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An Evidence Base for Ophthalmic Nursing Practice

Janet Marsden (Editor)
ISBN: 978-0-470-05798-8
350 pages
May 2008
An Evidence Base for Ophthalmic Nursing Practice (047005798X) cover image


The first reference of its kind, An Evidence Base for Ophthalmic Nursing Practice alleviates the need for every ophthalmic practice area to develop diverse, often contradictory, guidelines. This book informs guidelines and protocols and provides up to date, evidence based information, covering: condition management (lice infestation, conjunctivitis, recurrent corneal erosion, removing foreign bodies, chalazion, pain management, acute glaucoma); techniques (padding, taking eye swabs, irrigation, administering eye drops, keratometry); and other topics, including papillary dilation, standards for driving, screening, topical anaesthesia and the eye, and prescribing.
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Table of Contents



Introduction: evidence and practice.

Section 1: Lids and lacrimal.

1 Basal cell carcinoma.

2 Blepharitis.

3 Cellulitis.

4 Chalazion (meibomian cysts).

5 Dry eye syndrome.

6 Ectropion.

7 Entropion.

8 Infestation of lashes: phthiriasis palbebrum.

9 Lid eversion.

10 Sac wash-out (irrigation of the lacrimal ducts).

11 Schirmer’s tear test.

12 The Tear fi lm break-up time.

Section 2: Conjunctiva.

13 Conjunctivitis.

14 Subconjunctival haemorrhage.

Section 3: Cornea.

15 Bacterial corneal ulcers.

16 Bandage contact lenses.

17 Contact lens care.

18 Corneal scrape.

19 Corneal topography.

20 Herpes simplex keratitis/dendritic ulcer.

21 Marginal ulcers and keratiti.

22 Recurrent corneal erosio.

Section 4: Angle and aqueous.

23 Acute glaucoma.

24 Angle assessment.

25 Tonometry.

Section 5: Lens.

26 Biometry (IOL calculation).

Section 6: Vitreoretinal.

27 Age-related macular degeneration.

28 Fluorescein angiography.

29 Indocyanine green angiography.

30 Intravitreal injection procedures in the treatment of AMD.

31 Photodynamic therapy.

Section 7: Neuro-ophthalmology.

32 Cranial nerve III palsy.

33 Cranial nerve IV palsy.

34 Cranial nerve VI palsy.

35 Assessing pupil reactions.

36 Electroretinogram and electro-oculogram.

37 Visual evoked potential.

Section 8: Pharmacology.

38 Administration of eyedrops and ointment.

39 Eyedrops that dilate the pupil (mydriatics and cycloplegics).

40 Eyedrops and health-care assistants.

41 Prescribing and supplying drugs.

42 Topical anaesthetics and the eye.

Section 9: Trauma.

43 Eye irrigation.

44 Padding/patching the eye.

45 Foreign body removal and treatment.

46 Hyphaema.

47 Ocular burns.

48 Sprayed chemicals and the eye.

49 Surface ocular trauma: treatment.

50 Triage in the ophthalmic setting.

Section 10: General topics.

51 Cannulation.

52 Differential diagnosis of the red eye.

53 Focimetry.

54 Heat treatment.

55 Infection control in ophthalmology.

56 Managing pain, nausea and vomiting.

57 Visual acuity testing (in adults).

Section 11: Legal aspects of care and policy.

58 Low vision registration.

59 Recommendations for low vision services.

60 Consent to treatment.

61 Vision and driving.

62 Standards for information for people with a visual disability.

63 New pathways for common eye conditions.

64 The Disability Discrimination Act.

65 Visual health and Government priorities.


1 Orthoptic abbreviations.

2 Glossary.

3 Useful addresses.

4 Useful references and documents.


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Author Information

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