The long-term care nurse is caring for a client diagnosed with macular degeneration. Which client statement supports this diagnosis?

Question

The long-term care nurse is caring for a client diagnosed with macular degeneration.  Which client statement supports this diagnosis?

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11ecbb05_ca92_78c8_b433_7f3cc9fbbaa2_MD0009_00 Macular degeneration is a progressive, incurable disease of the eye in which the central portion of the retina, the macula, begins to deteriorate. This deterioration causes distortion (blurred or wavy visual disturbances) or loss of the central field of vision, whereas the peripheral vision remains intact (Option D). Macular degeneration has two different etiologies. "Dry" macular degeneration involves ischemia and atrophy of the macula that results from blockage of the retinal microvasculature. "Wet" macular degeneration involves the abnormal growth of new blood vessels in the macula that bleed and leak fluid, eventually destroying the macula. Progression of macular degeneration may be slowed with smoking cessation, intake of specific supplements (eg, carotenoids, vitamins C and E), laser therapy, and injection of antineoplastic medications. Risk factors for macular degeneration include advanced age, family history, hypertension, smoking, and long-term poor intake of carotenoid-containing fruits and vegetables. (Option A) Seeing small flashes of light is associated with retinal detachment. (Option B) Inability to see things close up, known as presbyopia, occurs when the lens of the eye becomes less elastic with age and therefore unable to adjust to near and far vision. (Option C) Poor peripheral vision, also called tunnel vision, can result from optic nerve damage seen in glaucoma. Educational objective: Macular degeneration is a progressive, incurable eye disease that occurs when the central portion of the retina deteriorates, giving rise to distortion (blurred or wavy visual disturbances) or loss in the center of the visual field.

The Long-Term Care Nurse Is Caring for a Client Diagnosed