Additional Subjective Data
Additional Subjective Data
Other subjective information that must be gathered from the patient is whether or whether the symptoms of the eyes are accompanied by other symptoms such as headaches, pain, nausea, and vomiting. In addition, it is of the utmost importance to become familiar with the patient’s medical history and inquire about any instances of diabetes, hypertension, or elevated cholesterol levels (Ratini, 2015). It is important to be aware of whether the patient is taking any medications or whether they have a hereditary eye problem.
Additional Objective Data
Conducting a physical examination of the patient in order to identify whether or not the eye has lens opacity is one of the additional objective data that is requested from the patient (Ratini, 2021). There are a variety of tests that may be used to detect the condition of the eye, including the swinging flashlight test and the visual acuity exam. It is vital to accomplish this.
Differential Diagnoses
Glaucoma, age-related macular degeneration, and diabetic retinopathy are all examples of possibilities for a differential diagnosis. The symptoms, which include a loss of vision, are present in all of these illnesses, so it is likely that all of these diagnoses are correct (Hu et al., 2017).
Laboratory Tests
The test known as tonometry is used to determine the amount of pressure that is present within the patient’s eyes. According to Hu et al. (2017), its primary application is in the screening process for glaucoma. It is possible to establish the chance of the individual having diabetes, which may have led to diabetic retinopathy, by conducting a random glucose test. This test will help detect the quantity of sugar or glucose that is present in the patient’s blood.
Additional diagnostic studies and radiological examinations are being performed.
Radiological Examinations and Additional Diagnostic Studies
CT scanning and ultrasonography are two diagnostic procedures that must be performed on the patient in order to determine whether or not the patient has cataracts (Ratini, 2021). Additionally, the patient ought to be subjected to flourescein angiography in order to ascertain whether or not he is experiencing age-related muscle degeneration in his particular eyes.
Treatment and Specific Information
Surgery is the most common method of treatment for cataracts. This procedure is performed as an outpatient procedure and involves the removal of the clouded lens and the replacement of it with an artificial lens that is clear (Ratini, 2021).
Potential Complications
Bleeding, inflammation, drooping eyelids, infection, drooping, retinal detachment, displacement of artificial lens, and glaucoma owing to pressure fluctuations are some of the potential issues that may occur.
Additional Laboratory Tests
Additional tests may be performed for pre-operative purposes for conditions that the patient may already have, such as hypertension, diabetes, and bleeding problems. These can be ordered for the aim of preventing complications during the operation. Pre-operative laboratory tests that are considered to be routine, such as serum electrolytes, complete blood count, ECG, and urinalysis, should also be included.
Additional Patient Teaching
Provide the patient with information on how to quit consuming alcohol and, if he smokes, how to help him quit smoking. In order to protect their eyes from the sun’s rays, which might accelerate the development of cataracts, the patient should be encouraged to use sunglasses. Patients should be encouraged to bring a companion to the consultation, particularly on the day of the surgery scheduled for them. Help the patient prevent cataract hardening, which could lead to additional issues and difficulties during the operation (Ratini, 2021). Encourage the patient to obtain a consultation for scheduled surgery as soon as feasible.
Consult
It is possible that the patient may be required to seek the advice of an ophthalmologist in order to assist in the scheduling and execution of cataract surgery.
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