assessment Objective: BP 134/72, P 86, R 18 >pupils are round and equal, and react briskly to light and accommodation.

>conjunctivae are pink; sclera and corneas, clear. >Ophthalmic examination shows visual acuity of 20/150 OD (right eye) and 20/50 OS (left eye) with corrective lenses. Her intraocular pressures are 21 mmHg OD and 17 mmHg O

diagnosis Disturbed sensory perception: Visual, related to myopia and lens extraction Anxiety, related to anticipated surgery Deficient knowledge: lack of information regarding postoperative care Impaired home maintenance, related to activity restrictions and impaired vision

planning Regain sufficient visual acuity to maintain ADLs,including reading and watching television for enjoyment. Demonstrate a reduced level of anxiety. Demonstrate the procedure for instilling eye drops postoperatively.

intervention Instruct her to avoid shutting the eyelids tightly, sneezing, coughing, laughing, bending over, lifting, or straining to have a bowel movement.Teach her to wear glasses during the day and an eye shield at night. Observation signs of disorientation. Put the items required / position call bell within reach. Note about dim or blurred vision and eye irritation, which can occur when using eye drops.

rationale to prevent injury to the surgical site.

to check the mental status of the client. for the easy access and to limit the movement of the eye. to check if there is any complications with the operation.

evaluation the patient was able to gain sufficient visual acuity to maintain ADLs, including reading and watching television for enjoyment. the patient was able to demonstrate reduced level of anxiety. the patient was able to demonstrate the procedure for instilling eye drops postoperatively.