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NRSG 350 Exam Three
Eye Disorders
29
Nursing
Undergraduate 4
11/09/2011

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Cards

Term
Retina Functions
Definition
refraction beds light, pupillary constriction, accommodation
Term
Myopia
Definition
Nearsightedness
Term
Hyperopia
Definition
farsightedness
Term
presbyopia
Definition
farsightedness due to aging
Term
astigmatism
Definition
unequal bending of light rays from irregular corneal curvature
Term
aphakia
Definition
absence of the lense
Term
Eye changes associated with aging
Definition
appearance, cornea, ocular muscles, lens, iris, pupil, color vision, tears.
Term
Lens Disorders
Definition
cataracts and glaucoma
Term
retinal disorders
Definition
diabetic retinopathy, macular degeneration, retinal detachments
Term
Cataract
Definition
lens is biconvex, refractive structure suspended behind the iris. This is the opacity of the lens that distorts the image projected onto the retina. progressive loss of vision.
Term
Cataract etiology
Definition
age-related is the most common: altered metabolic process within lens causes accumulation of water. alteration in lens fiber structure affects the lens transparency.
Term
Cataract types
Definition
traumatic, radiation/UV light exposure, age-related, long-term corticosteroid use.
Term
post-op care for cataracts
Definition
antibiotic and corticosteroid drops, patch/protective shield, eyeglasses, safety.
Term
S&S of complications post cataract removal
Definition
sharp, sudden pain, increased bleeding or discharge, lid swelling, decreased vision, flashes of light or floating shapes
Term
activities that increase intraocular pressure
Definition
bending from the waist, sneezing, coughing, blowing nose, straining to have bowel movement, vomiting, sex
Term
Glaucoma
Definition
group of ocular disorders characterized by increased IOP, optic nerve atrophy, peripheral visual field loss.
Term
open-angle glaucoma
Definition
most common. usually bilateral and asymptomatic. resistance to the outflow of aqueous humor. IOP gradually builds
Term
Angle-closure glaucoma
Definition
mechanism reducing outflow of aqueous is angle closure: lense bulges forward as result of age-related process. acute symptoms: sudden, excruciating pain in or around eye, N/V, bluured vision, colored halos around lights. immediate intervention required.
Term
Miotics
Definition
facilitate aqueous humor outflow. Pilocarpine
Term
Hyperosmotic agent
Definition
reduces IOP. increases extracellular osmolarity so intracellular H2L moves to extracellular and vascular spaces. glycerin
Term
Beta-adrenergic antagonists
Definition
decrease aqueous formation--timolol
Term
Prostaglandin agonists
Definition
facilitate aqueous outflow--latanoprost
Term
carbonic anhydrase inhibitors
Definition
decreases aqueous formation--diamox, cardase
Term
adrenergic agents
Definition
decreases aqueous formation and increases outflow--epinephrine, hydrochloride
Term
osmotic agents
Definition
reduce vitreous volume--glycerin, mannitol, isosorbide.
Term
Retinal detachment
Definition
occurs when the outer pigmented layer and the inner sensory layer of the retina separate
Term
retinal detachment clinical manifestations
Definition
shade across vision of one eye, "cobweb", bright flashing lights, sudden onset and great number of floaters, no pain
Term
retinal detachment causes
Definition
retinal break, spontaneous, aging, severe myopia, trauma, diabetic retinopathy, cataract/glaucoma surgery, family history
Term
scleral buckling
Definition
push wall of eye against retina with synthetic band: may also do vtrectomy
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