The client with glaucoma asks the nurse if complete vision will return. The most appropriate response is:
A. “Although some vision has been lost and cannot be restored, a further loss may be prevented by adhering to the treatment plan.”
B. “Your vision will return as soon as the medications begin to work.”
C. “Your vision will never return to normal.”
D. “Your vision loss is temporary and will return in about 3-4 weeks.”
Correct Answer: A. “Although some vision has been lost and cannot be restored, a further loss may be prevented by adhering to the treatment plan.”
Vision loss to glaucoma is irreparable. The client should be reassured that although some vision has been lost and cannot be restored, a further loss may be prevented by adhering to the treatment plan. Glaucoma management is tailored to the specific type and severity. However, there is no treatment at this time that can reverse any of the vision loss that has occurred, it can only help to prevent further damage and vision loss.
Option B: Angle-closure is an emergency and must be treated as such. This is because pressures can be high enough to cause glaucomatous optic nerve damage, ischemic nerve damage, or retinal vascular occlusion. Patients can take medication to reduce eye pressure as quickly as possible but usually require a laser procedure called laser peripheral iridotomy.
Option C: This does not provide reassurance to the client. Glaucoma is a chronic and serious disease that can result in permanent vision loss if not taken care of properly. To reduce the morbidity of the disorder, the condition is best managed by an interprofessional team that is dedicated to the management of patients with vision problems. The key to treatment is patient education.
Option D: Currently, glaucoma cannot be prevented or cured, but progression can be controlled to help prevent further vision loss either through medication, glaucoma laser treatment, or incisional glaucoma surgeries.
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