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In: Nursing

What is a Retinal detachment? What are the presenting symptoms? How is it diagnosed? What are...

What is a Retinal detachment?

What are the presenting symptoms?

How is it diagnosed?

What are the most common treatment options?

The nurse is preparing to send the patient home. Answer each of the following questions

What assessment of the home and the patient’s support system should be completed?

What accommodations may help this patient adjust to the diagnosis and remain safe?

What kinds of reactions to this diagnosis should the nurse anticipate? How should the nurse address these concerns?

Solutions

Expert Solution

Retinal detachment

Retinal detachment is a medical emergency in which the retina is disconnected from the back of the eye causing partial or total blindness.

Presenting symptoms

  • faded vision
  • presence of minute dots in the field of vision.
  • decreased peripheral vision
  • shadowy vision
  • photopsia
  • flickering of light

Diagnosis

  • Eye examination including retinal examination to check the presence of detachment and its capacity to give the brain the impulses.
  • Ultrasound to check the bleeding.

Most common treatment options

  • Photocoagulation is the surgical management using a laser technique to attach retina to the tissue.
  • Cryopexy that includes freezing the tissue on which there is retinal detachment.
  • Pneumatic retinopexy is the injection of gas into the area of the retinal break.
  • Scleral buckling, that is suturing a small silicon substance to the sclera.
  • Vitrectomy - Removal of vitreous and its tissue.

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