CATARACT ASSESSMENT Cataract: opacity of the lens Population at risk: greater than 70 years old S&S: blurred vision.
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CATARACT
ASSESSMENTCataract: opacity of the lensPopulation at risk: greater than 70 years oldS&S: blurred vision
TREATMENTSurgical Procedures
Only treatmentWhen is surgery done?
TYPES OF CATARACT SURGERYExtracapsular - incision through sclera, lens
capsule excised, lens is expressed by pressure; most popular
Phacoemulsification - extracapsular; small incision, uses high frequency ultrasound device, breaks up lens, aspirate it, irrigation
Cataract Surgery
Videoshttp://www.youtube.com/watch?v=Go82c4f1e
mchttp://www.5min.com/Video/Learn-About-
Cataract-Surgery-114223430
Cataract Surgery: Collaborative Management
PreoperativeIntraoperativePostoperative
PRE OP TEACHING FOR CATARACTS
Clinical Setting- usually ambulatory centersPreparation for surgeryMedications
POST OP CARE FOR CATARACTSAntibiotics given subconjunctivallyTeach administration of meds (drops/ointment)Pain control-tylenol; cool compresses; NO ASAActivities that reduce increases of intraocular
pressure (IOP)To watch for S&S of infection
REPORT ANY REDUCTION IN VISION IMMEDIATELY
Cataract: Community-Based Care Home care managementHealth teachingHealth care resources
Health TeachingReport to surgeon—
-sharp, sudden pain in the eye-bleeding or increased discharge- lid swelling- decreased vision- abnormal vision
Avoid activities that might increase IOP
Review procedure for use of eyedrops
World Health Organization39% of blindness r/t age related cataracts
Corrective cataract surgery is the most cost effective health intervention
NURSING DIAGNOSIS FOR VISIONDisturbed sensory perception: VisualRisk for injury r/t decreased visionFear r/t visual impairment
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