Is there any relation b/w glaucoma and no PERRLA?
- 0Apr 7, '09 by kookoI am a student nurse in the first clinical semester.
I am wondering if PERRLA is seen with a client with glaucoma. I saw another thread that says nurses need to ask if the client has glaucoma before pupil testing. Does it mean that the testing is stressful or harmful to a glaucoma client? PERRLA should be observed even with a client with glaucoma , or not?
This may be too basic question. But I just could not find any key from searching the Internet. I hope I can get some information. Thank you.
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- 0Apr 7, '09 by classicdame GuideGlaucoma interferes with the peripheral vision first, then works towards the center. The effect is on the retina, as the optic nerve is slowly dying.
Pupils may be greatly affected by glaucoma meds. They generally cause miosis, especially Pilocarpine. If only one eye is being treated there may be unequal pupil sizes. Glaucoma meds may also interfere with accommodation (when the lens zooms in and out for close/far vision). Meds will "freeze" the pupil so that the lens cannot accommodate to light or to distance.
Be sure to ask if they are putting ANYTHING in their eyes. Neosynephrine drops (found in some anti-histamine preparations) have similar affects to the pupil.
- 0Apr 7, '09 by twowQuote from kookoI guess you should consider the information in the previous post.PERRLA should be observed even with a client with glaucoma , or not?
All I know off hand is that I once had a pt with glaucoma whose pupils were equal and round, but not reactive to light. My CI was with me while I was doing the assessment. When I brought this to her attention, she asked the pt if she had glaucoma.