Treatments for Autoimmune eye diseases
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Book Excerpts: Treatment of Autoimmune eye diseases
Treatments of Autoimmune eye diseases: Online Medical Books
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Red Eye:
Treatment
(In a Page: Signs and Symptoms)
-
Ophthalmologic referral for HSV/herpes zoster keratitis or conjunctivitis, acute angle-closure glaucoma, scleritis, corneal ulcer, iritis, penetrating foreign bodies
-
Avoid treating patients with steroid eyedrops without ophthalmologic consultation
- Conjunctivitis
–Allergic: Avoid offending agents, cold compresses to eyes, NSAIDs, ocular decongestants, antihistamines
–Viral: Self-limited, good hygiene to avoid spread
–Bacterial: Antibiotic eye drops; avoid neomycin,
because allergic reactions are common
-
Subconjunctival hemorrhage: Reassurance, cool compresses, clears spontaneously in 1–2 weeks
-
Chemical eye injury: Immediate copious irrigation with normal saline for at least 30 minutes
-
Preventative measures include proper hygiene and daily cleaning of contact lenses, proper hand-washing techniques before all contact with eyes, eye protection in occupations entailing possible ocular injury
» READ BOOK EXCERPT ONLINE »
Source: In a Page: Signs and Symptoms, 2004
Scleral Injection (Red Eye):
Treatment
(In A Page: Pediatric Signs and Symptoms)
-
Intense topical antibiotics for corneal ulcers
-
Topical antibiotics for bacterial conjunctivitis (sulfa, fluoroquinolones; avoid gentamicin)
-
Consider systemic ceftriaxone if suspect Gonococcus
-
Tears, cool compresses, topical and oral antihistamines for allergic conjunctivitis
-
Frequent handwashing for viral conjunctivitis
-
Oral doxycycline and treatment of partners for chlamydia
-
NSAIDs for epi/scleritis
-
Oral doxycycline, topical Metrogel, warm compresses for rosacea, chalazia, and blepharitis
-
Massage of inner canthus, hot compresses, oral and topical antibiotics for canaliculitis and dacrocystitis
-
Check intraocular pressure if suspect angle closure glaucoma (pressure typically over 40 mmHg)
-
Frequent lubrication for dry eye
» READ BOOK EXCERPT ONLINE »
Source: In A Page: Pediatric Signs and Symptoms, 2007
Eye pain:
Emergency interventions
(Handbook of Signs & Symptoms (Third Edition))
If the patient's eye pain results from a chemical burn, remove contact lenses, if present, and irrigate the eye with at least 1 L of normal saline solution over 10 minutes. Evert the lids and wipe the fornices with a cotton-tipped applicator to remove any particles or chemicals. Eye pain from acute angle-closure glaucoma is an ocular emergency requiring immediate intervention to reduce intraocular pressure (IOP). If drug treatment doesn't reduce IOP, the patient will need laser iridotomy or surgical peripheral iridectomy to save his vision.
» READ BOOK EXCERPT ONLINE »
Source: Handbook of Signs & Symptoms (Third Edition), 2006
Eye pain [Ophthalmalgia]:
Emergency interventions
(Professional Guide to Signs & Symptoms (Fifth Edition))
If the patient’s eye pain results from a chemical burn, remove contact lenses (if present) and irrigate the eye with at least 1 L of normal saline solution over 10 minutes. Evert the lids and wipe the fornices with a cotton-tipped applicator to remove any particles or chemicals. Eye pain from acute angle-closure glaucoma is an ocular emergency requiring immediate intervention to decrease intraocular pressure (IOP). If drug treatment doesn’t reduce IOP, the patient will need laser iridotomy or surgical peripheral iridectomy to save his vision.
» READ BOOK EXCERPT ONLINE »
Source: Professional Guide to Signs & Symptoms (Fifth Edition), 2006
Chronic fatigue and immune dysfunction syndrome:
Treatment
(Handbook of Diseases)
Treatment is aimed at the cause, if one can be found. Supportive therapy includes an anti-inflammatory, an antihistamine, and rest.
Treatment of symptoms may include a tricyclic antidepressant (doxepin), a histamine2-blocker (cimetidine), and an anxiolytic (alprazolam). In some patients, avoidance of environmental irritants and certain foods may help to relieve symptoms.
Experimental treatments include the antiviral acyclovir and selected immunomodulators, such as I.V. gamma globulin, ampligen, and transfer factor.
» READ BOOK EXCERPT ONLINE »
Source: Handbook of Diseases, 2003
Eye pain:
Nursing considerations
(Alarming Signs and Symptoms: Lippincott Manual of Nursing Practice Series)
To help ease eye pain, have the patient lie down in a darkened, quiet environment and close his eyes. Prepare him for diagnostic studies, including tonometry and orbital X-rays. Prepare to irrigate the eye, as ordered.
Patient teaching
Tell the patient that it’s important to seek medical help for eye pain and stress the importance of meticulous compliance with drug therapy to prevent an increase in IOP.
» READ BOOK EXCERPT ONLINE »
Source: Alarming Signs and Symptoms: Lippincott Manual of Nursing Practice Series, 2007
Eye pain:
Emergency Actions
(Signs & Symptoms: A 2-in-1 Reference for Nurses)
If the patient’s eye pain results from a chemical burn, remove contact lenses, if present, and irrigate the eye with at least 1 L of normal saline solution over 10 minutes. Evert the lids and wipe the fornices with a cotton-tipped applicator to remove any particles or chemicals. Eye pain from acute angle-closure glaucoma is an ocular emergency requiring immediate intervention to decrease intraocular pressure (IOP). If drug treatment doesn’t reduce IOP, the patient needs laser iridotomy or surgical peripheral iridectomy to save vision.
» READ BOOK EXCERPT ONLINE »
Source: Signs & Symptoms: A 2-in-1 Reference for Nurses, 2007
Eye pain [Ophthalmalgia]:
Nursing considerations
(Nursing: Interpreting Signs and Symptoms)
▪ To help ease eye pain, have the patient lie down in a darkened, quiet environment and close his eyes.
▪ Prepare the patient for diagnostic studies, including tonometry and orbital X-rays.
Patient teaching
▪ Stress the importance of following instructions for drug therapy.
▪ Teach the patient about ways to protect the eyes.
▪ Tell that the patient that he should seek medical attention for any eye pain.
▪ Explain the underlying cause of the patient's eye pain and its treatment.
» READ BOOK EXCERPT ONLINE »
Source: Nursing: Interpreting Signs and Symptoms, 2007
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