Shared Flashcard Set

Details

NU 214 Test 3
Eye Vision Chapter
41
Nursing
Kindergarten
03/29/2014

Additional Nursing Flashcards

 


 

Cards

Term
Aqueous Humor is ?
Definition
  • produced by the ciliary body
  • production is related to the IOP
  • Normal IOP is 10-21 mm
Term
accomodation is ?
Definition
  • ability to focus and refocus
  • controlled by ciliary body
Term
Visual acuity is ?
Definition
  • 20/20 - normal vision
  • 20/200 is can see an object from 20 feet away, that a person with 20/20 vision can see from 200 feet away
Term
OD and OS are ?
Definition
  • OD - right eye
  • OS - left eye
Term
emmetropia is ?
Definition
  • normal vision
Term
Myopia is ?
Definition
  • nearsighted
  • blurred distance vision
Term
Hyperopia is ?
Definition
  • farsighted
  • have excellent distance vision, but blurry near vision
Term
Low vision is ?
Definition
  • requires patients to use devices, strategies and corrective lenses to perform visual tasks
Term
Blindness is ?
Definition
  • BCVA from 20/400 to no light perception
  • absolute blindness - no light perception
  • legal blindness - does not exceed 20/200 or 20°> field of view
Term
Most common cause of blindness and visual impairment is ?
Definition
  • diabetic retinopathy
  • macular degeneration
  • glaucoma
  • cataracts
Term
Glaucoma is ?
Definition
  • optic nerve damage is r/t the IOP caused by congestion of aqueous humor of the eye
  • 2nd leading cause of blindness
  • no cure, can be controlled
Term
Glaucoma Risk Factors ?
Definition
  • family hx
  • thin cornea
  • african american
  • ↑age
  • Diabetes mellitus
  • Cardiovascular disease
  • migraine syndrome
  • myopia
  • eye trauma
  • corticosteroids
Term
Glaucoma S/S ?
Definition
  • blurred vision/halos
  • difficulty focusing/adjusting eyes in low light
  • loss of peripheral vision
  • pain
  • HA
Term
Cholinergics are ?
Definition
  • miotics
  • ↑aqueous outflow by constricting ciliary muscle and causing miosis(constriction of the pupil)
  • S/E
    • pain
    • blurry vision
    • difficulty seeing in the dark
  • pilocarpine(isoptocarpine)
Term
Adrenergic agonists ?
Definition
  • ↓production of aqueous humor and ↑ outflow
  • S/E
    • eye redness/burning
    • palpitations, tremors
    • ↑BP, HA, anxiety
  • dipivefrin(propine)
Term
Beta Blockers ?
Definition
  • ↓aqueous humor production
  • S/E
    • bradycardia
    • exacerbation of pulmonary disease, Hypotension
  • Timolol(timoptics)
Term
Alpha Adrenergic agonists ?
Definition
  • ↓aqueous humor production
  • S/E
    • eye redness
    • dry mouth/nasal passages
  • brimonidine(alphagan)
Term
Prostaglandins analogs ?
Definition
  • ↑uveoscleral outflow
  • S/E
    • darkening iris
    • conjunctival redness
    • rash
    • lengenthening of eyelash
  • Latanoprost(xalatan)
Term
miotics are ?
Definition
  • medications that cause pupillary constriction
  • mydriatics
Term
Cataracts are ?
Definition
  • lens opacity or cloudiness
  • leading cause of blindnes in the world
  • ↑age by 80 half of people have them
Term
Cataracts risk factors ?
Definition
  • aging
  • myopia
  • retinal detachment/sx
  • infection
  • toxic factors - smoking, chemical, poisoning
  • nutritional
  • physical factors
  • systemic disease/syndromes
Term
Cataract S/S ?
Definition
  • blurry vision
  • glare sensitivity
  • reduced visiual acuity
  • myopic shift - to do work close up (fine print)
  • diplopia - double vision
  • brunescens - color shift to yellow-brown

 

Term
binocular vision is ?
Definition
  • ability of both eyes to focus on one object and fuse the two images into one
Term
bullous keratopathy is ?
Definition
  • formation of blisters that cause pain and discomfort on rupturing
  • associated with glaucoma
Term
Retinal detachment is ?
Definition
  • separation of the RPE from the sensory layer
  • four types
  • S/E
    • shade or curtain
    • cobwebs
    • bright flashing lights
    • floaters
Term
Retinal Detachamen Sx ?
Definition
  • scleral buckle
  • pars plana vitrectomy
  • pneumatic retinopexy
  • transconjunctival suturless vitrectomy
Term
Retinal Vascular disorders ?
Definition
  • loss of vision can occur from occlusion of a retinal artery or vein
  • d/t
    • atherosclerosis
    • cardiac valvular disease
    • venous stasis
    • htn
    • ↑blood viscosity
  • r/f
    • diabetes mellitus
    • glaucoma
    • aging
Term
AMD is ?
Definition
  • age related macular degeneration
  • most common cause of vision loss >60 yrs
  • Central vision loss, retain peripheral vision
  • two types
    • dry
    • wet
Term
Dry AMD is ?
Definition
  • 85-90% are this type
  • outer layers slowly breakdown
  • appearence of drusen
  • missing letters, words, blank spots
Term
Wet AMD is ?
Definition
  • abrupt onset
  • straight lines appear crooked
  • proliferation of abnormal blood vessels growing under the retina
  • cause edema / fibrosis
  • visual changes occur rapidly
Term
AMD risk factors are ?
Definition
  • ↑age
  • smoking
  • htn
  • obesity
  • hyperopia
  • family hx
  • arthritis
Term
photophobia is ?
Definition
  • ocular pain on exposure to light
Term
chemosis is ?
Definition
edema of the conjunctiva
Term
hyphema is ?
Definition
hemorraghe within the chamber
Term
enucleation is ?
Definition
  • complete removal of the eyeball and part of the optic nerve
Term
sympathetic opthalmia is ?
Definition
  • an inflammation created in the uninjured eye by the affected ey that can result in blindness of the uninjured eye
Term
Infectious and inflammatory conditions ?
Definition
  • dry eye syndrome
  • conjunctivitis
    • bacterial, viral, allergic, toxic
  • Uveitis - iris, ciliary body, choroid
  • cellulitis
  • tumors
Term
Evisceration is ?
Definition
surgical removal of the intraocular contents thru an incision in the cornea or sclera
Term
Exenteration is ?
Definition
removal of the eyelids, the eye, and various amounts of orbital contents
Term
Carbonic anhydrase inhibitors are ?
Definition
  • ↓aqueous humor production
  • s/e
    • anaphylactic reactions
    • electrolyte loss
    • depression/lethargy/weight loss
    • GI upset
    • impotence
  • acetazolamide(diamox)
Term
Atropine and Scopolamine are ?
Definition
combination mydriactics ad cycloplegics
Supporting users have an ad free experience!