1. The client/caregiver can define corneal ulcer
    1. The cornea is the curved, transparent covering on the front of the eye.
    2. The cornea can become damaged by injury (trauma), or an infection can cause a sore on the outer layer of cornea.
  2. The client/caregiver can list causes or risk factors for corneal ulcers or infection.
    1. Ulcers can be caused by infections (bacteria, viruses, fungi, or amoebae).
    2. Other causes for the creation of sores or abrasions on the cornea can be
      • From foreign bodies such as sand or dust
      • Severely dry eyes
      • Severe allergies
      • Overuse of contact lens
      • Inflammatory disorders
  3. The client/caregiver can list symptoms of corneal abrasions or infections.
    1. Eye pain
    2. Impaired vision
    3. Eye redness
    4. White patch on the cornea
    5. Abnormal sensitivity to light
    6. Watery eyes
    7. Eye burning, itching, and discharge
  4. The client/caregiver can list measures to manage or treat corneal injuries.
    1. Physician may use antibiotic, antiviral, or antifungal eye drops to treat any identified infection.
    2. Corticosteroid eye drops may be used to reduce inflammation.
    3. Wash hands carefully.
    4. Use proper technique when handling contact lens.
    5. Avoid wearing contact lens during sleep.
  5. The client/caregiver can list measures to prevent injury/infection to eyes.
    1. Wear safety goggles.
      • When using hand or power tools
      • When using chemicals
      • When involved in high impact sports
    2. Wear sunglasses designed to screen ultraviolet light.
    3. Use good technique when handling contact lens.
    4. Avoid wearing contact lens during sleep.
    5. Use good hand-washing techniques.
  6. The client/caregiver can list possible complications.
    1. Corneal scarring
    2. Severe vision loss
    3. Need for corneal transplant
    4. Loss of the eye

Resources

Emergency care facility
Ophthalmologist
National Eye Institute (National Institutes of Health)
www.nei.nih.gov

References

Ackley, B. J., & Ladwig, G. B. (2006). Nursing diagnosis handbook: A guide to planning care. Philadelphia: Mosby Inc.Cohen, B. J., & Wood, D. L. (2000). Memmler’s the Human Body in Health and Disease (9th ed.). Philadelphia: Lippincott Williams & Wilkins.Nutrition made incredibly easy. (2003). Springhouse: Lippincott, Williams & Wilkins. Portable RN: The all-in-one nursing reference. (2002). Springhouse: Lippincott, Williams & Wilkins.Taylor, C., Lillis, D., & LeMone, P. (2005). Fundamentals of nursing. Philadelphia: Lippincott Williams & Wilkins. Timby, B. K., & Smith, N. C. (2003). Introductory medical-surgical nursing (8th ed.). Philadelphia: J. B. Lippincott Williams & Wilkins.

Credits

Client Teaching Guides for Home Health Care, 2nd ed.© 2008 Jones and Bartlett Publishers, Inc.www.jbpub.com

Get Professional Care from the Hands of Clinicians

With the expertise and experience our professionals have, trust that we can address each of your concerns in the best way possible.

Set an Appointment