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Ocular Surface Disorders in Patients Admitted in Intensive Care Unit of a Tertiary Care Hospital


Affiliations
1 Department of Ophthalmology, SRMS IMS, Bareilly, India
 

To assess the frequency and to identify the predisposing factors for ocular surface disorders in ICU patients. Prospective observational study of all patients admitted to the ICU complex of SRMSIMS between1st January to 31st April 2016 for a minimum period of 5 days. Patients will be observed for abnormalities of the lid , conjunctiva, cornea and tear film by diffuse illumination aided by Schirmer's Test, corneal and conjunctival staining and conjunctival swab when required. Other factors like consciousness, use of a ventilator, preexisting comorbidities shall also be noted. Patients will be observed on Day1, 5, 6, and so on. 60 eyes of 30 patients were examined . In mechanically ventilated patients , 36 eyes (60%) had conjunctival hyperemia which resolved upon intervention which included antibiotics and lubricants . 18 eyes (9%) had conjunctival discharge which resolved upon intervention. 12 eyes (20%) were stain positive. The critically ill often develop ocular surface disorders, especially when sedated and immobilized. A close relationship was observed between these conditions and the inability to close one's eyes. The presence of ocular surface disease was closely correlated with the degree of lagophthalmos, which in turn was closely related to the depth of sedation or paralysis.

Keywords

Ocular Surface Disorders, ICU, Intensive Care Unit.
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  • A. Grixti, M. Sadri, J. Edgar and A.V. Datta. Ocular surface disorders in patients in intensive care units. The Ocular Surface. 10, (2012) 26-42.

  • N. Joyce. A Systematic Review. 21. Adelaide, Australia: The Joanna Briggs Institute for Evidence Based Nursing and Midwifery; Eye care for the intensive care patient. (2002).

  • E.K. Mela, E.G. Drimtzias, M.K. Christofidou, K.S. Filos, E.D. Anastassiou and S.P. Gartaganis. Ocular surface bacterial colonisation in sedated intensive care unit patients. Anaesthesia and Intensive Care. 38(1), (2010) 190-193.

  • J.F. Kirwan, T. Potamitis, H. El-Kasaby, M.W. Hope-Ross and G.A. Sutton. Lesson of the week: microbial keratitis in intensive care. British Medical Journal. 314(7078), (1997) 433-434.

  • E.V. Hernandez and M.J. Mannis. Superficial keratopathy in intensive care unit patients. American Journal of Ophthalmology. 124(2), (1997) 212-216.

  • H. Imanaka, N. Taenaka, J. Nakamura, K. Aoyama and H. Hosotani. Ocular surface disorders in the critically ill. Anesthesia and Analgesia. 85(2), (1997) 343-347.

  • F. Mercieca, P. Suresh, A. Morton and A. Tullo. Ocular surface disease in intensive care unit patients. Eye. 13(2), (1999) 231-236.

  • P. Suresh, F. Mercieca, A. Morton and A. Tullo. Eye care for the critically ill. Intensive Care Med. 26, (2000) 162-166.

  • J.F. Kirwan, T. Potamitis, H. El-Kasaby, M.W. Hope-Ross and G.A. Sutton. Microbial keratitis in intensive care. BMJ. 314, (1997) 433-434.

  • J. Wincek and M.S. Ruttum. Exposure keratitis in comatose children. J Neurosci Nurs. 21, (1989) 241-244.

  • D.C.J.J. Bergmans, M.J.M. Bonten, F.H. Van Tiel, C.A. Gaillard, S. van der Geest and R.M. Wilting et al. Cross-colonisation with Pseudomonas aeruginosa of patients in an intensive care unit. Thorax. 53, (1998) 1053-1058.

  • X. Bertrand, M. Thouverez, D. Talon, A. Boillot, G. Capellier and C. Floriot et al. Endemicity, molecular diversity and colonisation routes of Pseudomonas aeruginosa in intensive care units. Intensive Care Med. 27, (2001) 1263-1268.

  • T.B. Saritas, B. Bozkurt, B. Simsek, Z. Cakmak, M. Ozdemir and A. Yosunkaya. Ocular Surface Disorders in Intensive Care Unit Patients. The Scientific World Journal (2013) 182038. http://doi.org/10.1155/2013/182038.

  • B. Parkin and S. Cook. A clear view: The way forward for eye care on ICU. Intensive Care Med. 26, (2000) 155-6.

  • S.B. Lenart and J.A. Garrity. Eye care for patients receiving neuromuscular blocking agents or propofol during mechanical ventilation. Am J Crit Care. 9, (2000) 188-91.


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  • Ocular Surface Disorders in Patients Admitted in Intensive Care Unit of a Tertiary Care Hospital

Abstract Views: 437  |  PDF Views: 6

Authors

S. Singh
Department of Ophthalmology, SRMS IMS, Bareilly, India
N. Mehrotra
Department of Ophthalmology, SRMS IMS, Bareilly, India
L. Singh
Department of Ophthalmology, SRMS IMS, Bareilly, India
A. Agarwal
Department of Ophthalmology, SRMS IMS, Bareilly, India
J. S. Verma
Department of Ophthalmology, SRMS IMS, Bareilly, India

Abstract


To assess the frequency and to identify the predisposing factors for ocular surface disorders in ICU patients. Prospective observational study of all patients admitted to the ICU complex of SRMSIMS between1st January to 31st April 2016 for a minimum period of 5 days. Patients will be observed for abnormalities of the lid , conjunctiva, cornea and tear film by diffuse illumination aided by Schirmer's Test, corneal and conjunctival staining and conjunctival swab when required. Other factors like consciousness, use of a ventilator, preexisting comorbidities shall also be noted. Patients will be observed on Day1, 5, 6, and so on. 60 eyes of 30 patients were examined . In mechanically ventilated patients , 36 eyes (60%) had conjunctival hyperemia which resolved upon intervention which included antibiotics and lubricants . 18 eyes (9%) had conjunctival discharge which resolved upon intervention. 12 eyes (20%) were stain positive. The critically ill often develop ocular surface disorders, especially when sedated and immobilized. A close relationship was observed between these conditions and the inability to close one's eyes. The presence of ocular surface disease was closely correlated with the degree of lagophthalmos, which in turn was closely related to the depth of sedation or paralysis.

Keywords


Ocular Surface Disorders, ICU, Intensive Care Unit.

References