TITLE:
Key Points of Clinical Nursing on Postoperative Recovery in Ultrasound Cycloplasty for Glaucoma Treatment
AUTHORS:
Jiuwei Wan, Wei Liang, Qiaozhen Lin, Bin Lin
KEYWORDS:
Ultrasound Cycloplasty, Glaucoma, Nursing, Intraocular Pressure, Pain
JOURNAL NAME:
Open Journal of Nursing,
Vol.14 No.12,
December
19,
2024
ABSTRACT: Background: Glaucoma is a leading cause of irreversible blindness worldwide, characterized by progressive optic nerve damage and visual field loss, often associated with elevated intraocular pressure (IOP). Traditional treatment options include medications and surgical interventions; however, many patients experience refractory glaucoma that does not respond adequately to standard therapies. Ultrasound cycloplasty has emerged as a promising alternative for managing refractory glaucoma by reducing IOP through targeted tissue ablation. Due to the limited relevant research on the perioperative nursing of UCP, this study explores the key nursing points during the perioperative period of ultrasound cycloplasty. Methods: A retrospective analysis was conducted on the clinical data of 53 glaucoma patients, including preoperative and postoperative intraocular pressure (IOP) changes, use of antiglaucoma medications, and ocular pain scores. Preoperative nursing includes medical history assessment, surgical explanation, and ocular examination. Postoperatively, IOP monitoring and medication guidance were provided. Results: Postoperative IOP was significantly reduced, the number of antiglaucoma medications used decreased, and ocular pain scores were notably lower. At three months postoperatively, 96.23% of patients exhibited a decrease in IOP. Ultrasound Cycloplasty effectively lowered IOP, alleviated ocular pain, and reduced the use of antiglaucoma medications in patients with various types of glaucoma. Conclusion: Ultrasound Cycloplasty is a safe and effective minimally invasive procedure for treating glaucoma. Proper clinical nursing plays a crucial role in the success of the surgery and the patient’s recovery, including preoperative communication and education, intraoperative monitoring and technical proficiency, as well as postoperative IOP monitoring and care. Long-term IOP monitoring and regular nursing assessments are recommended for patients undergoing this procedure to ensure the durability and safety of the treatment outcomes.