Mai Nguyen, the mother of Nam Nguyen, has been experiencing blurred vision and decreased visual acuity.

Mai Nguyen, the mother of Nam Nguyen, has been experiencing blurred vision and decreased visual acuity.  A local ophthalmologist diagnosed bilateral cataracts.  The ophthalmologist has recommended cataract removal in the left eye with insertion of an intraocular lens.  He told Mrs. Nguyen to schedule the surgery ""at your convenience"" and explained that the surgery would be performed on an outpatient basis.  

What preoperative testing is Mrs. Nguyen likely to have?

Why must Mrs. Nguyen have surgical clearance from her PCP prior to the surgery?

What preoperative teaching would you do with Mrs. Nguyen?"

Thus, concerning the preoperative preparation of Mai Nguyen who is to be operated under cataract surgery with intraocular lens implantation, some of the following should be done: Here are the factors of consideration:

 Preoperative Examination of Patients Before Cataract Operation

 Mrs.  Nguyen will likely undergo the following tests:MRS. Nguyen will likely undergo the following tests:Nguyen will likely undergo the following tests:

 Comprehensive Eye Examination:

 Visual Acuity Test: To measure the degree of her near as well as distant vision.

 Slit-Lamp Examination: It is impossible to closely examine the cornea and the lens of the eye without making an anterior part of the eye slightly oedematous.

 Optical Coherence Tomography (OCT): Eye check up particularly the retina to diagnose diseases such as degeneration in the macula and the Retina-Macula.

 Biometry:

 For this purpose, we typically have the use of such facilities as for the measurement of the length of the eye and curvature of the cornea. This is important in a bid to determine potential power of the intraocular lens that is to be implanted.

 A-Scan Ultrasound: If needed this test is accurate in measuring the eye and assist in the calculation the intraocular lens than is required.

 Blood Tests:

 The common tests conducted in the laboratory include the Complete Blood Count (CBC) as well as the coagulation profile in case there is an aspirin use or the patient is suspected to be bleeding, or may be unwell.

 Surgical Clearance from PCP

 Mrs.  Nguyen needs surgical clearance from her Primary Care Provider (PCP) because:My dear wife and home maker. Nguyen needs surgical clearance from her Primary Care Provider (PCP) because:Nguyen needs surgical clearance from her Primary Care Provider (PCP) because:

 Medical Fitness: Thus the PCP assesses her general health for any risks to surgery and age is an issue together with any chronic diseases she presently has or has had in her past including hypertension, diabetes among others.

 Medication Review: The pcp does a medication assessment at this time for surgery optimization (for instance stopping the use of blood thinners if needed).

 Anesthesia Risks: The clearance also helps to bring out cardio and or respiratory complications that may affect the use of anesthesia.

 Chronic Condition Management: Conditions like diabetes, high blood pressure or osteoperosis are conditions that normally require control before the operation is done so that they do not complicate the operation.

 Teaching plans of Preoperative course for Mrs. Nguyen

 Pre-Surgery Instructions:

 Medication Adjustments: Instruction: Write down which medications should be continued or need to be discontinued before the surgery like for instance, blood thinning drug or an antidiabetic drug.

 Fasting Instructions: Ensure they have understood their requirements when fasting prior to the operation especially if there is to be sedation.

 What to Expect During Surgery:Anasazi HS And Some Information about Expectations During Surgery

 On this, let me state that cataract surgery is usually brief and takes approximately 15-30 minutes and is done under local anaesthesia together with intravenous sedation.

 Reassure her that although you will see to it that she is told in detail when the procedure is being carried out, she will not feel any pain.

 Postoperative Care:

 Eye Protection: In case of surgery, the woman will have to cover It with an eyepatch /shield immediately after the surgery.

 Activity Restrictions: She should avoid lifting things, bending or anything that will exert pressure on the eye for one week.

 Medication Instructions: It will be recommended that she is administered with antibiotic as well as anti-inflammatory eye drop; how and when to apply it.

 Follow-Up Appointments: Emphasize the need to come back for follow up to get to see effects of healing and also to monitor vision recovery.

 Signs of Complications: Teach her the fundamental understanding of the signs of worsening of the symptoms which may include pain, redness, vision change or discharge since they could be as a result of infection or rise in intraocular pressure.

 It is important to spruce up and meet all the medical needs of Mrs. Nguyen and most importantly make sure that she has adequate knowledge in medicine in order for her to understand the surgery and what she is to undergo next, the doctor has the responsibility of making the lady understand every aspect of the surgery and even the best way she should conduct herself after the surgery in order to gain the best results.