By Edited by Janet Marsden
The target of this booklet is to supply an explanation base for ophthalmic nursing perform. There are parts of perform the place little proof exists, in these components, the e-book goals to supply reasoned directions from an educated resource, hence negating the necessity for each ophthalmic perform quarter to boost different frequently contradictory guidance.
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Extra resources for An Evidence Base for Ophthalmic Nursing Practice (Wiley Series in Nursing)
Preseptal cellulitis and orbital cellulitis are major infections of the ocular adnexal and orbital tissues. 3 PRESEPTAL CELLULITIS This is an infection of the subcutaneous tissues anterior to the orbital septum. Rapid progression to orbital cellulitis can occur in some patients, especially children. Preseptal cellulitis can be a result of trauma to the skin or infected insect bites. Local infection, such as an infected chalazion or dacryocystitis, may spread to become preseptal cellulitis or a more remote infection such as a middle-ear infection may be transmitted via the blood supply to the lids.
4 RISKS Risks fall into two main areas: those of misdiagnosis and those of treatment options. Misdiagnosis includes missing those of other potential malignancy: sebaceous cell carcinoma, squamous cell carcinoma and basal cell carcinoma (BCC). Risks in treatments include those related to incision and curettage, including incision of the lid line, incomplete removal of contents, infection, swelling and bruising. SIGNS AND SYMPTOMS The upper eyelids contain approximately 25 meibomian glands in each lid and approximately 20 in each lower lid.
Chichester: Wiley. Paranjpe DR, Foulks GN (2003). Therapy for meibomian gland disease. Ophthal Clinics N Am 16:37–42. Shah P, Jacks AS, Khaw PT (1999). Eye Disease in Clinical Practice. Rickmansworth: Manticore Europe Ltd. Shaw ME (2002). Recognising and managing blepharitis. Int J Ophthal Nursing 6:22–5. indd 8 1/25/2008 1:32:04 PM Cellulitis 3 The orbital septum is a layer of fascia extending from the periosteum of the orbital rim to the levator aponeurosis in the upper lid, and then to the inferior border of the tarsal plate in the lower lid.