nursing management of retinal detachment slideshare
We use your LinkedIn profile and activity data to personalize ads and to show you more relevant ads. The client will be … MANAGEMENT OF ACUTE RETINAL DETACHMENT Introduction The management of acute retinal detachment in the United Kingdom has improved over the past two decades with patients experiencing better outcomes from surgical intervention for this potentially blinding ophthalmic emergency. Management options include conservative treatment, laser demarcation, pneumatic retinopexy, scleral buckling, and pars plana vitrectomy. Symptoms include flashes of light, floaters or seeing a shadow in your vision. Next to central retinal artery occlusion, chemical burns to the eye, and endophthalmitis, a retinal detachment is one of the most time-critical eye emergencies encountered in the ED. TYPES AND CAUSES . Clipping is a handy way to collect important slides you want to go back to later. Retinal detachment occurred significantly more often in eyes with MGS than with ONC (9/17 [53%] vs. 5/45 [11%], P = 0.03, respectively Retinal detachment is the separation of the neurosensory retina from the retinal pigmented epithelium and choroid. The purpose of this study was to review the current management of macular hole retinal detachment in highly myopic eyes. When retina is detached from its pigmented epithelium is called retinal detachment. An encircling band (type 41 or type 287 wide groove) is placed and sutures to support, if indicated, either a radial sponge (type 506) or segmental sponge (type 506) are placed. 1. Retinal Detachment is an eye disorder, wherein the retina gets separated from the underlying layer of blood vessels, which supplies oxygen and other nutrients to it. Slideshare uses cookies to improve functionality and performance, and to provide you with relevant advertising. The symptoms of retinal detachment often come on quickly. The retina is a light-sensitive membrane located at the back of the eye. details of diagnosis and management of various types of retinal detachments. Ocular emergencies - ocular trauma and ocular tumor, No public clipboards found for this slide, Vinayaka Missions College of Nursing Puducherry. Planning and goals nursing care plan for Retinal Detachment : The client will remain free from injury. RN., RM., M.Sc(N)., D.C.A .,(Ph.D) Indications for individual treatments vary according to the type of retinal break. Retinal detachment repair. The aim of retinal detachment repair is to achieve apposition of the neural retina and the retinal pigment epithelium. Retinal detachment, or a detached retina, is a serious eye condition that affects your vision and can lead to blindness if not treated. Retinal detachment is when the retina pulls away from the tissue around it (the choroid), which supplies it with oxygen and nutrients. Stage 4 - Partial retinal detachment. Nursing diagnoses for Retinal Detachment : Disturbed sensory perception (visual). See our User Agreement and Privacy Policy. In the setting of an intact retina, detachment occurs when the vitreous pulls on the retina (traction) or when an underlying condition … There are three types of retinal detachments: exudative, tractional, and rhegmatogenous. Retinal detachment caused by a tear in the neural retina is called rhegmatogenous. If you continue browsing the site, you agree to the use of cookies on this website. A combination of sub-specialisation It involves the retina pulling away from tissues supporting it. Observation for signs of retinal detachment, which is marked with a black dot seems, an increasing number of floaters or light and loss of part / whole field of view. Causes of retinal detachment. You can change your ad preferences anytime. Medical & Surgical Nursing (Notes) Cataract Nursing Care Plan & Management. Retinal Detachment: Causes, Symptoms, Diagnosis and Treatment. If patient is asymptomatic, monitoring is appropriate. Looks like you’ve clipped this slide to already. Simplistically, this is achieved either by moving the retinal pigment epithelium towards the retina by indenting the sclera from the outside of the eye, or moving the retina towards the retinal pigment epithelium by pushing it from the inside of the globe. Techniques include: Photocoagulation, in which a laser or xenon are “spot welds” the retina to the pigment epithelium. https://www.slideshare.net/AbhayRajpoot3/retinal-detachment-202173145 The lens opacity reduces visual acuity. See our User Agreement and Privacy Policy. Rhegmatogenous retinal detachment, the most common type, stems from a break in the retina, allowing fluid to accumulate in the subretinal space. Rhegmatogenous retinal detachment (RRD) is the most common form of retinal detachment [] and is characterized by the presence of a retinal break as an entry point of fluid into the subretinal space, leading to separation of the neurosensory retina (NSR) from the retinal pigment epithelium (RPE) [2, 3].Management of RRD is considered very routine for vitreoretinal (VR) surgeons … It happens to a layer of tissue called the retina that lines the back of the eye. See our Privacy Policy and User Agreement for details. RETINAL DETACHMENT. If you continue browsing the site, you agree to the use of cookies on this website. A cataract is an opacity of the lens that distorts image projected onto the retina and that can progress to blindness. Cyropexy, if there's a hole in the peripheral retina. The most common cause of retinal detachment is age-related shrinkage of the vitreous gel, which may lead to tearing at a weak point in the retina. of Medical Surgical Nursing, Plus disease - engorgement and tortuosity of the blood vessels near the optic nerve. Looks like you’ve clipped this slide to already. Primary retinal reattachment rates of 85–90% … situation in which a thin layer of tissue (the retina) at the back of the eye pulls away from its normal position Dept. Nursing care plan for Hypertension, Nursing care plan for Diabetes Mellitus, Nursing Care Plan for Heart Failure, Nursing care plan Myocardial Infarction (MI), Nursing care plan Tuberculosis (TB), Nursing Care Plan for Renal Failure, Nursing Management for Hypovolemic Shock, Nursing Management for Fracture, Nursing Management of the Patient with Sepsis, etc. If you continue browsing the site, you agree to the use of cookies on this website. Tweet 0 Response to "Cataract Care Plan - Pre and Post Operative" Cataract Nursing Care Plan & Management. If you have symptoms of a detached retina, it’s important to go to your eye doctor or the emergency room right away. Retinal detachment was identified clinically with either indirect ophthalmoscopy or from fundus photographs. RETINAL BSC NURSING III YEAR/ MEDICAL SURGICAL NURSING II. The 2 layers of the retina are called the neural layer and the choroid 2. A drainage site is chosen adjacent to one of the rectus … https://www.slideshare.net/manivmcon/retinal-detachment-186280094 In consecutive series, initial surgical attempts to reattach the retina currently fail in approximately 10–20% of cases, and reoperations are unsuccessful in as many as 5% of cases. RATINAL DETACHMENT In patients with retinal breaks without detachment, management depends on the presence of symptoms. - Retina is a layer of tissue at the back of the eye, which helps to see images focused on it by the cornea and lens. We use your LinkedIn profile and activity data to personalize ads and to show you more relevant ads. Stage 5 - Complete retinal detachment. Prepare the client for surgery by explaining possible surgical interventions and technique to alleviate some of the client's anxiety. 1. 3. Rhegmatogenous retinal detachment: it is characterized by tear or hole in retina… Slideshare uses cookies to improve functionality and performance, and to provide you with relevant advertising. You can change your ad preferences anytime. In Stage 4B - macula is detached, and the visual potential is markedly decreased. Prev Article Next Article . Clipping is a handy way to collect important slides you want to go back to later. The main outcomes reported include retinal reattachment and visual acuity after primary surgery. In highly myopic eyes with macular hole related retinal detachment, closure of the macular hole is difficult to attain despite the complete relief of tangential traction by internal limiting membrane peeling. 18 ROP - Classification. The four types of retinal detachment are rheg-matogenous, traction, a combination of rhegmatogenous and traction, and exudative. Rhegmatogenous retinal detachment continues to be an important cause of reduced visual acuity and blindness. Methods: We searched English MEDLINE databases from January 1997 to January 2011 for surgical management of macular hole retinal detachment in highly myopic eyes. Rhegmatogenous detachment is the most common form. MANAGEMENT OF See our Privacy Policy and User Agreement for details. When the retina gets detached, the supply of oxygen and … Description. It is characterized by partial or total loss of vision. If the retinal detachment isn’t treated right away, more of the retina can detach — which increases the risk of permanent vision loss or blindness. RETINAL DETACHMENT – Types and Causes, Risk Factors, Signs and Symptoms, Diagnostic Evaluation and Management . Exudative retinal detachment is associated with diabetic retinopathy 4. Rhegmatogenous retinal detachment is an important cause of blindness, occurring as a result of a full-thickness break in the neurosensory retina. DR. AMREEN H. DESHMUKH. Retinal detachment is a medical emergency. Notes. Slideshare uses cookies to improve functionality and performance, and to provide you with relevant advertising. Retinal detachment is the separation of the the retina from the choroid (the middle vascular coat of the eye between the retina and sclera). Assistant Professor, VMCON, Puducherry. Mr. Manikandan.T, Nursing Care Plan for Retinal Detachment. care for patients with visual impairment must be carefully individualised Results: Forty-five of 71 (63%) and 26/71 (37%) patients had ONC and MGS, respectively. Now customize the name of a clipboard to store your clips. Anxiety. Slideshare uses cookies to improve functionality and performance, and to provide you with relevant advertising. Stage 4A - detachment does not include the macula, and the vision may be good. Now customize the name of a clipboard to store your clips. https://www.asrs.org/patients/retinal-diseases/6/retinal-detachment • Methods: As a retrospective interventional case series, Munster Study on Therapy Achievements in Retinal Detachment (MUSTARD) is one of the largest ever established of retinal detachment patients and their outcome after buckling surgery, with 4325 patients who underwent surgery between 1980 and 2001. If symptomatic, the breaks are sealed using cryopexy or laser retinopexy. After localization of all retinal tears, cryopexy is applied to all retinal tears, except in cases of macula-off detachments, in which cryopexy is applied after drainage. Implementation nursing care plan for Retinal Detachment : Asses visual status and functional vision in the unaffected eye to determine self care needs. In 53.94% (n = 2134) of 3956 patients with nontraumatic retinal detachment, … Risk for injury. APIdays Paris 2019 - Innovation @ scale, APIs as Digital Factories' New Machi... No public clipboards found for this slide. Introduction. Retinal detachment often is a preventable cause of vision loss. Surgical intervention aims to reattach the retinal layer to the epithelial layer and has a 90% to 95% success rate. Discourage straining during defecation, bending down and hard coughing, sneezing or vomiting to … Customer Code: Creating a Company Customers Love, Be A Great Product Leader (Amplify, Oct 2019), Trillion Dollar Coach Book (Bill Campbell). When the retina is detached it can no longer function and vision is lost. In this condition, a hole or tear develops in the sen-sory retina, allowing some of the liquid vitreous to seep through the sensory retina … https://www.slideshare.net/.../management-of-retinal-detachment DETACHMENT If you continue browsing the site, you agree to the use of cookies on this website. Medical Management . It occurs when the retina develops a hole or tear and the vitreous seeps between the retina and choroid. Retinal detachment refers to the separation of the RPE from the sensory layer. Rhegmatogenous RD. Posterior vitreous detachment can occur as part of the normal ageing process T F T F T F T F Answer the following true or false questions: