Evidence Base for Ophthalmic Nursing Practice

Janet Marsden is former Chair of the Royal College of Nursing's Ophthalmic Nursing Forum, and a Postgraduate Programme Leader at Manchester Metropolitan University.

• Preface ixContributors xIntroduction: evidence and practice xiSection 1Lids and lacrimal1 Basal cell carcinoma 32 Blepharitis 73 Cellulitis 94 Chalazion (meibomian cysts) 135 Dry eye syndrome 176 Ectropion 257 Entropion 298 Infestation of lashes: phthiriasis palbebrum 339 Lid eversion 3510 Sac wash-out (irrigation of the lacrimal ducts) 3911 Schirmer’s tear test 4312 The Tear fi lm break-up time 47Section 2Conjunctiva13 Conjunctivitis 5114 Subconjunctival haemorrhage 55Section 3Cornea15 Bacterial corneal ulcers 5916 Bandage contact lenses 6317 Contact lens care 6518 Corneal scrape 7319 Corneal topography 7520 Herpes simplex keratitis/dendritic ulcers 7921 Marginal ulcers and keratitis 8322 Recurrent corneal erosion 85Section 4Angle and aqueous23 Acute glaucoma 9324 Angle assessment 9725 Tonometry 103Section 5Lens26 Biometry (IOL calculation) 109Section 6Vitreoretinal27 Age-related macular degeneration 11728 Fluorescein angiography 12129 Indocyanine green angiography 12530 Intravitreal injection procedures in the treatment of AMD 12731 Photodynamic therapy 133Section 7Neuro-ophthalmology32 Cranial nerve III palsy 13733 Cranial nerve IV palsy 14134 Cranial nerve VI palsy 14335 Assessing pupil reactions 14736 Electroretinogram and electro-oculogram 15137 Visual evoked potential 155Section 8Pharmacology38 Administration of eyedrops and ointment 16139 Eyedrops that dilate the pupil (mydriatics and cycloplegics) 16540 Eyedrops and health-care assistants 16941 Prescribing and supplying drugs 17142 Topical anaesthetics and the eye 177Section 9Trauma43 Eye irrigation 18344 Padding/patching the eye 18745 Foreign body removal and treatment 19146 Hyphaema 19747 Ocular burns 20148 Sprayed chemicals and the eye 20749 Surface ocular trauma: treatment 21150 Triage in the ophthalmic setting 217Section 10General topics51 Cannulation 22352 Differential diagnosis of the red eye 22753 Focimetry 22954 Heat treatment 23355 Infection control in ophthalmology 23556 Managing pain, nausea and vomiting 24357 Visual acuity testing (in adults) 245Section 11Legal aspects of care and policy58 Low vision registration 25359 Recommendations for low vision services 25760 Consent to treatment 26561 Vision and driving 27762 Standards for information for people with a visual disability 28363 New pathways for common eye conditions 28764 The Disability Discrimination Act 29365 Visual health and Government priorities 297Appendices 2991 Orthoptic abbreviations 3012 Glossary 3053 Useful addresses 3134 Useful references and documents 319Index 321