By Edited by Janet Marsden
The target of this publication is to supply a proof base for ophthalmic nursing perform. There are components of perform the place little proof exists, in these parts, the ebook goals to supply reasoned directions from an educated resource, therefore negating the necessity for each ophthalmic perform quarter to strengthen varied frequently contradictory directions.
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Additional info for An Evidence Base for Ophthalmic Nursing Practice (Wiley Series in Nursing)
Bone Marrow Transplant 25:1101–3. Shaw M (2002). Recognising and managing blepharitis. Ophthal Nursing 6(2):22–5. Stern ME, Beuerman RW, Fox RI et al. (1998). The pathology of dry eye; the interaction between the ocular surface and lacrimal gland. Cornea 17:584–9. Torbit JK, Sutton BM (1996). Clinical practice guidelines: Ocular surface disease. Clinical Eye Care Vision Care 8:197–201. Turner K, Pflugfelder SC, Ji Z (2000). Interleukin-6 levels in the conjunctival epithelium of patients with dry eye disease treated with cyclosporine ophthalmic emulsion.
Autologous serum tears have been used in severe dry eye to good effect (Rocha et al. 2000); these bypass the problems associated with preservatives in long-term drop use. In general the following is a quick guide to current evidencebased treatments, but finding a regimen that suits the individual is usually by trial and error: 5 • Mild cases of dry eye, in which there are no signs of significant damage to the cornea or conjunctiva, can usually be managed with artificial tears. • Moderate cases need artificial tears and possibly lubricating ointments at night.
1988) demonstrated that steroid injection worked as well as surgery in some chalazia, but surgery was more effective for large lesions. 4 mm. They found that smaller, harder lesions may be treated by either modality. LIKELY PROGNOSIS Prognosis is excellent. Occasionally cysts may recur; if they recur at the same site consider sebaceous cell carcinoma. Histological samples are recommended. FOLLOW-UP CARE None necessary. Advice should be given on seeking help if cysts persist or return. 4 PATIENT EDUCATION Avoid the use of eye make-up during episodes of chalazion.