Nursing Assessment For Eye Disorder
Nursing Assessment For Eye Disorder
ASSESSMENT
AND
ASSESMENT
OF EYE
By: Ida Rosdiana
EXAMINATION OF EYE
B. PUPILLARY RESPONSE
C. FUNCTIONAL EXAMINATION
ASSESSING SYMPTOMS
The patient should be assessed: Strabismus (deviation of eye from
Discomfort or pain in or around the eye the normal physiological axis:
Photophobia (abnormal sensitivity to ‘crossed vision’)
light)
Nystagmus (involuntary and rapid
movement of eyeball.) Blurred vision
‘Spot 'or ‘light 'in the visual field
ASSESSMENT PATIENT HISTORY
Age-Related
Functional
Family history and genetic risk Changes
Current health problems • Yellowing of lens
Nutrition history • Accommodation gradually
lost
• Presbyopia
• Far point decreases
• Color perception decreases
• IOP increases
Age-Related
Functional Changes
A. EXTERNAL EXAMINATION
Seat the patient in an area with even lighting and instruct him to fix
his gaze on the distant object.
Cover one eye and shine a flashlight in front of the exposed eye.
The pupil should (constrict) because of the light. This response is
called a direct reaction.
The covered pupil should also contract. This response is called a
consensual reaction.
NEAR POINT REACTION:
OPHTHALMOSCOPY:
It is an examination of the back part of 1 • DIRECT
the eyeball (fundus), which includes the OPHTHALMOSCOPY
retina, optic disc, choroid and blood
vessels. Ophthalmoscope examination
takes about 5 and 10 minutes. There are 2 • INDIRECT
different types of ophthalmoscopy. OPHTHALMOSCOPY
APPLANATION METHOD CORNEAL TOPOGRAPHY