EXTRACAPSULAR

CATARACT EXTRACTION
Gaza, Jeannezelle Anne Mariz H.
BSN-3B
CASE
The patient is a 69-year-old diabetic male, retired chemist, who awoke
with severe eye pain and decreased vision in the L eye and presented to
the surgery-eye department a few hours later. His eye had been feeling
well after undergoing cataract extraction surgery in that eye 2 days prior,
until this morning. Pain is described as deep within the eye and 8/10.
Bright lights seem to make the pain worse and the vision seems very
foggy with lots of floaters. The patient denies any fevers or chills. No
complaints with the right eye. No hx diabetic eye disease. No witnessed
trauma to that eye. LAB: Biometry, EKG, DBR eye test MEDS:
Prednisolone Acetate, Polytrim, Metformin.
 EXTRACAPSULAR
CATARACT EXTRACTION

● a method for surgically removing a cataract, which

is a clouding of the eye’s naturally clear lens.
● an incision is made in the side of the cornea at the
point where the cornea and sclera, the white part of
the eye, meet. Carefully entering the eye through the
incision, the surgeon gently opens the front of the
lens capsule and removes the hard center, or
nucleus, of the lens. The soft lens cortex is then
suctioned out leaving the back of the capsule in
place.
● A plastic implant called an intraocular lens, or IOL,
is substituted for the original lens. The implanted
IOL allows light to be focused on the retina.
 Chief Complain:
01
• deep, severe pain in the left eye that
worsens when exposed to bright
light

02 Biographic Data
• 69-year-old
• Retired Chemist

03 Pt History:
• Type 2 Diabetes Mellitus
• Undergone cataract extraction 2 days
prior
LABORATORY TEST

Biometry EKG DBR Test

Measures the Graphically records the Enables to calculate

distance between electrical current the desired power of
front and back (electrical potential) intraocular lens during
generated by the heart the cataract surgery.
poles of the eye
DRUG STUDY

Indication
Prednisolone
Acetate Severe inflammation

Polytrim Ophthalmic infection

Metformin Control blood sugar in a diabetic patient

NURSING CARE PLAN

Acute eye pain

Priority 1

related to irritation of Disturbed Sensory

Priority 2
the nerve endings Perception Risk for injury
secondary to

Priority 3
rt foggy vision rt cloudy vision
extracapsular cataract with a lot of
extraction floaters