Page 1936 - Saunders Comprehensive Review For NCLEX-RN

a. Draining fluid from the subretinal space
so that the retina can return to the
normal position
b. Sealing retinal breaks by cryosurgery, a
cold probe applied to the sclera, to
stimulate an inflammatory response
leading to adhesions
c. Diathermy, the use of an electrode
needle and heat through the sclera, to
stimulate an inflammatory response
d. Laser therapy, to stimulate an
inflammatory response and seal small
retinal tears before the detachment
occurs
e. Scleral buckling, to hold the choroid
and retina together with a splint until
scar tissue forms, closing the tear (Fig.
56-2)
f. Insertion of gas or silicone oil to
promote reattachment; these agents
float against the retina to hold it in
place until healing occurs.
5. Postoperative interventions
a. Maintain eye patches as prescribed.
b. Monitor for hemorrhage.
c. Prevent nausea and vomiting and
monitor for restlessness, which can
cause hemorrhage.
d. Monitor for sudden, sharp eye pain
(notify the PHCP).
e. Encourage deep breathing but avoid
coughing.
f. Provide bed rest as prescribed.
g. Position the client as prescribed
(positioning depends on the location of
the detachment).
h. Administer eye medications as
prescribed.
i. Assist the client with activities of daily
living.
j. Avoid sudden head movements or
anything that increases IOP.
k. Instruct the client to limit reading for 3
to 5 weeks.
l. Instruct the client to avoid squinting,
straining and constipation, lifting
heavy objects, and bending from the
waist.

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