Maryville NURS 620 Adult 1 EXAM 1 Define dry eye. - ANSWER it is a relatively common syndrome in age 40 and older characterized by inadequate tear production.What does dry eye occur as a result of? - ANSWER mechanical obstruction, lacrimal gland malfunction, or mucin deficiency.Name four things a patient with dry eye might present with. - ANSWER a feeling of sand in the eyes especially when blinking. Eyes feel hot, irritated, gritty, and are red. They may c/o blurred vision, lack of tears, excessive tearing, and sensitivity to light. Worsens in smoky or dry environments.Name four potential differential diagnoses of dry eye. - ANSWER conjunctivitis, blepharitis, hormonal changes, or age-related changes. 1 / 3
What is epiphora? - ANSWER it is excessive tearing and is often in response to dry eye. It is an especially common complaint in elderly patients and patients with allergies.What causes epiphora? - ANSWER lacrimal malfunction, eye irritation, allergies, infection, trauma, pain, or structural abnormalities, as in ectropion.What might the patient complaints entail for epiphora? - ANSWER excess tears, eye strain with neck, shoulder, and back pain.What are some differential diagnoses for epiphora? - ANSWER allergens, dry eye syndrome, viral or bacterial conjunctivitis, blocked lacrimal duct, glaucoma.What is the most important thing for the clinician to know in the case of eye pain?
- ANSWER when to refer the patient to an ophthalmologist. 2 / 3
What is important to differentiate when dealing with eye pain? - ANSWER is the pain from the eye itself or from one of the surrounding structures.What is the most common cause of eye pain? - ANSWER trauma.Name some differential diagnoses for eye pain. - ANSWER referred pain, eyelid disorders, conjunctivitis, orbital cellulitis, glaucoma What can cause referred eye pain? - ANSWER trauma, headache, sinusitis, TMJ, herpes zoster ophthalmicus, postherpetic neuralgia, tumors, stroke, or trigeminal neuralgia.Name some eyelid disorders that can cause eye pain. - ANSWER hordeolum (stye), trauma, or blepharitis.
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