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Exam (elaborations)

Nurs 654 Disorders Of The Eye Questions And Correct Answers

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NURS 654 DISORDERS OF THE EYE QUESTIONS AND CORRECT ANSWERS

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Closed globe injury


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no full-thickness wound of the eyewall




conjunctivitis indications for referral


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, - RSVP (sudden Redness, Sensitivity to light or Secretion, Vision decrease,
Pain)
- hypopyon
- irregular pupils
- metallic foreign bodies
- chemical injuries (after prompt irrigation)
- elevated eye pressure
- full thickness corneal laceration




Retinal detachment


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separation of the retina from the underlying epithelium, disrupting vision
and resulting in blindness if not repaired surgically




corneal surface defect management


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- supportive care: pain relief, prevention of infection
- topical antibiotic prophylaxis
- avoid contact lenses for the duration of treatment
- analgesics for pain
- steroids are contraindicated
- topical anesthetics should NEVER be used (prolonged use = corneal
melting)




chronic bacterial conjunctivitis

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lasts more than 4 weeks (chlamydial)




Hyperacute conjunctivitis (gonoccocal) presentation


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- onset of 12-24 hours
- severe purulent discharge
- typically seen in sexually active adults
- if seen in child: suspect child abuse
- rapid progression (hallmark of dx)
- cornea can become involved in less than 2 days and lead to permanent
vision loss




acute conjunctivitis presentation


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most common form; typically lasts 7-10 days
classic bacterial symptoms




blepharitis define


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, inflammation of the eyelids




seborrheic blepharitis


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greasy flakes or scales around the base of eyelashes and a
mild redness of the eyelids; excess meibomian secretion
and foamy tears
associated with dandruff




corneal abrasion/foreign body presentation


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- sudden onset of severe eye pain in the affected eye
- blurred vision
- redness
- tearing
- light sensitivity
- eyelid swelling
- blepharospasm




dry eye syndrome: exams to help determine if aqueous deficient vs evaporative


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