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Updated: Jan 25, 2026

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Published on: December 29, 2021
Perioperative Corneal Abrasions After Nonocular Surgery: A Systematic Review.
Alexandra M Papp1, Grant A Justin2,3, Christian T Vernau4
1McChord Airman's Clinic, Madigan Army Medical Center, Joint Base Lewis McChord, Tacoma, WA.
Perioperative corneal abrasions after nonocular surgery are reduced by standardized ocular protection and education. While risk factors include longer procedures and general anesthesia, no definitive intraoperative eye protection standard exists.
Area of Science:
- Ophthalmology
- Surgical Safety
- Evidence-Based Medicine
Background:
- Perioperative corneal injuries are a potential complication during nonocular surgery.
- Understanding risk factors and effective interventions is crucial for patient safety.
Purpose of the Study:
- To systematically review the literature on risk factors, prevention, and treatment of perioperative corneal injuries.
- To identify current gaps in knowledge and practice regarding intraoperative ocular protection.
Main Methods:
- A systematic literature search was conducted across PubMed, Embase, and Evidence-Based Medicine Reviews.
- Included studies were epidemiological or interventional trials, assessed for quality and evidence level.
- Data on injury rates, risk factors, and interventions were analyzed.
Main Results:
- The cumulative rate of perioperative corneal abrasions was 0.64%, with individual study rates varying widely.
- Risk factors identified include longer procedures, general anesthesia, and advanced age.
- Effective treatments include ocular lubrication and erythromycin ointment; education interventions significantly decreased abrasion rates.
Conclusions:
- Standardized ocular protection, reporting, and education can minimize perioperative corneal abrasions.
- A gold standard for intraoperative ocular protection is currently lacking.
- Further research is needed to develop standardized prevention strategies and educational content.
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