By Rosalind Stollery, Mary E. Shaw, Agnes Lee
This 3rd version of Ophthalmic Nursing displays contemporary advances in analysis and remedy and advancements within the position of the ophthalmic nurse. It contains evidence-based approaches for care of ophthalmic sufferers at the ward, in outpatients, day care and casualty.The 3rd version comprises extra on specialist matters and professional nursing roles, differentiates grownup and paediatric matters, and locations extra emphasis on evaluation talents, discomfort administration, an infection keep watch over, day surgical procedure, mental features and hyperlinks to fundamental care.Ophthalmic Nursing is a useful source for all nurses excited about ophthalmic care and a vital textual content for classes in ophthalmic nursing.* Addresses key ophthalmic stipulations, trauma and surgical procedure* specializes in figuring out patient's wishes and making plans potent sufferer care* contains key abilities and motive for motion* displays present advancements in expert perform* Easy-to-read and hugely illustrated* incorporates a coulour plate part
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Extra resources for Ophthalmic Nursing, 3rd Edition
Keratoconus pannus (superﬁcial vascularisation of the cornea) foreign body abrasion laceration ulcers. Using a slit-lamp, examine the layers of the cornea and note any abnormalities such as sub-epithelial opacities, corneal oedema, descemets folds or breaks, fresh or old keratatic precipitate or pigment on the endothelium. Anterior chamber Assess: • depth (should be deep but compare with other eye) Look for: • hyphaema (see Colour Plate 4) • hypopyon • ﬂare and cells (using slit lamp). Iris Assess: • colour – compare with other eye • clarity and pattern.
If necessary, check with the doctor prior to the procedure, to ensure healing has occurred. Clean the suture line if necessary. Remove the sutures in order to complete the procedure. Check the suture line to ensure it is clean and intact/healed. Clear away the equipment and wash hands, in order to prevent cross infection. Instruct the patient on any follow-up advice, for continued care of the patient. Record in the case notes the fact that the sutures have been removed, as a permanent record of procedure having taken place.
3 Ophthalmic Nursing Procedures 29 • The capacity of the fornix is approximately 30 ml and the average drop size is between 25–50 ml. • With certain medications, there will be a speciﬁc request from the oph- • • • • • • • thalmologist to occlude the punctum to reduce still further any risk of systemic absorption via mucous membranes of the canaliculi, nose and mouth. However, some medications may be prescribed speciﬁcally for their action on the lacrimal apparatus and so punctal occlusion is not desirable.