Glaucoma Flashcards
before palpation of the eye, ask
if patient is wearing contacts
if patient has recently had an eye infection
normal eye palpation findings
eye feels soft like a grape
abnormal eye palpation findings
hard, suggests glaucoma
procedure for confrontation
hands behind patient
slowly brought wiggling fingers forward one side at time
confrontation locations
assessed bilaterally
above pt’s head
at pt’s eye level
below pt’s shoulder
glaucoma impairs what and is a function of which nerve
impairs peripheral vision
fx of CNII
normal confrontation test findings
pt able to see wiggling fingers in peripheral vision
bilaterally symmetrical
abnormal confrontation test findings
tunnel vision
asymmetrical peripheral vision
state what after confrontation test
would perform or refer out for more detail visual fields test if abnormal
Shadow test’s two findings
open vs closed angle
procedure for shadow test
stand in front of patient
pt look straight ahead
penlight procedure for shadow test
hold close to side of patient eye
directly across line of iris (180) not too far forward
normal shadow test findings
can see light on both sides of iris
open-angle glaucoma findings
even if both sides of iris light up
closed-angle glaucoma findings
shadow on the medial aspect of the iris