Ophthalmology Objectives Review eye anatomy and surrounding structures

Ophthalmology

Objectives Review eye anatomy and surrounding structures Understanding of Common eye surgeries Familiarity with ophthalmic surgical equipment Name the nursing considerations for the Ophthalmic surgical patient.

History

Anatomy

Anesthesia Sedation Topical Anesthetic drops Retrobulbar block- sensory and motor

Common Extraocular Procedures Ptosis- Correction of drooping upper eyelid Can be done from outside or inside the eyelid

Extraocular Procedures ctd Blepharoplasty- Removal of orbital Fat pad

Extraocular Procedures ctd Lacrimal duct dilation Dacryocystectomy Dacryocysorhinostomy

Extraocular Procedures ctd Corneal transplant ( keratoplasty) Partial (lamellar) or penetrating (full thickness)

Intraocular Procedures Cataract Removal and replacement with intraocular lens implant https: //www. youtube. com/watch? v=aoh. AHNYp. AOs

Intraocular ctd Anterior Vitrectomy

Intraocular ctd Repair detached retina

Nursing Considerations Patients Eye should void prior to surgery. bed Awake patients getting oxygen via NRB or nasal cannula + cautery = fire risk. Check implants prior to procedure and confirm with MD Lenses should be soaked in sterile saline to protect from particles in the air Don’t touch business end of instruments IOP precautions post-op Steroids for inflammation abx drops

Equipment