1. Pre-operative nursing interventions include assessing the client's vision, eye health, support systems, and administering prescribed medications and eye drops to prepare for surgery and manage vision impairment risks.
2. Post-operative care involves monitoring for complications, administering medications, assisting with personal care and mobility, and ensuring the eye patch and dressings are clean and positioned properly.
3. Client education focuses on the symptoms of impaired vision, proper use of eye drops and dressings, activity restrictions, and signs of complications to report.
2. 1 Pre Operative
Care Vision in the operative
3. Teach the client
2. Remove theeye Maintaining
eye may be with
The clientimpaired
4. Assess all the
Mydriatic (pupil-
These activities
1. Assess
measures to
5. Administer
during the postoperative
limited visual acuity
increase orthe
dilating)
visual
period, limiting
client’s support
makeup and in the nonoperative
cycloplegic
intraocular
client’s depth perception
visuallenses the
acuity
preoperative injury
prevent eye
systems and or
contact
eye mobility. Safety
and may need
acuity in
(ciliaryparalytic)
pressure assistance
additional as
measures such
temporarilydrops
installingand in and
drops handrails the
and attentionand
postoperatively.
medications and the
of the
glasses prior to
possible effect of to lower
may be throw rugs in
removing associated
postoperatively
The client should
eye drops or unaffected
the client’s home are
intraocular
with postoperative
to ensure safety and
surgery. Store
client’s as
impaired vision often useful, especially if
complications. be
the client has may
pressure limited
avoid vomiting,
ointments safe
maintain ADLs.
eye helps
them in a and
on lifestylestool,
prescribed
vision in the unaffected
nonoperative
straining at
prescribed.
place. Have reduce the
eye.
preoperatively.
ability to perform
coughing, Preanesthetic
3. 2 Post
Operative Care
An abrupt
Medications
7.6. Assesspotential
Assess for comfort Evidence of any
surgical complications: a
4. After surgery for
5. Assessthe the Assess
These
Positioning or
increase in so
are prescribed
10.PlacedrainageThe
3. Place all as
1. Administer
Monitor
11. Assist with
9. Approach thefrom
8. Maintain the
12. Administer
and medicate
detached retina,
a.2. in or
client, in a semi-
and
of the eye
The above
These
It is
These eye
Assistance
This of
dressings
postoperatively
onset or
that the to
Pain
client on of and
the status eye
necessaryarticles
antibiotic,or
ambulation
personal the
client
antiemeticanti-
affected for
positions
manifestations
measures
important
patch be
activities is
approach
may
for the
client is positioned
medicate oror
eye patch with blood or prevent
to unusual
pain may
detachment
prevent
prevent
Fowler’scall bell
b.unaffected of an
sothe eye side.
inflammatory,
personal care
and the avoid,
medication
Hemorrhage as
that the
complaints reduceorof
shield helps
facilitates
increase
infection
presence
necessary
complaints
indicate
inferior to
assist to
eyeanteriorasin
the shield is
Fowler’s stretching
vomiting
inflammation
prevent or
by thecontact
eye client
indetachmentchamber of
and other
activities scratchy
within easy
needed.
aching or intraocular
intraocular
bleeding
to
hemorrhage
maintains
the dressing
vomiting, Having
eye
place. or
position. in
dependent and eye
and
maintain
of the be
and
should
inadvertent
drainagesite,
systemic
needed.
reach. of
c.sensationlight, floaters,
following pressure onin
pressureby
pressure.the
ormaintain
straining
normal
operative
coughing,
Flashes
thesensation
inferior. For as reported toeye,
communicat
from the the
injury to of
ormedicationsof a
affected if the outer
the eye. otherclient.
the ocular
that areaat
physician pupil
maintain
safety.
the
intraocular
surgery.
sneezing,drawn over
client lie or
example, on the
curtain being
ion.
as either
operative
emergency
the retina,
constriction,
pressures.
once. Early
4. 3 Client & Family
Teaching a. Symptoms
f. The proper
Clients may be Provide referralclient to
d. The to
Remind the need
alarmed that g. Theinstill
that to need
way should be
Teach vision home
avoid may
that eye drops not
a community
vision seems to wear
reported to the
scratching,
the stabilize Thefor
b. for several
health agency name,
physician,
sunglasses
worse after rubbing,
weeksdosage,
client including oreye
following
surgery than assistancetouching,
with
with side
surgery. New or
schedule,
eye pain
before and and corrective lenses, if
squeezing
home care after when
shields
duration,
pressure,
need outdoors. eye
the affected
family redness andto
discharge purpose,ornot
asMeasures
necessary, are
e.
reassurance needed. side effects is
Photophobia
about cloudiness,
prescribed until
avoid
that visual common after
of postoperative
drainage,
constipation