1Entropion
-Def: Turning inward of eyelid causing lashes to rub against eye (usually lower lid)
-Caused by eyelid muscle spasms or post-trauma
2Extropion
-Def: Turning outward & sagging lower eye lid
-Caused by muscle relaxation or weakness with aging
-Leads to corneal drying & ulcers
3Hordeolum (Stye)
-Def: infection of sweat glands or sebaceous glands in eyelid
-Caused by Staph or Strep
-Affects 1 eye at a time, no vision changes
-S/S: Red, Swollen, Painful
-Treatment: Warm compress, Antibiotic Ointment
4Instillation of Eye Ointment
-Verify 5 rights (Make sure it is for EYE)
-If going in both eyes, need a tube for each eye
-Wash hands, glove
-Tilt head back, look up
-Pull lower lid down (make a pocket)
-Squeeze ointment into pocket, starting at nose and move out. Don't touch tip!
-Release lid and have patient close eye.
-Wipe excess ointment away
-Hand hygiene
5Chalazion
-Def: inflammation of sebaceous gland in eyelid
-Protrudes on inner lid
-S/S:
Redness, tenderness
Painless swelling
Photophobia
Excessive Tearing
6Keratoconjunctivitis Sicca
-"Dry Eye Syndrome"
-Caused by changes in tear production, tear composition, or tear distribution
-More in women
-Due to drugs, medical conditions, post-op eye surgery
-With dry eyes give them eye drops
7Conjunctivitis (Pink Eye)
-Def: inflammation or infection of conjunctiva:
Allergic: exposure to allergens or irritants
Infectious: infectious with bacteria or virus, very contagious
-Bacterial Conjunctivitis à "pink eye", caused by staph or Haemophilus influenzae
-S/S:
Blood shot eye
Excessive tears
Itching
Edema (Bacterial)
Discharge (Bacterial)
-Treatment:
Ophthalmic antibiotics
Teach to prevent spread with hand hygiene, no sharing towels, discard eye makeup.
8Trachoma
-Def: chronic conjunctivitis caused by Chlamydia trachomatis
-Scars conjunctiva & is common cause of preventable blindness
-Common in warm, moist areas with poor sanitation
-Incubation period 5-14 days