Cataracts Flashcards
Is surgery done immediately upon diagnosis of cataract
No, usually wait until it interferes with ADLs
What are the three most common visual defects occurs with cataract
Cloudiness, Diplopia (double vision), Photophobia (sensitivity to light)
What are the two common treatments of cataract
Laser Surgical removal (intra or extra ocular lens extraction)
What does the eye look like when the client has cataract
Cloudy, milky white pupil
What will the client be wearing after cataract removal
A protective patch/shield on the operative eye for 24hrs
At night for 3 wks a metal shield
When the client ask about the use of glasses or contacts after cataract surgery what would you say?
If an Intraocular lense implanted, no glasses needed
If No lense implanted, thick glasses given immediately, contact with be fitted 3 months post-op
What positions are to be avoided after cataract surgery?
Lying face down, DO NOT lie on operative side for a month
DO lie on back
What is post-op signs of hemorrhage into the eye?
Severe pain
Restlessness
What movements are to be avoided after cataract surgery?
Coughing Sneezing Bending @ the waist Straining stool Rubbing or touching eyes Rapid head movements
Should you use talcum powder with a post-op cataract client
NO, may cause sneezing
AVIOD pepper
What are the 3 signs of increases intraocular pressure?
Pain ( moderate to severe), restlessness, increase pulse
What is the major object in caring for a client after surgical cataract removal?
To prevent pressure in or on the eyes
When the lens is to be extracted for cataract what drugs are given post op?
Mydriatics, dilators, ATB
What 3 drugs are given post op?
Stool softeners
Antiemetics (N&V)
Analgesics
Give 5 causes of cataract
Injury Congenital Exposure to heat Heredity Age