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9 Cards in this Set
- Front
- Back
Etiology (Cause)
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Age
Can be present at birth Trauma Chronic sunlight exposure Some co-morbidities- Diabetes |
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Physiologic process (relating to normal, healthy functions)
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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 |
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Risk Factors
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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) |
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Assessment
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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? |
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Clinical management
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Monitor Client
Surgery |
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Surgery
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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 |
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Prevention of cataracts
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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) |
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Post Op Monitoring
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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) |
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Nursing Diagnosis
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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 |