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Eyes Adult I -FNP

Terms in this set (28)

dry eye is a common syndrome that affects those over the age of
40 and more prevalent in Asians and Hispanic populations
Dry eye is characterized by inadequate ear production as a result of
1. mechanical abnormalities that interfere with the spread or maintenance ears
2. lacrimal gland malfunction
3. mucin deficiency
misuse of contact lens may result in
dry eye (mechanical abnormalities
dry eye commonly affects
both eyes
dry eye is often described as
feeling of sand in the eyes, especially with blinking, eyes feel hot, gritty, irritated
patient with dry eye may complain of
blurred vision; lack of tears; or excessive tearing, burning, itching, foreign body sensation, sensitivity to light, and loss of glossy appearance of cornea
differential dx of dry eye are
conjunctivities, blepharitis, contact lens, exophtalmos, ectropion, bell's palsy, medicamentosa, sjogren's syndrome, age related changes, hormonal changes, systemic vitamin A deficiency; drug reaction
Epiphoria is
excessive tearing and is often a paradoxical response to dry eye
differential dx of epiphoria are
allergens; dryeye; viral or bacterial conjunctivities; blocked lacrimal duct; ectropion; trauma; environmental pollutants; glaucoma
the most common cause of eye pain is
trauma
differential dx of red eye are
conjunctivitis; hordeolum; glaucoma; iritis; corneal abrasions; dry eyes, keratitis sicca; subconjunctival hemorrhage
bacterial conjunctivitis has
purulent thick discharge, crusted lids in the am
allergic conjunctivitis has
stringy mucoid discharge
viral conjunctivitis has
watery discharge
iritis has discharge
rarely
acute glaucoma has no
discharge
preauricular lymph nodes are palpable with
viral conjunctivitis
preauricular lymph nodes are NOT palpable with
bacterial conjunctivitis; allergic conjunctivitis, iritis, or acute glaucoma
bacterial conjunctivitis often occurs during the
fall and winter
allergic conjunctivitis often occurs during the
fall and spring, with rhinorrhea, sneezing, and watery eyes
viral conjunctivitis is often associated with an
URI
iritis may also be associated with
connective tissue disease
patients with iritis have
photophobia and a poor light reflex
viral conjunctivitis has
itching with moderate diffuse pg 247
allergic conjunctivitis has
itchng and burning with mild diffuse pg 247
bacterial conjunctivitis
sandiness, moderate heavy diffuse pg 247
a patient who complains of flashing lights should be seen immediately for
possible retinal tear or detachment
vitreous detachment commonly occurs in
women between 55-65 years of age, causing a fluid-filled optically empty space between the vitreous and the retina
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