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Intravitreal injections (injections into the eye) are a new form of treatment for various conditions such as age-related macular degeneration, diabetic eye disease and vascular eye problems. The use of these injections has become so widespread that most departments around the world (and particularly in the U.K) do not have enough doctors to meet the service provision demands of an ever increasing number of patients. Many departments have trialed training ophthalmic nurse practitioners as a solution and the number of such specifically trained nurses is set to rise exponentially in the future. This book is meant to be an easy to carry A5 handbook detailing all that an ophthalmic nurse practitioner needs to know about performing the procedure. It is hoped that the book will also be of benefit to trainee ophthalmologists learning the procedure.As this is an emerging area of expertise in ophthalmology, currently there exists no other books on the topic. The readers will benefit from having a single resource detailing all that they need to know about the procedure. This means that nurses will not have to cross reference multiple complicated ophthalmic textbooks. As an A5 handbook, it will be easy to carry and reference in clinics. It is deliberately meant to be concise (around 100 pages), thus concentrating only on the core knowledge required.
Intravitreal Injections are now standard treatment for various ocular conditions such as age-related macular degeneration, diabetic retinopathy and retinal vein occlusions. Ophthalmic nurse practitioners and allied health professionals are increasingly becoming invaluable team members for delivering these injections, particularly as the clinical demand increases.This full-colour handbook details all that a practitioner needs to know about safely performing the procedure. It will also be a useful reference for junior ophthalmic trainees.Benefits:
Fundamentals of Ophthalmic Practice is written for new trainees and advanced practitioners in ophthalmology, to help provide a foundation of knowledge to build on. The aim of this book is to shorten the learning curve for people new to ophthalmology for skills and interpretation of key investigations used on a daily basis in ophthalmology clinics. The book covers contemporary technology and procedures in ophthalmology in a succinct manner, with emphasis on providing practical information needed for people new to the specialty. The handbook collates information from the authors' personal experience, technical manuals for devices and curriculum information in a single concise source to act as a single point of reference for starting out in ophthalmology.This book covers key topics based around the ophthalmology curriculum for U.K trainees/residents; however, its advice is applicable internationally to ophthalmology trainees who will all require the core skills and knowledge detailed in this text. Many of the investigations and skills covered in this book are ones which are detailed as part of sub-specialty textbooks, or large ophthalmology handbooks that include chapters on eye conditions. In this text , the authors have provided up to date information about currently used ophthalmic technology in a concise format that emphasises foundation skills needed for those new to ophthalmology.
Glaucoma is one of the leading causes of blindness worldwide. Robust screening alongside early diagnosis and prompt management is essential for preserving vision. Advanced ophthalmic nurse practitioners, optometrists and orthoptists are increasingly becoming part of a multi-disciplinary team approach that is designed to provide the best outcomes for our patients.This full-colour book has been written by experienced ophthalmologists and optometrists, and details all that a practitioner needs to know about the condition. It will also serve as a useful reference for junior ophthalmic trainees and medical students.
Written by an international team of ophthalmic practitioners, this authoritative book is a vital resource not only for ophthalmic professionals, but for any healthcare professional who cares for patients with eye problems. In the ten years since the first edition was published, practice has moved on, as has the evidence for practice. This second edition draws on the passion and goodwill of the original team of authors, complemented by other colleagues, to fully revise and update the text in line with new findings, new practice and new and exciting treatments. The book is broadly divided into three sections. The first section considers the structure and function of the eye, as well as the basic principles of ophthalmology and eye examination. The second section considers patient care in diverse settings, as well as work-related issues and patient education. It also includes two entirely new chapters on eye banking and global eye health. The third section takes a systematic approach to patient care, working from the front to the back of the eye, discussing some of the common disorders affecting each structure (such as the lens or cornea) or group of structures (such as the eyelids or lacrimal drainage system). The book concludes with a very useful glossary of ophthalmic terms. Some aspects of practice discussed in the text are, of necessity, UK based, but these are clearly indicated and, wherever possible, principles (rather than specifics) are addressed and readers are directed to local policies and interpretations. The first edition of this book became a core text for ophthalmic nursing, in particular, and for the education of ophthalmic nurses across the world. This new edition will provide a comprehensive, up-to-date, evidence-based resource for all ophthalmic healthcare professionals. Contents include: • Physiology of vision • Optics • Pharmacology • Examination of the eye • Visual impairment • Patient education • Work and the eye • Care of the adult ophthalmic patient in an inpatient setting • The care of the child undergoing ophthalmic treatment • Developments in day care surgery for ophthalmic patients • Ophthalmic theatre nursing • The care of patients presenting with acute problems • Eye banking • Global eye health • The eyelids and lacrimal drainage system • The conjunctiva • The cornea • The sclera • The lens • The uveal tract • The angle and aqueous • The retina and vitreous • The orbit and extraocular muscles • Visual and pupillary pathways and neuro-ophthalmology • The eye and systemic disease
Intravitreal injections have become a common treatment method for the management of retinal diseases. The procedure is simple, performed with local anaesthetic. This book is a comprehensive guide to intravitreal injections for practising ophthalmologists. Divided into twelve chapters, it examines methods of injection and appropriate drugs for different ocular disorders. Each technique is described in detail, with discussion on complications and recommendations included. This practical guide features more than 90 images and also includes a chapter on counselling and consent forms. Key points Practical guide to intravitreal injections for ophthalmologists Covers variety of different techniques and drugs Features more than 90 images Includes chapter on counselling and consent forms
This book explains how to use intravitreal steroids optimally in the management of patients with intraocular inflammation (uveitis) and macular edema. The rationale for this treatment approach is first explained by examining the pathophysiology of these disease entities, with particular attention to the major role of inflammatory processes. Devices for the delivery of steroids to the eye are discussed, and guidance provided on the role of imaging studies before, during, and after steroid therapy. The value of different steroidal approaches is then considered in detail. Other topics addressed include the use of steroids as a surgical adjunct and within a combination strategy. Uveitis and macular edema are common sight-threatening diseases or complications of diabetes and retinal vein occlusion for which no adequate treatment was available until recently. Both trainees and practitioners will find Intravitreal Steroids to be an invaluable aid in combating these blinding diseases.
Handbook of Basic and Clinical Ocular Pharmacology and Therapeutics provides a review of the basic anatomy, physiology, biochemistry and pathology of the eye with a focus drug therapy, drug delivery and use of therapeutic medical miniature devices. An understanding of the pharmacological actions of drugs acting on the eye requires the student and health care practitioner to learn additional principles in basic and clinical sciences that are unique to this organ. As a sensory organ, the eye is relatively inaccessible to the systemic circulation due to the blood-vitreous, blood-aqueous and blood-retinal barriers. Consequently, the administration of drugs for therapeutic effects in the eye necessitates an understanding of physico-chemical properties of the molecules and pharmacokinetic principles involved in the access to its site of action via topical, intracameral and intravitreal administration. This book includes information on the general principles of pharmacokinetics and pharmacodynamics of drugs as it pertains to the eye and in combating ocular disorders and diseases. Using a disease-themed approach, the book discusses basic and clinical pharmacological principles involved in the therapy of these diseases including the ocular side effect of systemically-administered drugs, drugs used in ophthalmic surgery and miscellaneous agents, the therapeutic utility of biologics, drug conjugates, combination products, gene and cellular therapy are also covered. Handbook of Basic and Clinical Ocular Pharmacology and Therapeutics is useful as a primary and secondary source of reference for up-to-date information about the pharmacological mechanisms of action, pharmacokinetics, side effects, drug-drug interactions and therapeutic indications of drugs for pharmacologists, pharmaceutical scientists, students in the health care disciplines (nursing, pharmacy, optometry, medical), and practitioners in optometry and ophthalmology. Explains the mechanisms of action, side-effects and therapeutic uses of drugs, biologics, miniature devices, gene and cellular therapies for the eye Provides a comprehensive review of the anatomy, physiology, biochemistry, pharmacology, microbiology, genetics and pathology of parts of the eye involved in drug therapy to combat eye disorders and diseases Explores the pharmacological and clinical basis of drugs, drug conjugates, combination products used in the treatment of anterior and posterior segment diseases
Template, Example from the year 2014 in the subject Medicine - Other, - (CPMC), language: English, abstract: Endophthalmitis is a devastating complication of ocular surgery and trauma, which may lead to total loss of vision and sometimes even the eyeball. Management of endophthalmitis presents one of the most challenging problems in ophthalmology. Two third of all cases of endophthalmitis occur after surgery. 90% are caused by bacteria and the remaining 10% by fungi, viruses and parasites. Incidence reported in literature is 0.1% to 0.4%. Though no study is available, incidence in our setup seems to be even higher. Traditionally endophthalmitis had been treated with topical and systemic antibiotics given both orally as well as parenterally but with poor therapeutic response. Another mode of treatment that has now become the standard treatment for endophthalmitis in developed countries is intravitreal injection of antimicrobials. Studies have proven this to be an effective, probably the only effective treatment available so far. In Pakistan this way treatment has not yet been widely practiced. The authors have carried out a study on 56 eyes diagnosed as cases of endophthalmitis. The patients were treated with intravitreal injections. Results were encouraging. Anatomical integrity was preserved in 90% of cases and 60% had a visual acuity of 6/60 or better. A gold medal winning paper was presented by one of the authors in Ophthalmo 96 based on the above study. Great enthusiasm was shown about the technique. The Chairman of the conference advised to publish the technique. The aim of this booklet is to present in a simple way the management of endophthalmitis using the technique of intravitreal injections. Secondly we want to decrease the undue hesitancy and fear about the use of intravitreal injections. By the end of the booklet the reader will feel confident to practice the procedure on his own whenever and wherever needed.
Written by an author who has worked at the frontline of ophthalmic nursing care for over 25 years, this is a comprehensive and highly practical guide to the treatment and care of a wide variety of eye conditions, ranging from minor eye irritations to chronic diseases and conditions requiring major surgery. John Cooper draws on many years of experience in theatre, daycase and outpatients as an advanced nurse practitioner and oculoplastic nurse practitioner (and, previously, as a nurse practitioner) to summarise the most important points about every condition the ophthalmic and oculoplastic practitioner is likely to encounter. The book also covers all the latest developments in oculoplastic surgery, oculoprosthetics and the care of the patient with oculoplastic-related issues. Contents include: • Advanced and specialised roles within ophthalmic and oculoplastic nursing in the UK • Entropion and ectropion • Assessment and management of upper eyelid blepharoptosis • Floppy eyelid syndrome • The eyelashes and trichiasis • Blepharitis, meibomian gland disease and dry eyes • The lacrimal system and dacryocystorhinostomy • Thyroid eye disease • Enucleation and evisceration • Exenteration and socket wound management • Emergency oculoplastic care • Facial palsy and related care • The orbit and related disorders • Oculoplastic surgical competencies