Nursing care of diabetic retinopathy patients with macular swelling and complications of high eye pressure: Case study

Abstract

     This study was case study aimed to study nursing care for diabetic retinopathy patients with macular swelling and complications of high eye pressure. Study from A 63-years-old Thai female patient came to the hospital on 4 August 2022 with important symptoms: blurry vision in left eye, saw black spots floating around for about 6 months, diabetes for 14 years, high blood pressure for 5 years, and body temperature of 36.8 °C, pulse of 91 beats/minute, breathing of 20 times/minute, blood pressure of 123/69 mmHg, blood sugar level (FBS) of 135 mg/dL

     Results:, diabetic retinopathy and macular swelling, diabetic retinopathy and macular swelling. The visual field is normal. The doctor diagnosed that the patient had a severe diabetic retinopathy with swollen macula and elevated eye pressure in both eyes (Severe NPDR c DME BE, LE >RE c OHT BE) and the patient was treated with Laser PRP BE, IVT avastin LE. Before the examination, the patient had high eye pressure. Have anxiety about the disease. During the examination period, patients are at risk for accidents and complications from laser treatment. After the examination, the patient was not well and had eye pain. Risk of bleeding in the retina Risk of infection in the eyeball. The nurse provided nursing care as planned. After the laser was applied, it was found that the patient's eye pressure was still high. The patient received anterior chamber tapping on the left side to reduce eye pressure before intravitreal injection. A treatment plan is established. The patient received an appointment for laser treatment and  intravitreal injections every 4-6 weeks. Patients received examinations according to every appointment and the follow-up examinations for retinal pathology and eye pressure until 6 March 2023. It was found that the retinal pathology had improved. There was no progression of diabetic retinopathy and the macula was reduced and swollen.