Acute angle-closure glaucoma on nursing care of patients.docVIP

 PAGE \* MERGEFORMAT 8 Acute angle-closure glaucoma on nursing care of patients [Keywords:] acute angle-closure glaucoma care Angle-closure glaucoma the anterior chamber angle is mainly due to mechanical obstruction around the iris causes aqueous outflow obstruction, resulting in a class of intraocular pressure of glaucoma. Acute angle-closure glaucoma is common in the elderly eye, the majority of patients with onset age ofgt; 50 years old, male to female ratio is 1:2, eyes disease. prevalent in the short axial length, corneal small, shallow anterior chamber, narrow angle patients. to hyperopia, reading fatigue, agitation, darkroom stay too long, local or systemic anticholinergic drugs as an incentive, the incidence in winter and more. are now in clinical January 2009 to 12 months admitted to the acute angle-closure glaucoma clinical nursing experience of 50 cases as follows. 1 Clinical data 1.1 General information is now in clinical January 2009 to 12 months admitted to the acute angle-closure glaucoma, 50 cases including 27 females, 23 males, aged 45 to 83 years, mean age was 64 years old. Duration of 6h ~ 3d, both monocular attack, have severe headache, eye pain, photophobia, tearing, vision severely impaired (immediate index of symptoms, hospital suffering from visual acuity to 0.4 for the present manual, the IOP 56.1 ~ 94.2mmHg. Results 1.2 Methods used miotic, β-adrenergic receptor blockers and carbonic anhydrase inhibitors or hyperosmotic agents to quickly lower the intraocular pressure to the timing for surgery in the trabeculectomy under local anesthesia trekking . 10 ~ 14 d hospitalized patients discharged, visual acuity of 0.3 to 0.8, intraocular pressure was normal. After 1 year follow-up stable condition. 2 Care 2.1 The psychological care of acute angle-closure glaucoma is considered to be the most important physical and mental eye disease. Psychosocial factors, life events, such as changes in the work environment, family problems,