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To evaluate changes in ocular pressure to assist in diagnosis of disorders such as glaucoma.
There are no food, fluid, activity, or medication restrictions unless by medical direction.
- Normal IOP is between 10 and 20 mm Hg.
Critical Findings and Potential Interventions
Increased IOP in the presence of sudden pain, sudden change in vision, a partially dilated and nonreactive pupil, and firm globe implies acute angle-closure glaucoma, which is an ocular emergency requiring immediate attention to avoid permanent vision loss. This condition requires immediate examination by an ophthalmologist. Iridotomy is the most likely intervention.
Timely notification to the requesting health-care provider (HCP) of any critical findings and related symptoms is a role expectation of the professional nurse. A listing of these findings varies among facilities.
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Bladh, Mickey Lynn., and Anne M. Van Leeuwen. "Intraocular Pressure." Davis's Lab & Diagnostic Tests, 7th ed., F.A. Davis Company, 2017. Nursing Central, nursing.unboundmedicine.com/nursingcentral/view/Davis-Lab-and-Diagnostic-Tests/425252/all/Intraocular_Pressure.
Bladh ML, Van Leeuwen AM. Intraocular Pressure. Davis's Lab & Diagnostic Tests. 7th ed. F.A. Davis Company; 2017. https://nursing.unboundmedicine.com/nursingcentral/view/Davis-Lab-and-Diagnostic-Tests/425252/all/Intraocular_Pressure. Accessed October 24, 2019.
Bladh, M. L., & Van Leeuwen, A. M. (2017). Intraocular Pressure. In Davis's Lab & Diagnostic Tests. Available from https://nursing.unboundmedicine.com/nursingcentral/view/Davis-Lab-and-Diagnostic-Tests/425252/all/Intraocular_Pressure
Bladh ML, Van Leeuwen AM. Intraocular Pressure [Internet]. In: Davis's Lab & Diagnostic Tests. F.A. Davis Company; 2017. [cited 2019 October 24]. Available from: https://nursing.unboundmedicine.com/nursingcentral/view/Davis-Lab-and-Diagnostic-Tests/425252/all/Intraocular_Pressure.
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