The RN received a call from a patient who was previously instructed in the use of the Amsler grid. The patient reports the lines appear distorted or crooked when the grid lines were clean and clear two days ago. Which interpretation of the changes and direction to the patient by the RN is appropriate?
A. Beginning signs of cataract lens cloudiness are evident and the patient needs evaluation for surgical treatment.
B. Macular degeneration is deteriorating and the patient needs to be seen promptly for evaluation.
C. Sudden retinal detachment has occurred and the patient needs to have a dilated fundus examination with surgical management.
D. Clinical signs of corneal dystrophy have developed and evaluation for treatment with hypertonic drops to reduce edema is required
Answer: Macular degeneration is deteriorating and the patient needs to be seen promptly for evaluation.
( In the case of using the Amsler grid, the patient feels the lines are distorted because of the macular degeneration. This is the loss of the vision due to various environmental factors or genetic. It should be addressed as soon as possible.)
The RN received a call from a patient who was previously instructed in the use of...