who is blind when offering them a seat?
What is one way to assist someone who is blind when offering them a seat?
Which of the following aids may be used to help individuals with visual impairments?
Which of the following aids may be used to help individuals with visual impairments?
What is a key nursing management role for individuals with visual impairments?
What is a key nursing management role for individuals with visual impairments?
When interacting with a person who is blind, what should you do?
When interacting with a person who is blind, what should you do?
What type of software is useful for individuals with visual impairments when accessing the web?
What type of software is useful for individuals with visual impairments when accessing the web?
What characterizes atrophy of the optic nerve?
What characterizes atrophy of the optic nerve?
What is the primary goal of glaucoma treatment concerning intraocular pressure (IOP)?
What is the primary goal of glaucoma treatment concerning intraocular pressure (IOP)?
Which type of glaucoma is characterized by sudden onset and severe symptoms?
Which type of glaucoma is characterized by sudden onset and severe symptoms?
What is necessary for effective patient education in glaucoma management?
What is necessary for effective patient education in glaucoma management?
Which medication type is commonly used to lower intraocular pressure in glaucoma patients?
Which medication type is commonly used to lower intraocular pressure in glaucoma patients?
What is a key component of the teaching plan for patients with glaucoma?
What is a key component of the teaching plan for patients with glaucoma?
How should patients monitor their condition regarding glaucoma?
How should patients monitor their condition regarding glaucoma?
What type of glaucoma management is indicated when medical treatment is unsuccessful?
What type of glaucoma management is indicated when medical treatment is unsuccessful?
What is the correct technique for cleaning the eyelid margins?
What is the correct technique for cleaning the eyelid margins?
Why is proper positioning of the patient's head important during eye medication instillation?
Why is proper positioning of the patient's head important during eye medication instillation?
What should be avoided to maintain aseptic technique when applying medication?
What should be avoided to maintain aseptic technique when applying medication?
What should be done immediately after instilling eye drops?
What should be done immediately after instilling eye drops?
What is the correct way to prepare a suspension eye medication?
What is the correct way to prepare a suspension eye medication?
When instilling ointment into the eye, where should it be applied?
When instilling ointment into the eye, where should it be applied?
What is the primary reason for performing punctal occlusion after eye drops are instilled?
What is the primary reason for performing punctal occlusion after eye drops are instilled?
What should be done before instilling eye drops into a patient's eye?
What should be done before instilling eye drops into a patient's eye?
What characterizes open-angle glaucoma?
What characterizes open-angle glaucoma?
Which of the following is NOT a risk factor for glaucoma?
Which of the following is NOT a risk factor for glaucoma?
What is a symptom of acute angle-closure glaucoma?
What is a symptom of acute angle-closure glaucoma?
Which treatment is typically used during an ocular emergency for acute angle-closure glaucoma?
Which treatment is typically used during an ocular emergency for acute angle-closure glaucoma?
Which of the following describes myopia's relationship with glaucoma?
Which of the following describes myopia's relationship with glaucoma?
What initiates the progression of glaucoma?
What initiates the progression of glaucoma?
What happens to the aqueous outflow system during glaucoma progression?
What happens to the aqueous outflow system during glaucoma progression?
What is a common symptom associated with chronic open-angle glaucoma?
What is a common symptom associated with chronic open-angle glaucoma?
What is the primary purpose of using topical anesthetic eye drops after a corneal injury?
What is the primary purpose of using topical anesthetic eye drops after a corneal injury?
Which of the following conditions is treated with immediate tap-water irrigation?
Which of the following conditions is treated with immediate tap-water irrigation?
What is the recommended management for acute bacterial conjunctivitis?
What is the recommended management for acute bacterial conjunctivitis?
Why is MRI considered contraindicated for diagnosing intraocular foreign bodies (IOFB)?
Why is MRI considered contraindicated for diagnosing intraocular foreign bodies (IOFB)?
What is the main purpose of using aminocaproic acid in ocular injuries?
What is the main purpose of using aminocaproic acid in ocular injuries?
Which type of conjunctivitis resolves rapidly with topical antibiotic therapy?
Which type of conjunctivitis resolves rapidly with topical antibiotic therapy?
What is a key characteristic of allergic conjunctivitis?
What is a key characteristic of allergic conjunctivitis?
What should be avoided while an epithelial defect exists in eye injuries?
What should be avoided while an epithelial defect exists in eye injuries?
What is a key objective in administering ocular medications?
What is a key objective in administering ocular medications?
Which of the following is NOT a type of commonly used ocular medication?
Which of the following is NOT a type of commonly used ocular medication?
What condition is characterized by clouding of the lens of the eye?
What condition is characterized by clouding of the lens of the eye?
What is a symptom of strabismus?
What is a symptom of strabismus?
What is the purpose of using eye protectors and restraints postoperatively?
What is the purpose of using eye protectors and restraints postoperatively?
Which of the following describes esotropia?
Which of the following describes esotropia?
What should be done before instilling a second eye medication?
What should be done before instilling a second eye medication?
Which condition is associated with symptoms like squinting and frowning when reading?
Which condition is associated with symptoms like squinting and frowning when reading?
Flashcards
Legal Blindness BCVA
Legal Blindness BCVA
A visual acuity of 20/200 or less in the better eye, after correction, or a visual field of 20 degrees or less.
Absolute Blindness
Absolute Blindness
No light perception.
Low-Vision Aids
Low-Vision Aids
Tools and technologies that assist people with reduced vision in completing daily activities.
Coping Efforts (Low Vision)
Coping Efforts (Low Vision)
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Spatial Orientation (Low Vision)
Spatial Orientation (Low Vision)
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Home and Community Care (Low Vision)
Home and Community Care (Low Vision)
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Social Service Referral
Social Service Referral
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Interacting with People who have Low Vision
Interacting with People who have Low Vision
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What is glaucoma?
What is glaucoma?
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Open-Angle Glaucoma
Open-Angle Glaucoma
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Angle-Closure Glaucoma
Angle-Closure Glaucoma
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What are some glaucoma risk factors?
What are some glaucoma risk factors?
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What triggers glaucoma progression?
What triggers glaucoma progression?
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How does glaucoma damage the eye?
How does glaucoma damage the eye?
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What are the functional alterations in glaucoma?
What are the functional alterations in glaucoma?
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What is the goal of glaucoma treatment?
What is the goal of glaucoma treatment?
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Optic Nerve Damage
Optic Nerve Damage
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Visual Field Defects
Visual Field Defects
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Primary Open-Angle Glaucoma
Primary Open-Angle Glaucoma
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Acute Angle Closure Glaucoma (AACG)
Acute Angle Closure Glaucoma (AACG)
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Glaucoma Management Goal
Glaucoma Management Goal
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Glaucoma Patient Education
Glaucoma Patient Education
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Glaucoma & Lifelong Management
Glaucoma & Lifelong Management
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Eyelid Margin Cleaning
Eyelid Margin Cleaning
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Eye Cleaning Benefits
Eye Cleaning Benefits
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Eye Medication Preparation
Eye Medication Preparation
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Eye Medication Position
Eye Medication Position
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Aseptic Technique for Eye Medication
Aseptic Technique for Eye Medication
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Eyelid Holding Technique
Eyelid Holding Technique
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Eyedrop Application
Eyedrop Application
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Eye Ointment Application
Eye Ointment Application
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Conjunctivitis
Conjunctivitis
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Bacterial Conjunctivitis
Bacterial Conjunctivitis
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Viral Conjunctivitis
Viral Conjunctivitis
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Allergic Conjunctivitis
Allergic Conjunctivitis
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Trachoma
Trachoma
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Gonococcal Conjunctivitis
Gonococcal Conjunctivitis
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Trichiasis
Trichiasis
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Acute Bacterial Conjunctivitis
Acute Bacterial Conjunctivitis
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Ocular medications: How are they applied?
Ocular medications: How are they applied?
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Ocular Medications: What is the wait time between applications?
Ocular Medications: What is the wait time between applications?
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What are Mydriatics and Cycloplegics?
What are Mydriatics and Cycloplegics?
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What is a Cataract?
What is a Cataract?
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What are some symptoms of Cataracts?
What are some symptoms of Cataracts?
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What is Strabismus?
What is Strabismus?
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What are the two main types of Strabismus?
What are the two main types of Strabismus?
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What are some clinical manifestations of Strabismus?
What are some clinical manifestations of Strabismus?
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Study Notes
Anatomy of the External Eye
- External structures of the eye and lacrimal structures are described
- Features include the brow, upper lid, lower lid, inner canthus, outer canthus, caruncle, lacrimal gland, lacrimal sac, nasolacrimal duct, lacrimal canal, and punctum
- The sclera, conjunctiva, iris, and pupil are also part of the external structures
Anatomy-EOM and Eye Movement
- The extraocular muscles (EOM) control eye movement
- These include the superior oblique, superior rectus, lateral rectus, inferior rectus, and inferior oblique muscles
Anatomy of the Internal Eye
- The internal structures of the eye are detailed
- Features include the retina, choroid, vitreous body, zonules, canal of Schlemm, anterior chamber, posterior chamber, cornea, pupil, lens, iris muscle, and ciliary body
- Supporting structures, such as the retinal artery, retinal vein, and optic nerve, are also mentioned.
Accommodation
- Accommodation is the ability to focus and refocus.
Gerontologic Considerations
- Age-related changes include dry eye, changes in eyelids and lacrimal structures, refractive changes, cataracts, and age-related macular degeneration (AMD).
Eye Assessment: History and Physical
- Common complaints include changes in vision, pain, discomfort, or discharge
- Past medical history, family history, and social history are also important factors in assessment
- Physical assessment includes visual acuity (using a Snellen chart), external eye examination, direct ophthalmoscopy, Amsler grid, tonometry, perimetry testing, color vision testing, and ultrasonography (including fluorescein angiography).
Nursing Management: Patients with Eye and Vision Disorders
- Impaired vision is any type of vision loss, ranging from complete blindness to partial vision loss
- Nursing management involves emotional, physical, and social adaptation, along with providing resources
Refractive Errors
- Vision is impaired due to a shortened or elongated eyeball, preventing light rays from focusing sharply on the retina.
- Low vision is visual impairment requiring assistive devices and strategies.
Blindness and Legal Blindness
- Best corrected visual acuity (BCVA) is measured—is 20/200 or less
- Legal blindness is defined as BCVA of 20/200 or less
- Legal blindness (BCVA) with correction is 20/200 or worse.
Clinical Manifestations and Assessments
- Thorough history and physical exam are essential in assessing low vision.
- Activities affected by low vision can include shopping, eating, identifying money, reading, writing, using a phone, and crossing streets.
- Visual aids like canes, eyeglasses, magnifying glasses are helpful.
Medical Management
- Web access for the visually impaired offers screen reader programs and other helpful software.
Glaucoma
- A group of ocular conditions causing optic nerve damage and increased interocular pressure (IOP)
- Two main types are described: open-angle and angle-closure glaucoma. Open-angle glaucoma is usually bilateral, while angle-closure can affect one eye more severely than the other.
Progression of Glaucoma
- Initiating events include illness, stress, congenital narrow angles and corticosteroids
- Structural and functional alterations occur
- Optic nerve damage, characterized by loss of nerve fibers and blood, and visual field loss occur
- Treatment focuses on decreasing IOP.
Cataract
- Lens opacity, or cloudiness, can develop in one or both eyes at any age.
- Risk factors include aging, specific disorders, and toxic factors (e.g., corticosteroids).
Orbital Trauma
- Injuries can include head injury, soft tissue injury, and orbital fractures (including foreign bodies)
- Prevention focuses on using safety gear (e.g., goggles) in the workplace and when around children.
- Safety precautions during car maintenance, sports, or gardening activities are also advised.
Retinal Detachment
- Caused by fluid accumulation between retina layers
- Rhegmatogenous detachment is a common form
- Symptoms include a shade or curtain crossing vision, cobwebs, bright flashes, and floaters
Macular Degeneration
- Leading cause of vision loss with two types: wet and dry
- Related to age
- Pathophysiology involves the outer retinal layers slowly breaking down (dry) or development of abnormal choroidal neovascularization (wet).
Conjunctivitis
- Inflammation of the conjunctiva.
- Causes include viral or bacterial infections, allergies, or toxic exposure
- Management involves supportive care and medications (antibiotics for bacterial cases).
Orbital Cellulitis
- Inflammation of tissues surrounding the eye, particularly with severe pain, swelling, and decreased eye movement.
- Treatment includes high-dose, broad-spectrum antibiotics and close monitoring for changes in visual acuity or other complications.
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