2. CATARACT

3. ASSESSMENT Cataract: opacity of the lens Population at risk: greater than 70 years old S&S: blurred vision

4. TREATMENT Surgical Procedures Only treatment When is surgery done?

5. TYPES OF CATARACT SURGERY Extracapsular - incision through sclera, lens capsule excised, lens is expressed by pressure; most popular Phacoemulsification - extracapsular; small incision, uses high frequency ultrasound device, breaks up lens, aspirate it, irrigation

6. Cataract Surgery

7. Videos http://www.youtube.com/watch?v=Go82c4f1emc http://www.5min.com/Video/Learn-About-Cataract- Surgery-114223430

8. Cataract Surgery: Collaborative Management Preoperative Intraoperative Postoperative

9. PRE OP TEACHING FOR CATARACTS Clinical Setting- usually ambulatory centers Preparation for surgery Medications

10. POST OP CARE FOR CATARACTS Antibiotics given subconjunctivally Teach administration of meds (drops/ointment) Pain control-tylenol; cool compresses; NO ASA Activities that reduce increases of intraocular pressure (IOP) To watch for S&S of infection REPORT ANY REDUCTION IN VISION IMMEDIATELY

11. Cataract: Community-Based Care Home care management Health teaching Health care resources

12. Health Teaching Report to surgeon— -sharp, sudden pain in the eye -bleeding or increased discharge - lid swelling - decreased vision - abnormal vision Avoid activities that might increase IOP Review procedure for use of eyedrops

13. World Health Organization 39% of blindness r/t age related cataracts Corrective cataract surgery is the most cost effective health intervention

14. NURSING DIAGNOSIS FOR VISION Disturbed sensory perception: Visual Risk for injury r/t decreased vision Fear r/t visual impairment