CATARACT

ASSESSMENTCataract: opacity of the lensPopulation at risk: greater than 70 years oldS&S: blurred vision

TREATMENTSurgical Procedures

Only treatmentWhen is surgery done?

TYPES OF CATARACT SURGERYExtracapsular - incision through sclera, lens

capsule excised, lens is expressed by pressure; most popular

Phacoemulsification - extracapsular; small incision, uses high frequency ultrasound device, breaks up lens, aspirate it, irrigation

Cataract Surgery

Videoshttp://www.youtube.com/watch?v=Go82c4f1e

mchttp://www.5min.com/Video/Learn-About-

Cataract-Surgery-114223430

Cataract Surgery: Collaborative Management

PreoperativeIntraoperativePostoperative

PRE OP TEACHING FOR CATARACTS

Clinical Setting- usually ambulatory centersPreparation for surgeryMedications

POST OP CARE FOR CATARACTSAntibiotics given subconjunctivallyTeach administration of meds (drops/ointment)Pain control-tylenol; cool compresses; NO ASAActivities that reduce increases of intraocular

pressure (IOP)To watch for S&S of infection

REPORT ANY REDUCTION IN VISION IMMEDIATELY

Cataract: Community-Based Care Home care managementHealth teachingHealth care resources

Health TeachingReport to surgeon—

-sharp, sudden pain in the eye-bleeding or increased discharge- lid swelling- decreased vision- abnormal vision

Avoid activities that might increase IOP

Review procedure for use of eyedrops

World Health Organization39% of blindness r/t age related cataracts

Corrective cataract surgery is the most cost effective health intervention

NURSING DIAGNOSIS FOR VISIONDisturbed sensory perception: VisualRisk for injury r/t decreased visionFear r/t visual impairment