Wk 3 Cataracts

Question 1

Cataract surgery is the most common surgical procedure for patients who are…

Answer 1

over 65 years old

Question 2

What does cataract vision look like?

Answer 2

Very fuzzy

Question 3

What anatomical structure is affected by cataracts?

Answer 3

Lens

Question 4

Where is the lens in the eye?

Answer 4

Sits behind the pupil

Question 5

What does accommodation mean?

Answer 5

Pupils constrict when shifting from far away focus to close up focus

Question 6

What two structures help the eye to accommodate?

Answer 6

Lens along with the cornea

Question 7

The lens __ __ in order to help focus an image

Answer 7

changes shape

Question 8

What can happen to the lens with age?

Answer 8

Can become cloudy or stiff

Question 9

What decreases as the lens becomes cloudy and stiff?

Answer 9

Visual acuity and accommodation

Question 10

What causes glare with cataracts?

Answer 10

Light scatter caused by opacities

Question 11

What is the initial treatment for cataracts?

Answer 11

Palliative measures:

Adjust glasses precription

Increase light for reading

Limit night driving

Question 12

When palliative options for cataracts no longer work, what is the next step?

Answer 12

Surgery

Question 13

What are two indications for cataract surgery?

Answer 13

Palliative measures no longer work

Increasing IOP

Question 14

Increased IOP can lead to __ and __

Answer 14

Blindness and glaucoma

Question 15

Why is cataract surgery indicated in diabetic patients?

Answer 15

Opacities can prevent IOP monitoring

Question 16

What type of eye drops DILATE the pupil?

Answer 16

Mydriatic drops

Question 17

What type of eye drops CONSTRICT the pupil?

Answer 17

Miotic drops

Question 18

When giving myriatic drops, you want to avoid systemic effects by __ __

Answer 18

punctal occlusion

Question 19

If mydriatic drops become systemic, they can have __ effects

Answer 19

cardiovascular

Question 20

It helps the patient to decrease the lights in the room after administering mydriatic eye drops because __ is common.

Answer 20

photophobia

Question 21

What types of drops are given during cataract surgery?

Answer 21

Mydriatic drops

Cycloplegic drops

NSAID drops

Question 22

What type of drops cause paralysis of accommodation?

Answer 22

Cycloplegic drops

Question 23

What do cycloplegic drops do?

Answer 23

Cause paralysis of accommodation

Question 24

What is a contraindication for mydriatic eye drops?

Answer 24

Closed-angle glaucoma

Question 25

What does dilating the pupil do in a patient with closed-angle glaucoma?

Answer 25

Increases IOP

Question 26

Cataract surgery is an __ procedure

Answer 26

outpatient

Question 27

How long should a patient be NPO prior to cataract surgery?

Answer 27

6-8 hours

Question 28

What two types of medications are given to a post-op cataract surgery patient?

Answer 28

Topical antibiotics corticosteroids

Question 29

When is the eye patch removed post cataract surgery?

Answer 29

Typically removed at the initial post-op visit

Question 30

Most patients come back to see their doctor with in __ hours post cataract surgery

Answer 30

24 hours

Question 31

What two post op instructions may be given to a patient after cataract surgery

Answer 31

Activity restrictions - don't want to increase IOP Nighttime eye patch

Question 32

What are examples of activities that increase IOP?

Answer 32

Bending Stooping Lifting Coughing

Question 33

Visual acuity post cataract surgery may not be...

Answer 33

instantly improved, may take time

Question 34

Eye drops post cataract surgery should be slowly...

Answer 34

decreased as the eye heals

Question 35

What four things will be monitored post cataract surgery?

Answer 35

IOP Visual acuity Anterior chamber depth Corneal clarity