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Ophthalmic Nursing, Fifth Edition
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Table of Contents

The Ophthalmic Patient
Introduction
Registration for the Sight-Impaired or Severely Sight-Impaired
Severely Sight Impaired
Sight Impaired
Assistance and Rehabilitation
Voluntary Organisations

The Ophthalmic Nurse
Introduction
Assessment of Patients
Patient Information and Teaching
Professional Issues
The Nurse in the Outpatient Department
The Nurse in the Accident and Emergency Department
The Day Case and Ward Nurse
The Nurse in the Theatre

Ophthalmic Nursing Procedures and Investigations
General Principles
Recording Visual Acuity
General Considerations When Performing Visual Acuity
Ophthalmic Procedures Utilising Antt Principles
Principles and Protocol for Ophthalmic Medication Instillation/Application
Clinical Practice Guidelines

Ocular History Taking and Slit-Lamp Examination
Ocular History Taking
Slit-Lamp Examination
Goldmann Applanation Tonometry
Examining the Eye
Removing a Conjunctival or Corneal Foreign Body
Removing a Corneal Rust Ring
Testing for Tear Film Break-Up Rime: Assessing the Quality of Tears
Irrigating the Eye

The Globe: A Brief Overview
Introduction
Nerve Supply to the Eye
Blood Supply to the Eye

The Protective Structures, Including Removal of an Eye
The Orbit
The Eyelids
Conditions of the Orbit
Removal of an Eye
Patient's Needs

The Lacrimal System and Tear Film
Introduction
Lacrimal Gland
Lacrimal Drainage System
Tear Film
Conditions of the Lacrimal System

The Conjunctiva and Sclera
The Conjunctiva
Conditions of the Conjunctiva
The Sclera
Conditions Affecting the Sclera

The Cornea
Introduction
Measurements
Five Layers of the Cornea
Function of the Cornea
Physiology of Corneal Symptoms
Conditions of the Cornea
Eye Donors
Human Amniotic Membrane Transplantation
Osteo-Odonto-Keraprosthesis Surgery
Corneal Topography
Astigmatic Keratotomy
Pachymetry and Specular Photomicroscopy
Management of Corneal Pain

The Uveal Tract
Introduction
The Choroid
The Ciliary Body
The Iris
Conditions of the Uveal Tract

Glaucoma
Introduction
Methods of Measuring Intraocular Pressure
Anatomy and Physiology
Related Disorders - Glaucoma

The Crystalline Lens
Introduction
Cataract
Complications of Cataract Extraction
Cataract Operations
Aphakia
Dislocated Lens

The Retina, Optic Nerve and Vitreous Humour
The Retina
Optic Nerve
The Vitreous Humour
Colour Vision
Rhodopsin
Conditions of the Retina
Retinal Haemorrhage
Retinopathies
Retinal Tumour: Retinoblastoma
Cytomegalovirus Retinitis
Toxoplasmosis
Toxocariasis
Conditions of the Macula
Central Serous Retinopathy
Cystoid Macular Oedema/Degeneration
Conditions of the Optic Nerve
Retrobulbar Neuritis
Optic Nerve Atrophy
Conditions of the Vitreous Humour
Posterior Vitreous Detachment

The Extraocular Muscles
Introduction
Eye Movements
Strabismus or Squint
Paralytic Squint

Ophthalmic Trauma
Introduction

Ocular Manifestations of Systemic Disease
Diabetes Mellitus
Acquired Immune Deficiency Syndrome
Thyroid Disease
Hypertension
Giant Cell Arteritis
Herpes Simplex Virus
Herpes Zoster Virus
Tuberculosis
Sarcoid
Behcet's Disease
Syphilis
Toxoplasmosis
Toxocara
Rheumatoid Arthritis
Still's Disease
Ankylosing Spondylitis
Ulcerative Colitis and Crohn's Disease
Neurofibromatosis
Migraine

Ophthalmic Drugs
Mydriatics
Notes on Mydriatics
Miotics
Drugs of Choice Used in the Treatment of Glaucoma
Antibiotics
Antiviral Agents
Corticosteroids
Local Anaesthetics
Diagnostic Drops
Tear Replacement
Miscellaneous
General Note

Appendix 1: Correction of Refractive Errors

Appendix 2: Contact Lenses

Appendix 3: Competency Assessment Tools

Appendix 4: Competency Frameworks

About the Author

Mary E. Shaw, University of Manchester, UK Agnes Lee, Northampton General Hospital, UK

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