Cataract Surgery/ Phacoemulsification

Prepared by: Heinstein Marc C. Amparado

Excessive Systemic Ocular Disease

Age > 45 Genetic exposure to UV Diseases
Signs and
symptoms
Risk Factors years old light, radiation and
toxins

Complications Pathophysiology Retinitis pigmentosa,

Hexokinase Previous Ocular Myotonic dystrophy, uveitis, high myopia,
concentration Surgery Abnormal Diabetes mellitus atopic dermatitis, hereditary fundus
Medical structural changes
Types decreases Wilson's Disease dystrophies.
Management
to lens crystalline
protein
Nursing Diagnostics
Management
ATP level drops Trauma: Increase glucose in
aqueous humour
Blunt or eye injury, Stiffening, that diffuses into
chemical burn, pigmentation and lens
Nursing
Poor electrolye electrocution. increased density of
diagnosis
balance control lens material
Second osmotic
over-hydration of
Cataract Is the clouding of the lens lens
or any opacity within the lenswhich Equatorial stretching and
leads to decrease of vision. Massive influx of lens capsule damage.
water in the lens

Cataract Surgery?Isdone in order to

remove the lens of the eye that
causes a vision to be blurry, in some
Disorganization
cases it is replaced with artificial lens. of structured
protein in the
lens Opacification of
crystalline lens

Aggregation and
precipitation of
protein. Formation of Cataract

Posterior Subcapsular
Nuclear Cataract Cortical Cataract Congenital Cataract
Cataract

Natural lens slowly

loss its transparency Blurred Vision

Visual Acuity Test

Decreased Contrast
Hardening of cental Sensitivity
lens nucleus

Nearsightedness

Glare and halos

around lights Lights starts to scatter

Lens of the eye Surgical Intervention:

Retinal Exam
becomes milky Phacoemulsification

·Anxiety related to possibility

of loss of vision as Risk for injury related ·Risk for infection related
evidenced by expressed to invasive surgical to surgical procedure
concern regarding changes procedure (Phacoemulsification).
in life events.

-Instruct the patient to

-Provide accurate, honest -Make sure to check
wear glasses during the
information. Discuss the OR equipments
are on its best day and wear eye
probability that careful
treatment can prevent function. protection at night.
further loss of vision. -Assist the surgeon -Give eye drops / eye
-Assess anxiety level and on providing the ointment suitable doctor
degree of knowledge of exact equipments advice.
condition. used for the -Advise the patient not to
-provide mental relaxation procedure. rub the eyes to prevent
techniques as well as -Position OR lights on
infection.
support involving elements the area the surgeon
will be working . -Instruct client to wash
of religious.
hands before applying eye
ointment/drops.