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Conjunctivitis and Glaucoma: Nursing Interventions and Clinical Manifestations, Lecture notes of Nursing

Saint Mary's University (SMU)Nursing

An overview of two common eye conditions - conjunctivitis (pink eye) and glaucoma. It covers the etiology, clinical manifestations, and nursing interventions for bacterial, viral, and allergic conjunctivitis, as well as the types of glaucoma (open-angle and close-angle) and their associated symptoms and treatment approaches. The document highlights the importance of proper nursing care, including warm soaks, cold compresses, and patient education on self-care and follow-up. It also emphasizes the need for early detection and management of glaucoma to prevent vision loss. This comprehensive information can be valuable for nursing students, healthcare professionals, and individuals interested in understanding these eye conditions and the role of nursing in their management.

Typology: Lecture notes

2023/2024

Available from 08/01/2024

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NCM 11
7
RLE
SKILLS LAB / SECOND SEMESTER
VISUAL IMPAIRMENT
CONJUNCTIVITIS
▪ Pink eye (napuwing, namumula)
▪ Medical term: Infectious
conjunctivitis
Etiology: Bacterial Conjunctivitis
CLINICAL MANIFESTATIONS
▪ Foreign body sensation in the eyes
▪ Itching or photophobia
▪ Scratching or burning sensation
BACTERIAL CONJUNCTIVITIS
ETIOLOGY:
1
Streptococcus pnuemoniae
2
Haemophilus influenzae
3
Staphylococcus aureus
NURSING INTERVENTIONS
▪ Warm soak (10 mins) 4x a day (for
crusting and drainage)
VIRAL CONJUNCTIVITIS
ETIOLOGY:
1
Adenovirus
2
Herpes simplex virus
NURSING INTERVENTIONS
▪ Cold compress (30 mins)
ALLERGIC CONJUNCTIVITIS
ETIOLOGY:
1
Hypersensitivity reaction
(napuwing)
NURSING INTERVENTIONS
▪ Topical or oral antihistamine-
allergic con
GLAUCOMA
OPEN ANGLE GLAUCOMA
▪ Disorder of intraocular pressure of
the eyes
▪ Optic nerve degeneration
▪ Visual field loss
▪ 90%
▪ Usually both sides are affected
(one is severely affected)
▪ Anterior chamber angle is open.
CLINICAL MANIFESTATIONS
▪ Tired feeling of eyes
▪ Foggy vision
▪ Slowly developing impairment of
peripheral (unimpaired sa center)
pf2

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NCM 11 7 RLE

SKILLS LAB / SECOND SEMESTER

VISUAL IMPAIRMENT

CONJUNCTIVITIS

▪ Pink eye (napuwing, namumula) ▪ Medical term: Infectious conjunctivitis Etiology: Bacterial Conjunctivitis CLINICAL MANIFESTATIONS ▪ Foreign body sensation in the eyes ▪ Itching or photophobia ▪ Scratching or burning sensation BACTERIAL CONJUNCTIVITIS ETIOLOGY : 1 Streptococcus pnuemoniae 2 Haemophilus influenzae 3 Staphylococcus aureus NURSING INTERVENTIONS ▪ Warm soak (10 mins) 4x a day (for crusting and drainage) VIRAL CONJUNCTIVITIS ETIOLOGY : 1 Adenovirus 2 Herpes simplex virus NURSING INTERVENTIONS ▪ Cold compress (30 mins) ALLERGIC CONJUNCTIVITIS ETIOLOGY : 1 Hypersensitivity reaction (napuwing) NURSING INTERVENTIONS ▪ Topical or oral antihistamine- allergic con

GLAUCOMA

OPEN ANGLE GLAUCOMA ▪ Disorder of intraocular pressure of the eyes ▪ Optic nerve degeneration ▪ Visual field loss ▪ 90% ▪ Usually both sides are affected ( one is severely affected ) ▪ Anterior chamber angle is open. CLINICAL MANIFESTATIONS ▪ Tired feeling of eyes ▪ Foggy vision ▪ Slowly developing impairment of peripheral (unimpaired sa center )

▪ Progressive loss of visual field ▪ Halos present around light ▪ Retina detachment MEDICATION

1. MIXED TOPICAL MYOTIC AGENTS ▪ Increases the outflow aqueous humor - para ma drain. 2. ORAL CARBONIC ANHYDRASE INHIBITORS AND BETA-ADRENERGIC BLOCKERS ▪ Decreases the production of aqueous humor. NURSING INTERVENTIONS

  1. Straining
  2. Heavy lifting
  3. Extraneous activities
  4. Bending
  5. Low sodium diet CLOSE ANGLE GLAUCOMA ▪ Retina detachment (rods and cones) SURGICAL INTERVENTIONS
  6. Scleral buckling
  7. Pneumatic retinopexy
  8. Cryosurgery or retinal cryopexy NURSING INTERVENTIONS
  9. Encourage self-care at discharge ( avoid jumping, mabunggo, avoid fall- laging may kasama para mag assis t) 2. Instruct the patient to avoid rapid eye movement for several weeks. 3. Driving is restricted. 4. Within 3 weeks, light activities may be pursued. 5. Within 6 weeks, heavier activities and athletics are possible (walking, jogging…) 6. Avoid straining and bending. 7. Apply clean warm moist washcloth to eyes and eyelids several times a day for 10 mins to provide a soothing and relaxing comfort. 8. When seeing flashing of lights, floating spots, progressive shadows, recommend contacting physician ( kahit isa lang sa signs na yan ) 9. Advice after 2 weeks, go to their doctors for follow-up.