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Content text COMPRE - HANDOUTS - SS (Mr. Aguirre)


GLAUCOMA ⇨ increased ______________ caused by congestion of ________________ resulting in ________________ ANATOMY & PHYSIOLOGY Chambers of the eye ● Anterior ● Posterior ● Vitreous Aqueous humor is a liquid produced by the _________ that nourishes the _________ and maintains the normal IOP. Normal IOP: ___________ mmHg TYPES OPEN-ANGLE CLOSE-ANGLE Pain Progression Pathognomonic sign ASSESSMENT Tonometry: measures ___ by determining the pressure necessary to indent or flatten small anterior area of the eye. ● Contact ● Noncontact Considerations: ● Document: ________________ ● Instruct: ________________ MD MANAGEMENT ● Prostaglandin analogs (Latanoprost) ● Beta-blockers (Betaxolol/Timolol) ● Carbonic anhydrase inhibitor (Acetazolamide) ● Miotics (Pilocarpine) OPEN-ANGLE CLOSE-ANGLE Laser trabeculoplasty Laser iridotomy Trabeculectomy RN INTERVENTIONS Priority Goal: ________________ 1) Diet: ________________ 2) Avoid bending over 3) Avoid valsalva maneuver 4) Avoid rubbing the eye 5) Avoid lifting objects heavier than 5 lbs 6) Avoid specific drugs: ________________ RETINAL DETACHMENT ⇨ separation of the _______________ of the retina from the ________________. ANATOMY & PHYSIOLOGY Layers of the eye ● Outer ● Middle ● Inner ○ RPE ○ Neurosensory area ■ Rods ■ Cones TYPES RHEGMATOGE NOUS NON-RHEGMATOGENOUS TRACTION EXUDATIVE ASSESSMENT Ophthalmoscopy: used to assess ________________ ● The room is darkened. ● The instrument is held with the ________ hand when examining the ________ eye, vice versa. ● Approach the client’s eye from about ______ away and _____ degrees lateral to the client’s line of vision. MD MANAGEMENT ● Use of a scleral buckle or a silicone band to hold the retina and choroid together: ______________ ● A gas bubble, silicone oil, or perfluorocarbon and liquids may be injected into the vitreous cavity to help push the sensory retina up against the RPE: ________________ ● Use of a cooled probe to the sclera causing scarring which helps reattachment: ____________ ● Use of a heated probe to the sclera causing scarring which helps reattachment: ____________ RN INTERVENTIONS Priority Goal: ________________________ 1) Bed rest, position the patient ________________ 2) Protect the eyes 3) Avoid jerky movements 4) Avoid activities that increase IOP 5) Notify HCP if: ○ Signs of bleeding: ________________ ○ Signs of increased IOP: ________________ MACULAR DEGENERATION ANATOMY & PHYSIOLOGY ● Part of the retina that contains the highest concentration of ________________ ● Function: ________________________________ ● Contains the area of sharpest vision called ________________ TOP RANK REVIEW ACADEMY, INC. Page 2 | 3

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