Jove
Visualize
Contact Us
JoVE
x logofacebook logolinkedin logoyoutube logo
ABOUT JoVE
OverviewLeadershipBlogJoVE Help Center
AUTHORS
Publishing ProcessEditorial BoardScope & PoliciesPeer ReviewFAQSubmit
LIBRARIANS
TestimonialsSubscriptionsAccessResourcesLibrary Advisory BoardFAQ
RESEARCH
JoVE JournalMethods CollectionsJoVE Encyclopedia of ExperimentsArchive
EDUCATION
JoVE CoreJoVE BusinessJoVE Science EducationJoVE Lab ManualFaculty Resource CenterFaculty Site
Terms & Conditions of Use
Privacy Policy
Policies

Related Experiment Videos

Exposure keratitis in comatose children.

J Wincek1, M S Ruttum

  • 1Division of Critical Care Nursing, Children's Hospital of Wisconsin, Milwaukee 53233.

The Journal of Neuroscience Nursing : Journal of the American Association of Neuroscience Nurses
|August 1, 1989
PubMed
Summary

Mechanical ventilation for intracranial pressure control can cause exposure keratitis in children. This condition results from undetected incomplete eyelid closure, necessitating lubrication and eyelid taping for prevention.

Related Concept Videos

You might also read

Related Articles

Articles linked to this work by shared authors, journal, and citation graph.

Sort by
Same author

A case of esotropia associated with gaze limitation after 9 previous surgical procedures.

Binocular vision & strabismus quarterly·2001
Same author

Preschool vision screening: summary of a task force report.

Ophthalmology·2001
Same author

Preschool vision screening: summary of a Task Force report. Behalf of the Maternal and Child Health Bureau and the National Eye Institute Task Force on Vision Screening in the Preschool Child.

Pediatrics·2000
Same author

Shaken baby syndrome.

Ophthalmology·2000
Same author

Effect of prior orbital decompression on outcome of strabismus surgery in patients with thyroid ophthalmopathy.

Journal of AAPOS : the official publication of the American Association for Pediatric Ophthalmology and Strabismus·2000
Same author

Ocular findings after bone marrow transplantation in a pediatric population.

Ophthalmology·1999

Area of Science:

  • Ophthalmology
  • Pediatric Critical Care
  • Neurology

Background:

  • Mechanical ventilation is crucial for managing intracranial pressure in critically ill children.
  • Sedation and paralysis are often employed to facilitate mechanical ventilation.
  • Exposure keratitis is a potential complication of critical illness and prolonged immobility.

Observation:

  • Four pediatric patients undergoing mechanical ventilation for intracranial pressure management developed exposure keratitis.
  • The severity of keratitis varied among the affected children.
  • All patients had received pancuronium for paralysis and morphine for sedation.

Findings:

  • Exposure keratitis in these cases was linked to subtle, undetected incomplete eyelid closure during mechanical ventilation.

Related Experiment Videos

  • Chronic exposure of the inferior cornea was the primary pathophysiological mechanism.
  • The condition manifested despite efforts to manage intracranial pressure.

    • Implications:

    • Frequent application of ocular lubricants is recommended to prevent corneal exposure.
    • Taping the eyelids shut is a suggested preventive measure for at-risk pediatric patients.
    • Early recognition and intervention are vital to mitigate the severity of exposure keratitis in ventilated children.