Anatomy & Function
This carries vision messages to the brain.
Optic Nerve
Pt. reports a coughing fit and soon after notices a red eye. No pain. No vision change. Normal eye exam.
Eye chart B [Other eye injuries, Blood on sclera (subconjunctival hemorrhage)]
Inflammation and flaky skin at the edge of the eyelids that may be related to skin dandruff or associated with a bacterial infection of the eye.
Blepharitis
The only reason to report a case of Blepharitis is if there is a skin rash (tiny blisters) on face near eyes.
False. Report blepharitis if there is a recent hx of same, more than mild eyelid pain, skin rash on face near eyes or an abnormal fluorescein dye test.
What are two parts of the plan to treat bacterial conjunctivitis?
Antibiotic ointment and removal of eye crusts and discharge, wash hands frequently, avoid sharing towels, do not wear contacts until medication are finished, etc. (per CHAM)
The structure behind the pupil: focuses light onto the retina
Lens
3yo reports left red eye with thick yellow d/c x 1d. Exam otherwise wnl. What assessment chart will you review for this condition?
Eye Chart D [Red eye and other eye problems, conjunctivitis]
Name three causes of conjunctival inflammation (conjunctivitis).
Bacterial, Viral, Allergic (irritating chemical also common)
Ciprofloxacin eye drops are appropriate treatment for conjunctivitis in an 8mo boy.
False. No Cipro eye drops under 1yo.EER ointment of sulfacetamide ointment or drops are treatment options for an 8mo patient.
T/F, for cases of insect bites or stings: measure area of redness/swelling so you can compare size later.
True.
The thin covering over the eyeball and inner eyelids
Conjunctiva
In the assessment of Glaucoma, Chronic care, name two aspects you must comment on in the assessment.
How the patient is doing and if there are any problems with medicines.
This can occur when eye pressure is too high and the causes damage to the optic nerve. Side vision (peripheral vision) is affected first.
Glaucoma
64yoF in with blood on sclera, otherwise well. Has had this twice in the past year. Her visit must be reported at medical traffic.
False. Report if: any hx. of eye injury other bleeding or bruising problems, abnormal eye exam (other than red spots), problem has happened more than 2 times/yr.
When should a patient with conjunctivitis return to the clinic.
In 2d if not getting better, sooner if worse. All patients in one week if problem is not gone.
Thick fluid filling the (posterior chamber) back part of the eye.
Vitreous Humor
Assessment chart Letter AND location for "Red Eye" and "Eyelid Problems"
Eye Chart D and Eye Chart C both located in Eye chapter of patient care visit
An infected oil gland on the edge of the eyelid.
Stye
Conjunctivitis in a pt. who wears contacts is a report ALWAYS even if you have a standing order.
True. Report if" any recent hx. of same, vision not normal, pt. is <3mo. old, problem seems severe, d/c has lots of pus, pt. wears contacts, also has skin rash near eye or on face or fluorescein dye test is abnormal.
List two eye assessments with additional care
Eyelid 3: insect bite or sting to eyelid or mild allergic reaction.
Eyelid 4: stye.
Eye 7: glaucoma, chronic care.
Attaches to the sclera and produces movement of the eye.
Extraocular muscles
5yo wakes up with red, swollen R. eyelid. Mild pain/tenderness on exam. Vision normal. Pupils normal. Skin intact. What assessment chart will you review in this case?
Eye chart C, eyelid problems. [Likely insect bite or sting or mild allergic reaction.]
Medical term for blood between the conjunctiva and sclera. Often caused by minor trauma to the eye.
Subconjunctival hemorrhage
23yoM has a fever and you assess a stye on his L. Eyelid. No other problems. This patient can be treated if you have a standing order for Stye, Eyelid 4.
False. The fever is cause to report at medical traffic.
What is the recommended recheck timing for stable chronic Glaucoma?
3mo if doing well, sooner if problems.