5th Edition

Ophthalmic Nursing

By Mary E. Shaw, Agnes Lee Copyright 2017
    392 Pages 61 Color Illustrations
    by Routledge

    392 Pages
    by Routledge

    Ophthalmic Nursing provides an overview for those just setting out in a role within ophthalmic nursing. It includes basic and comprehensible anatomy and physiology – the foundations for understanding how the eye functions and why and how problems occur – and relates them to the care and needs of the patient.

    This accessible text includes evidence-based procedure guidelines and the inclusion of reflective activities in most chapters allows readers to apply their knowledge to the realities of the care setting. Also covered are the most recent National Institute for Health and Care Excellence (NICE) guidelines for glaucoma and age-related macular degeneration.

    Since the publication of the fourth edition, there have been many advances in the care and management of the ophthalmic patient. The authors have updated the chapters accordingly and included new colour images and diagrams. References, further reading and websites have also been updated to reflect current trends. A valuable resource for nurses in practice and training, this book continues to be the ‘go-to’ source for those caring for the ophthalmic patient.

    The Ophthalmic Patient
    Introduction
    Registration for the Sight-Impaired or Severely Sight-Impaired
    Severely Sight Impaired
    Sight Impaired
    Assistance and Rehabilitation
    Voluntary Organisations

    The Ophthalmic Nurse
    Introduction
    Assessment of Patients
    Patient Information and Teaching
    Professional Issues
    The Nurse in the Outpatient Department
    The Nurse in the Accident and Emergency Department
    The Day Case and Ward Nurse
    The Nurse in the Theatre

    Ophthalmic Nursing Procedures and Investigations
    General Principles
    Recording Visual Acuity
    General Considerations When Performing Visual Acuity
    Ophthalmic Procedures Utilising Antt Principles
    Principles and Protocol for Ophthalmic Medication Instillation/Application
    Clinical Practice Guidelines

    Ocular History Taking and Slit-Lamp Examination
    Ocular History Taking
    Slit-Lamp Examination
    Goldmann Applanation Tonometry
    Examining the Eye
    Removing a Conjunctival or Corneal Foreign Body
    Removing a Corneal Rust Ring
    Testing for Tear Film Break-Up Rime: Assessing the Quality of Tears
    Irrigating the Eye

    The Globe: A Brief Overview
    Introduction
    Nerve Supply to the Eye
    Blood Supply to the Eye

    The Protective Structures, Including Removal of an Eye
    The Orbit
    The Eyelids
    Conditions of the Orbit
    Removal of an Eye
    Patient’s Needs

    The Lacrimal System and Tear Film
    Introduction
    Lacrimal Gland
    Lacrimal Drainage System
    Tear Film
    Conditions of the Lacrimal System

    The Conjunctiva and Sclera
    The Conjunctiva
    Conditions of the Conjunctiva
    The Sclera
    Conditions Affecting the Sclera

    The Cornea
    Introduction
    Measurements
    Five Layers of the Cornea
    Function of the Cornea
    Physiology of Corneal Symptoms
    Conditions of the Cornea
    Eye Donors
    Human Amniotic Membrane Transplantation
    Osteo-Odonto-Keraprosthesis Surgery
    Corneal Topography
    Astigmatic Keratotomy
    Pachymetry and Specular Photomicroscopy
    Management of Corneal Pain

    The Uveal Tract
    Introduction
    The Choroid
    The Ciliary Body
    The Iris
    Conditions of the Uveal Tract

    Glaucoma
    Introduction
    Methods of Measuring Intraocular Pressure
    Anatomy and Physiology
    Related Disorders – Glaucoma

    The Crystalline Lens
    Introduction
    Cataract
    Complications of Cataract Extraction
    Cataract Operations
    Aphakia
    Dislocated Lens

    The Retina, Optic Nerve and Vitreous Humour
    The Retina
    Optic Nerve
    The Vitreous Humour
    Colour Vision
    Rhodopsin
    Conditions of the Retina
    Retinal Haemorrhage
    Retinopathies
    Retinal Tumour: Retinoblastoma
    Cytomegalovirus Retinitis
    Toxoplasmosis
    Toxocariasis
    Conditions of the Macula
    Central Serous Retinopathy
    Cystoid Macular Oedema/Degeneration
    Conditions of the Optic Nerve
    Retrobulbar Neuritis
    Optic Nerve Atrophy
    Conditions of the Vitreous Humour
    Posterior Vitreous Detachment

    The Extraocular Muscles
    Introduction
    Eye Movements
    Strabismus or Squint
    Paralytic Squint

    Ophthalmic Trauma
    Introduction

    Ocular Manifestations of Systemic Disease
    Diabetes Mellitus
    Acquired Immune Deficiency Syndrome
    Thyroid Disease
    Hypertension
    Giant Cell Arteritis
    Herpes Simplex Virus
    Herpes Zoster Virus
    Tuberculosis
    Sarcoid
    Behçet’s Disease
    Syphilis
    Toxoplasmosis
    Toxocara
    Rheumatoid Arthritis
    Still’s Disease
    Ankylosing Spondylitis
    Ulcerative Colitis and Crohn’s Disease
    Neurofibromatosis
    Migraine

    Ophthalmic Drugs
    Mydriatics
    Notes on Mydriatics
    Miotics
    Drugs of Choice Used in the Treatment of Glaucoma
    Antibiotics
    Antiviral Agents
    Corticosteroids
    Local Anaesthetics
    Diagnostic Drops
    Tear Replacement
    Miscellaneous
    General Note

    Appendix 1: Correction of Refractive Errors

    Appendix 2: Contact Lenses

    Appendix 3: Competency Assessment Tools

    Appendix 4: Competency Frameworks

    Biography

    Mary E. Shaw , University of Manchester, UK Agnes Lee, Northampton General Hospital, UK