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Cataract
Cataract
PROF. G.S.MEENAKSHI
MSN, RN,QHCP
Definition
Complications
Reetrotubular hemorrhage
Acute bacterial endophthalmitis
toxic anterior segmant syndrome due to infection and inflammation of anterior chamber
Diagnostic Evaluation
1. Snellen visual acuity test
2. Opthalmoscopy to analyse the exent of cataract
3. Slit lamp biomicroscopic examination to establish
the degree of cataract formation.
Medical management
Dilating drops- administered every 10 mts atleast
for one hours.
Antibiotic drugs- prophlactically to prevent
infection
Intravenous sedation- to minimize anxiety
Surgical management
• Lens replacement surgery
• Phacoemulsification- a portion of anterior capsule
is removed,allowing extraction of the lens neucleus
and cortex while the posterior capsule and zonular
support are left intact.
• Aphakic glasses
• Contact lenses
• IOL implants
• Extra capsular cataract extraction (ECCE)
• Intra capsular cataract extraction
Nursing diagnosis
1. Disturbed visual sensory perception related to
altered sensory reception or status of sense
organs
2. Risk for trauma related tompoor vision and reduce
hand eye co ordination
3. Anxiety related to threat of permanent loss of
vision/ independence.
4. Deficient knowlwdge regarding altered coping
abilities related to cognitive and perceptual
limitations.
THANK YOU.....
Prof. G.S.Meenakshi
MSN, RN, QHCP