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April 2009, Volume 39 Number 4 , p 72 - 72


  • Elizabeth Bulgarelli RN, CRNO


Bulgarelli, Elizabeth RN, CRNO

Issue: Volume 39(4), April 2009, p 72 Publication Type: [Department: …&more: Action STAT] Publisher: © 2009 Lippincott Williams & Wilkins, Inc. Institution(s): Staff Nurse Department of Ophthalmology University of Iowa Hospitals and Clinics • Iowa City, Iowa Figure. No caption available.

YOU'RE WORKING telephone triage in a large ophthalmology clinic when you receive a call from Kate Green, 51, who reports seeing “lightning bolts” and new floaters in her right eye last evening when she was getting ready for bed. You ask her if she's had previous eye problems, and she tells you that she's very nearsighted. You advise her not to make any jarring head movements and to come to the clinic right away; she arrives about 30 minutes later, accompanied by her sister.

What's the situation?

Ms. Green is highly myopic (-10 and -11.75 diopters for the left and right eyes, respectively). She has no history of retinal tears or detachments and has an eye exam annually. ...

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