Final 47

Question 1

Entropion

Answer 1

Turning inward of the lashes 
Spasm
Scarring
Deformity 
Trauma

Question 2

Ectropion

Answer 2

Turning outward and sagging of the eyelid
Aging
Drying, ulcers

Question 3

Hordeolum

Answer 3

Stye
Infection of eyelid sweat glands-internal or external 
Warm compress
Ointment, opens and drains 
More painful

Question 4

Chalazion

Answer 4

Inflammation of sebaceous glands in eyelid 
Eye fatigue
Light sensitivity excessive tears 
Warm compress 4 times a day
Ointment   
Less painful

Question 5

Keratoconjuncitivits sicca

Answer 5

Dry eye syndrome
Drugs-antihistamine, anticholenergic, beta adrenergic
Diseases- RA, leukemia, sojourns

Question 6

Conjunctival hemorrhage

Answer 6

Small well defined area of bright red hemorrhage under conjunctiva
No pain
No visual impairment
Resolved in 14 days without treatment

Question 7

Conjunctival hemorrhage causes

Answer 7

HTN, trauma, clotting problem, increased pressure

Question 8

Alllergic conjunctivitis treatment

Answer 8

Vasoconstrictors

Corticosteroids

Question 9

Allergic or infectious conjunctivitis?

Answer 9

Culture drainage

Question 10

Trachoma

Answer 10

Chronic conjunctivitis caused by chlamydia trachmatis

Scars conjunctiva- preventable blindness

Question 11

Corneal abrasion

Answer 11

Scrape or scratch injury of the cornea

Question 12

Corneal ulceration

Answer 12

Infection of corneal abrasion

Emergency! Can permanently impair vision

Question 13

Keratoconus

Answer 13

Degeneration of corneal tissue, result abnormal shape.

Corneal transplant

Question 14

Keratoplasty

Answer 14

Corneal transplant 
Antibiotic injections in eye 
Protective pressure patch
Check vitals, report BP
Lay on operative side 
Check dressing 
Prevent activities that increase IOP

Question 15

Eye donors

Answer 15

Must be free of infectious disease or cancer at time of death

Question 16

Care of potential eye donors

Answer 16

Elevate HOB 30 degrees
Apply antibiotic eye drops
Close eyelids, small ice pack

Question 17

Cataract

Answer 17

Lens looses h2o
Increased density
Becomes opaque

Question 18

Cataract image

Answer 18

Distorted image on retina

Early- slightly blurred and decreased color perception

Question 19

Cataract surgery

Answer 19

Affects ADLs
Drops several times per day for 2-4 weeks
No anticoagulants
Eye drops instilled prior to surgery for paralysis

Question 20

Phacoemulsification

Answer 20

Sound waves break up lens, then suction out

New intraoccular lens

Question 21

Postoperative

Answer 21

Antibiotics given subconjunctivally 
Unpatched
Normal discharge within 1 hour 
Dark glasses
Mild itching normal 
PAIN indicates complications 
Reduce IOP
Prevent infection 
Bleeding?

Question 22

Glaucoma

Answer 22

Increased ocular pressure

Cupping and atrophy of optic disc

Question 23

Glaucoma symptoms

Answer 23

Headache 
Brow pain
N&V
Colored halos around lights 
Sudden blurred vision with decreased light perception

Question 24

Types of glaucoma

Answer 24

Primary open- angle (common)

Angle-closure glaucoma (emergency)

Question 25

Tonometry

Answer 25

Measures IOP

Question 26

Perimetry

Answer 26

Screen visual fields

Question 27

Gonioscopy

Answer 27

Differentiates between open or closed glaucoma

Question 28

Optic nerve imaging

Answer 28

3-D view of back of eye

Used for those with increased risk for glaucoma

Question 29

Glaucoma teaching

Answer 29

Only benefit from drugs with scheduled dosing. Do not miss!!!

Question 30

Macular degeneration

Answer 30

Impairment of central vision