Nursing Care for Patients with Corneal ulcer Penetrating keratoplasty : Case study in KhonKaen Hospital

Abstract

Case Study: This is a compared case study of 2 patients with corneal ulcers who received corneal
transplantation. The first patient was treated at Khon Kaen Hospital with left eye pain and blurred
vision before coming to the hospital 2 days after wearing contact lenses. The doctor diagnosed it as
Severe corneal ulcer left eye 2nd patient was treated at Maha Sarakham Hospital for 11 days and sent
for further treatment with blurred left eye and pain in the back due to a cut branch. The doctor
diagnosed it as severe fungal corneal ulcer left eye. Both patients received Antibiotic eye drops,
intraocular pressure medication and received cornea transplant surgery in terms of nursing both
patients were evaluated according to Gordon's health plan (Gordon). Two cases with the same problem
in the first stage and pre-surgery have 8 cases, the post-surgery phase and continuous care 6 cases, the
discharge phase 1 case, and the different nursing diagnoses, patient 1 has 1 case and patient 2. There
are 3 issues. The problems and needs of each patient and family are resolved without complications.

Results: Corneal transplantation may cause serious complications, such as high intraocular
pressure, re-infection, separation, corneal detachment. Nurses play an important role in providing
nursing care. Managing the problems and needs of patients and families so that patients are safe
from preventable complications, have better vision, reduce dependence on others, and continue to
live well.