Ophthalmic Nursing

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 PatientIntroduction Registration for the Sight-Impaired or Severely Sight-Impaired Severely Sight Impaired Sight Impaired Assistance and Rehabilitation Voluntary OrganisationsThe 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 NurseThe Nurse in the TheatreOphthalmic Nursing Procedures and Investigations General PrinciplesRecording Visual Acuity General Considerations When Performing Visual AcuityOphthalmic Procedures Utilising Antt PrinciplesPrinciples and Protocol for Ophthalmic Medication Instillation/ApplicationClinical Practice GuidelinesOcular History Taking and Slit-Lamp Examination Ocular History TakingSlit-Lamp Examination Goldmann Applanation TonometryExamining the EyeRemoving a Conjunctival or Corneal Foreign BodyRemoving a Corneal Rust Ring Testing for Tear Film Break-Up Rime: Assessing the Quality of Tears Irrigating the EyeThe Globe: A Brief Overview Introduction Nerve Supply to the Eye Blood Supply to the EyeThe Protective Structures, Including Removal of an Eye The OrbitThe EyelidsConditions of the OrbitRemoval of an Eye Patient’s NeedsThe Lacrimal System and Tear Film Introduction Lacrimal GlandLacrimal Drainage System Tear FilmConditions of the Lacrimal SystemThe Conjunctiva and Sclera The ConjunctivaConditions of the ConjunctivaThe ScleraConditions Affecting the ScleraThe Cornea Introduction Measurements Five Layers of the Cornea Function of the CorneaPhysiology of Corneal Symptoms Conditions of the CorneaEye Donors Human Amniotic Membrane Transplantation Osteo-Odonto-Keraprosthesis Surgery Corneal TopographyAstigmatic Keratotomy Pachymetry and Specular Photomicroscopy Management of Corneal PainThe Uveal Tract Introduction The ChoroidThe Ciliary BodyThe IrisConditions of the Uveal TractGlaucoma Introduction Methods of Measuring Intraocular PressureAnatomy and PhysiologyRelated Disorders – GlaucomaThe Crystalline Lens IntroductionCataractComplications of Cataract ExtractionCataract Operations AphakiaDislocated LensThe Retina, Optic Nerve and Vitreous Humour The RetinaOptic NerveThe Vitreous HumourColour Vision Rhodopsin Conditions of the RetinaRetinal Haemorrhage RetinopathiesRetinal Tumour: Retinoblastoma Cytomegalovirus Retinitis Toxoplasmosis Toxocariasis Conditions of the MaculaCentral Serous Retinopathy Cystoid Macular Oedema/Degeneration Conditions of the Optic NerveRetrobulbar Neuritis Optic Nerve Atrophy Conditions of the Vitreous HumourPosterior Vitreous DetachmentThe Extraocular Muscles IntroductionEye MovementsStrabismus or Squint Paralytic Squint Ophthalmic Trauma Introduction Ocular Manifestations of Systemic Disease Diabetes Mellitus Acquired Immune Deficiency Syndrome Thyroid DiseaseHypertension Giant Cell Arteritis Herpes Simplex Virus Herpes Zoster VirusTuberculosis Sarcoid Behçet’s Disease Syphilis Toxoplasmosis Toxocara Rheumatoid Arthritis Still’s Disease Ankylosing Spondylitis Ulcerative Colitis and Crohn’s Disease Neurofibromatosis MigraineOphthalmic Drugs MydriaticsNotes on Mydriatics MioticsDrugs of Choice Used in the Treatment of GlaucomaAntibioticsAntiviral AgentsCorticosteroidsLocal AnaestheticsDiagnostic DropsTear Replacement MiscellaneousGeneral NoteAppendix 1: Correction of Refractive Errors Appendix 2: Contact Lenses Appendix 3: Competency Assessment Tools Appendix 4: Competency Frameworks

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