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Ocular surface disease in intensive care unit patients
F Mercieca1, P Suresh, A Morton
1Manchester Royal Eye Hospital, UK.
Eye (London, England)
|August 18, 1999
Summary
Ocular surface disease is common in intensive care unit (ICU) patients, often linked to eyelid issues and sedation depth. Regular eye assessments and lid taping can improve eye care management for these vulnerable patients.
Area of Science:
- Ophthalmology
- Critical Care Medicine
Background:
- Ocular surface disease is a potential complication for patients in intensive care units (ICUs).
- Predisposing factors and natural history require further investigation to optimize management.
Purpose of the Study:
- To determine the prevalence and progression of ocular surface disease in ICU patients.
- To identify factors contributing to ocular surface disease in this population.
- To inform improved eye care protocols for ICU settings.
Main Methods:
- A longitudinal study involving weekly eye examinations of ICU patients.
- Assessment of eyelid position, conjunctival edema, keratopathy, and sedation scores.
- Data collection occurred between February and May 1998.
Main Results:
- 42% of 26 ICU patients developed some degree of keratopathy, often within the first week.
- Ocular surface disease correlated strongly with lagophthalmos (incomplete eyelid closure).
- Lagophthalmos was closely associated with sedation and paralysis levels.
Conclusions:
- Eyelid position assessment is crucial for ICU patients.
- A management algorithm based on daily observation and selective lid taping shows promise.
- This study provides evidence for proactive eye care in ICUs.