Blurred vision.pptx

INTRODUCTION OF BLURRED VISION
SIGN & SYMPOMS
COMPLICATION
PREVENTION
NURSING CARE

1. COMMON GERIATRIC CONDITION & ITS MANAGEMENT PRESENTATOR Ms. Sakun Rasaily PAEDIATRIC WARD BPKIHS [email protected] SENSORY SYSTEM BLURRED VISION .

2. PRESENTATION OUTLINES INTRODUCTION CAUSES CLINICAL PICTURES DIAGNOSIS PREVENTATION POTENTIAL COMPLICATION MANAGEMENT Medical Surgical Nursing REFERENCES

3. Blurred vision or blurry vision is a loss of sharp vision. You may experience sudden or gradual blurry vision in one or both eyes. Blurred vision can be a symptom of a variety of mild to serious diseases, disorders or conditions

4. Eye-related causes of blurred vision Astigmatism (when light rays do not focus clearly at one point on the retina due to the unequal curvature of the surface of the eye ) Dry eyes Eye irritation Farsightedness Nearsightedness Presbyopia (a normal, gradual loss of your eyes’ ability to focus on near objects due to aging) 7 Wrong prescription for eyeglasses or contact lenses

5. 8 Retinopathy and diabetic lens osmosis (complications of  diabetes ). 9 Uveitis  and iritis . 10 Autoimmune causes of blurred vision. 12 Multiple sclerosis  (disease that affects the brain and spinal cord causing  weakness , coordination , balance difficulties, and other problems ). Myasthenia gravis  (autoimmune neuromuscular disorder that causes  muscle weakness ). Systemic   lupus   erythematosus (disorder in which the body attacks its own healthy cells and tissues). CONT…..

6. Cataracts Conjunctivitis  (inflammation of the eye surface Corneal ulcer Eye inflammation  or infection Macular degeneration  (condition that causes blurring of the central vision ) Optic neuritis (inflammation of the optic nerve ) 8 Retinal detachment  (detachment of the light-sensing layer inside your eye from the blood vessels that provide it oxygen and nutrients ) Retinal vessel occlusion (blockage of the blood vessels of the eye ) 10 Retinoblastoma ( cancer  of the retina9 Diseases and conditions of the eye can lead to blurred vision

7. Life-threatening causes of blurred vision Atherosclerotic emboli (plaque that travels to the brain and can cause a stroke ) Botulism Brain hemorrhage (bleeding in the brain ) 4 Carotid   embolism 5 Encephalitis (inflammation and swelling of the brain due to a  viral infection  or other causes) 6 Head injury 7 Stroke

8. Other causes of blurred vision 1 Concussion 2 Pregnancy 3 Temporal arteritis  (inflammation of blood vessels in the head )

9. Photophobia or sensitivity to light Pain in the eyes, or  headaches Floaters or spots/ mosquitos in front of the eye Dryness of eyes Eye strain and fatigue Watering and or discharge from the eyes Signs of trauma to the eyes The whiteness of the pupil CLINICAL PICTURES

10. 1 Histort taking 2 Eye tests Your doctor may next want to perform a  physical examination of your eyes . They may test your vision by asking you to read an  eye chart . They might also perform other eye tests, such as: Ophthalmoscopy Vision test slit lamp examination tonometry , which measures intraocular pressure 3 Blood tests Your doctor might also perform blood testing. Blood tests may be used to help them determine whether  bacteria are in the blood . They can also use tests to obtain your  white blood cell count (WBC)  if they suspect there could be an infection .

11. 1 Encourage your clients to – Get Tested , especially if: there is a family history of eye disease the client is over 40 the client has diabetes the client has noticed a change in their vision Recognise symptoms of common problem Know when and where to refer Talk to your clients about their vision; vision loss maybe an underlying cause for another condition .

12. Potential Brain damage Loss of sight ( blindness Loss of the eye and orbit Blurred vision complications depend on the underlying disease, disorder or condition . Migraine . 5 Hypertension : F alls Depression early special accommodation increased risk of hip fracture increased early mortality social isolation

13. 1 Eye Drops and Medication :   Certain eye drops, especially those for checking your retina, and power of glasses can cause a transient blurring of vision. It resolves on its own, over two to six hours for most dilating drops (may be up to two weeks in case of atropine). Also, some anti-allergy, anti-hypertensive, and anti-depressant drugs can cause dry eyes and blurred vision, which response to tear supplements . 2 Cha nge in the power of glasses/ contact lens :   In case, your prescription for spectacles or contact lenses is not up to date, you will experience a visual blur , despite wearing corrective lenses. Wearing your contact lenses for longer than prescribed, or wearing eyeglasses that are dirty or with an oily residue may also cause a decrease in vision.

14. Laser   procedures LASIK (laser in-situ keratomileusis ). This makes up 90% to 95% of all laser  vision correction surgery . ... PRK (photorefractive keratectomy). This method uses a laser to remove the cornea's outer covering and reshape it. .. 3 LTK (laser thermal keratoplasty ). SURGICAL MANAGEMENT

15. NURSING MANAGEMENT Nursing Assessment .. Take hostory . physical examination. Opthalmo evaluation. Lab value evaluation. Assess for general well being and general condition of the client .

16. Nursing Diagnosis and Intervention Alter comfort to eye structure related to blurred vision. Take hostory properly regarding to blurred vision. Eg trauma,infection , foreign body etc Physical examination systemetically . Provede comfortable position to the client. 2 Alter tissue integraty of the eye related to trauma or infection. Provide general comfort to the eye as per clients wish. Regular eye examination and take pothalmologist suggestion. Protection from rediation .

17. 3 Anxiety related to gradual vision liss . Provide alternative solution to the old. Proper councelling to the age related visual impairment or blurred vision. Balance diet with multi vitaminous component. Provide education regarding use and effect of medication. Knowledge deficiet related to treatment procedure. Councell about potential complication. Councell about medical and surgical interventation . Tought about prognosis possibility. Knowledge deficiet on possibility of secondary infection . Share knowledge about proper personal hygine . Never provide stress to the eye. Spent stress free life in society. Provide much protrnious diet for surgical healing. Focus on maintaininag the therapeutic resimin for lifelong controll of a chronic condition .

18. References 1 A hand book of geriatric nursing care .. 2 nd edition. 2 A text boof of geriatric nursung ..2 nd edition.. Gautam Ms . Saraswati . Wallance M essential of Gerontological Nursing.. Mauk K.L. gerontological Nursing $ th edition.. Essential text book of geriatric nursing.. samikshya publication..