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Updated: Oct 1, 2025

Corneal Epithelial Abrasion with Ocular Burr As a Model for Cornea Wound Healing
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A Quality Improvement Project to Decrease Perioperative and Periprocedural Corneal Abrasions.

Steven B Porter1, Natalia Chamorro-Pareja2, Kathryn S Boles3

  • 1Department of Anesthesiology and Perioperative Medicine, Mayo Clinic, Jacksonville, FL.

Journal of Perianesthesia Nursing : Official Journal of the American Society of Perianesthesia Nurses
|March 5, 2022
PubMed
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This summary is machine-generated.

A quality improvement project successfully reduced perioperative corneal abrasions (CAs) by implementing a standardized prevention and treatment plan. This initiative decreased CA incidence by over 50%, demonstrating the effectiveness of systematic care protocols.

Area of Science:

  • Ophthalmology
  • Quality Improvement Science
  • Anesthesiology

Background:

  • Perioperative and periprocedural corneal abrasions (CAs) represent a significant concern in surgical patient care.
  • Effective detection and management strategies are crucial for minimizing patient harm and improving outcomes.

Purpose of the Study:

  • To assess the incidence of perioperative and periprocedural CAs at a tertiary care institution.
  • To implement a quality improvement project aimed at reducing CA incidence by at least 25% within 12 months.

Main Methods:

  • A retrospective review of surgical and procedural patients undergoing anesthesia was conducted over three 1-year periods (2014-2018).
  • An electronic pharmacy-based query identified patients receiving proparacaine eye drops in the recovery room to estimate CA incidence.
Keywords:
anesthesiacomplicationscorneal abrasionperioperative medicinequality improvement

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  • A standardized best practice plan for CA prevention, diagnosis, and treatment was implemented.

    • Main Results:

    • The baseline CA incidence was 0.22% (2014-2015).
    • Following the quality improvement initiative, incidence decreased to 0.09% (2016-2017) and 0.1% (2017-2018).
    • The standardized plan resulted in a 59% and 56% relative risk reduction in CAs for the respective periods, exceeding the 25% target.

    Conclusions:

    • A standardized perioperative and periprocedural CA prevention, diagnosis, and treatment plan can significantly reduce CA occurrence.
    • The adoption of such a plan leads to sustained reductions in perioperative CAs.
    • This approach offers a simple yet effective method for improving patient safety during surgical procedures.