Eye 2

Question 1

Treatment of glaucoma

Primary goal

Answer 1

Keep iop low enough to prevent further optic nerve damage

Maintain iop within normal range unlikely to cause damage and prevent blindness

Question 2

Glaucoma surgical options

Answer 2

Laser trabeculoplasty
Laser iridotomy
Filtering procedure
Trabeculectomy
Drainage implants

Question 3

Pharmacological therapy glaucoma

Answer 3

Used to help control iop

Question 4

Agents that decrease formation of aqueous humour

Answer 4

Carbonic anhydrase inhibitors
Osmotic diuretic
Beta-adrenergic blockers

Question 5

Carbonic anhydrase inhibitors

Answer 5

Cause allergic reaction

Question 6

Osmotic diuretic

Answer 6

Electrolyte imbalance,headache, nause and vomiting

Question 7

Beta-adrenerhic blockers

Answer 7

Dont change pupil size

Bradycardia ad hypotension

Question 8

Angents that increase outflow of aqueous humou

Answer 8

Direct acting miotics- Reduces visual acuity

Cholinesterase inhibitors

Question 9

Agents thats decrease the formation and increase outflow of aqueous humour

Answer 9

Lantanoprost( xalatan) canchangevcolor of iris

Question 10

Nursing care- glaucoma

Problems

Answer 10

Risk of injury related to visual defect
Self care
Acute pain ( surgical correction )
Non-compliance (meds)

Question 11

Cataract

Answer 11

Cloudiness of the lens
Increased with aging
Leading cause of blindness

Question 12

Cataract causes

Answer 12

Trauma, maternal rubella , radiation, uv light exposures, ageing, smoking, diabetes, certain drugs

Question 13

Cataract symptoms

Answer 13

Blurry vision painless
Sensitive ti glare
Decline of vision 
Colour shift , astigmatism 
Decreased visual acuity

Question 14

Medical management of cataract

Answer 14

Nonsurgical

Surgical

Question 15

Non surgical measures cataract

Answer 15

Change of prescription glasses
Magnifiers
Adjust to lifestyle

Question 16

Surgical measures results

Answer 16

Intracapsular cataract extraction (Icce)
Extracapsular catarct extraction
Phacoemulsification
Lens replacement

Question 17

Cataract surgical management

Problems

Answer 17

Self care deficit

Anxiety

Question 18

Nursing management cataract

Answer 18

Pre and post operative care
Neds 
Patient teaching
Protective eye patch 
Wear glasses when outdoors 
Call doctor if vision changes

Question 19

Retinal detachments

Answer 19

Separation of the retina and underlying epithelium
Clinical manifestation: sensation of a shade or curtain coming across the cision of one eye
Requires immediate treatment : if nit cause blindness

Question 20

Retinal detachment - treatment

Answer 20

Layer of inflammation and adhesion created to weld the layers together
Surgical procedure
Air or liquid injected into the vitreous to maintain contact to choroid

Question 21

Layer of inflammation and adhesion created to weld the layers together

Answer 21

Laser photocoagulation

Cryotherapy

Question 22

Surgical procedure

Answer 22

Scleral buckling

Question 23

Air or liquid injected to vitreous maintain concract with choroid

Answer 23

Pneumatic retinopexy

Vitrectomy

Question 24

Retinal detachment- nursing management

Answer 24

Patient teaching- eye surgery is most common
Administration of meds
Provide emotional support
Avoid flying or undergoing aaesthesia using gases