Martha George, a 77-year-old retired stenographer who has established diabetes, presents at the eye clinic for a routine checkup. Mrs. George states her eyesight is progressively worsening with time. She has a family history of glaucoma, with family history in both her mother and maternal grandmother. As her nurse, you assess Mrs. George for risk factors related to vision and visual problems. Objective assessment of Mrs. George’s vision follows, including visual fields and visual acuity. (Learning Objectives 5, 6, and 9)
a. What vision problem would the nurse expect to find in Mrs. George related to her age?
b. What two tests are used in the clinic area to test visual fields?
c. What disease process puts Mrs. George at risk for blindness, and why is she at risk for this disease process?
ANSWERS
a)Can be expect Mrs.George have glaucoma .Because she having the family history of
glaucoma.Diabeties is a risk factor and her job also a reason to develop the stress to the eyes.-
b)The tests are tonometry and gonioscopy.
Tonometry - It is intra occular pressure test.
Gonioscopy- This test use to find the types and sevearity of glucoma.
C)Diabetes, age and family history are main risk factors .Presenting diabeties and the high glucose levels may increase the intra occular pressure.
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