DEFINITION
Endophthalmitis is inflammation of the lining around the inner eye, the fluid in the eyeball (the vitreous humor) and the whites of the eyes (sclera).
CAUSE
The cause of infection is:
- Penetrating eye injuries.
- Surgery.
- Bacteria that reach the eye through the bloodstream.
SYMPTOMS
The symptoms are often severe, which are:
- eye pain.
- redness of the sclera.
- photophobia (sensitive to light).
- visual impairment.
DAGNOSIS
Diagnosis based on symptoms and the results of the eye examination.
TREATMENT
Endophthalmitis is an emergency. Treatment must be initiated immediately, delaying treatment can lead to blindness. Given antibiotics and corticosteroids. To remove fluid from the infected eye surgery may be necessary.
Nursing Diagnosis : Acute Pain: eye related to inflammation and inflammatory processes.
Related factors:
- An irritation of the nerve endings.
- The presence of the inflammatory process.
- Reported photophobia, pain.
- Changes in vital signs.
- Disruption of sleep patterns.
- Pain reported lost / controlled.
- Shows the posture relaxed and able to sleep / rest appropriately.
1 Assess the client's level of perceived pain.
Rationalization: as a basis in determining the subsequent intervention
2 Observation of vital signs.
Rationalization: Changes in vital signs is an indication of severe pain.
3 Give a warm wet compress.
Rationalization: Reduce pain, accelerate healing, and cleaning the eye.
4 Give irrigation.
Rationalization: to remove secretions, foreign bodies / dirt and chemicals from the eye.
5. Give medication as prescribed to control pain.
Rationalization: use of medication as prescribed to reduce pain.
Nursing Diagnosis : Disturbed Sensory Perception (specify: visual) related to the inflammatory process.
Related factors:
- Inflammation of the interior of the camera eye.
- Photophobia, impaired sensory acceptance.
- The reduced acuity, visual disturbances.
- Changes in response to stimuli normally.
- Outlook have increased.
- Demonstrate the ability to use the maximum of the existing views.
Intervention:
1 Determine sharpness, note whether one or both eyes are involved.
Rationalization: individual needs and choices of interventions varied causes of vision loss occurs slowly and progressively, if bilateral, each eye may progress at different rates, but, usually only one eye corrected per procedure.
2 Get a functional description of what can and can not be seen by the client.
Rationalization: Provide basic data on an accurate view of the client and how it affects treatment.
3 Orient the patient to the environment, the staff, everyone else in the area.
Rationalization: Provides improved comfort and familiarity to reduce anxiety.
4 Adapt the environment to the visual needs of clients. Assist the client in view of its functional use.
Rationalization: Improving client self-care that will reduce client dependency in nurses.
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