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9 Cards in this Set

  • Front
  • Back
Etiology (Cause)
Age
Can be present at birth
Trauma
Chronic sunlight exposure
Some co-morbidities- Diabetes
Physiologic process (relating to normal, healthy functions)
Lens loses water
Proteins clump together and precipitate (solid phase separated from liquid)
Lens lose transparency
Progressive and Painless pattern with bilateral loss of lens transparency
Lens takes on a yellow or brown hue
Rate of progression in each eye is seldom similar
Risk Factors
Age related
Present at birth
Trauma
Chronic sunlight exposure (radiation, ultraviolet [UV])
Drugs: systemic corticosteroids; long term topical corticosteroids
Ocular inflammation
Co-morbidities- diabetes mellitus (tends to develop at a young age)
Assessment
Visual acuity- screening even in children
Night vision changes
Color perception
Double vision or areas of lost vision
Pupil changes
Frequent eye glass changes to improve vision?
Clinical management
Monitor Client
Surgery
Surgery
Cataracts in both eyes:
surgery on bad eye first (removal of cataract)
New lens put in, patient may not need glasses afterward
After healing of the first eye- surgery on the next to remove cataract
Prevention of cataracts
Wear sunglasses and hat
Manage diabetes (people with diabetes have cataracts more than the average person)
Assess for RED REFLEX WITH INFANTS
Ask patients point blank questions about their vision
Talk to parents about their children (children cannot speak for themselves)
Post Op Monitoring
Check intraocular Pressure (do not want this to build up)
Damox: eye drops used for pressure
Eye shield: used for protection outside, wear at bed, Infants wear at all times
Antiemetic's (Zofran): for nausea, take sublingually (under tongue)
Nursing Diagnosis
Altered depth perception related to vision limitations
Risk for injury
Anxiety related to actual or perceived vision loss
Self care deficit related to vision impairment
Grieving
Loss of independence
Kids: going to involve parents; DISUTRUBED SENSORY PERCEPTION