Ocular Surface Disorders in Intensive Care Unit Patients
Patients in intensive care units (ICU) are at increased risk of corneal abrasions and infectious keratitis due to poor eyelid closure, decreased blink reflex, and increased exposure to pathogenic microorganisms. The aim of this retrospective study was to evaluate the ocular surface problems in patie...
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| Format: | Article |
| Language: | English |
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Wiley
2013-01-01
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| Series: | The Scientific World Journal |
| Online Access: | http://dx.doi.org/10.1155/2013/182038 |
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| _version_ | 1841524879066660864 |
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| author | Tuba Berra Saritas Banu Bozkurt Baris Simsek Zeynep Cakmak Mehmet Ozdemir Alper Yosunkaya |
| author_facet | Tuba Berra Saritas Banu Bozkurt Baris Simsek Zeynep Cakmak Mehmet Ozdemir Alper Yosunkaya |
| author_sort | Tuba Berra Saritas |
| collection | DOAJ |
| description | Patients in intensive care units (ICU) are at increased risk of corneal abrasions and infectious keratitis due to poor eyelid closure, decreased blink reflex, and increased exposure to pathogenic microorganisms. The aim of this retrospective study was to evaluate the ocular surface problems in patients who stayed in ICU more than 7 days and were consulted by an ophthalmologist. There were 26 men and 14 women with a mean age of 40.1 ± 18.15 years (range 17–74 years). Conjunctiva hyperemia, mucopurulent or purulent secretion, corneal staining, and corneal filaments were observed in 56.25%, 36.25%, 15%, and 5% of the eyes, respectively. Keratitis was observed in 4 patients (10%) who were treated successfully with topical antibiotics. Mean Schirmers test results were 7.6 ± 5.7 mm/5 min (median 6.5 mm/5 min) in the right, and 7.9 ± 6.3 mm/5 min (median 7 mm/5 min) in the left eyes. Schirmers test results were <5 mm/5 min in 40% of the subjects. The parameters did not show statistically significant difference according to mechanical ventilation, sedation, and use of inotropes. As ICU patients are more susceptible to develop dry eye, keratopathy, and ocular infections, they should be consulted by an ophthalmologist for early diagnosis of ocular surface disorders. |
| format | Article |
| id | doaj-art-93fe193d76904353befefd364122ff53 |
| institution | Kabale University |
| issn | 1537-744X |
| language | English |
| publishDate | 2013-01-01 |
| publisher | Wiley |
| record_format | Article |
| series | The Scientific World Journal |
| spelling | doaj-art-93fe193d76904353befefd364122ff532025-02-03T05:47:13ZengWileyThe Scientific World Journal1537-744X2013-01-01201310.1155/2013/182038182038Ocular Surface Disorders in Intensive Care Unit PatientsTuba Berra Saritas0Banu Bozkurt1Baris Simsek2Zeynep Cakmak3Mehmet Ozdemir4Alper Yosunkaya5Anesthesiology and Reanimation Department, Meram Medical Faculty, Necmettin Erbakan University, 42080 Konya, TurkeyOphthalmology Department, Faculty of Medicine, Selcuk University, 42130 Konya, TurkeyAnesthesiology and Reanimation Department, Meram Medical Faculty, Necmettin Erbakan University, 42080 Konya, TurkeyOphthalmology Department, Bitlis Government Hospital, 13000 Bitlis, TurkeyMicrobiology Department, Meram Medical Faculty, Necmettin Erbakan University, 42080 Konya, TurkeyAnesthesiology and Reanimation Department, Meram Medical Faculty, Necmettin Erbakan University, 42080 Konya, TurkeyPatients in intensive care units (ICU) are at increased risk of corneal abrasions and infectious keratitis due to poor eyelid closure, decreased blink reflex, and increased exposure to pathogenic microorganisms. The aim of this retrospective study was to evaluate the ocular surface problems in patients who stayed in ICU more than 7 days and were consulted by an ophthalmologist. There were 26 men and 14 women with a mean age of 40.1 ± 18.15 years (range 17–74 years). Conjunctiva hyperemia, mucopurulent or purulent secretion, corneal staining, and corneal filaments were observed in 56.25%, 36.25%, 15%, and 5% of the eyes, respectively. Keratitis was observed in 4 patients (10%) who were treated successfully with topical antibiotics. Mean Schirmers test results were 7.6 ± 5.7 mm/5 min (median 6.5 mm/5 min) in the right, and 7.9 ± 6.3 mm/5 min (median 7 mm/5 min) in the left eyes. Schirmers test results were <5 mm/5 min in 40% of the subjects. The parameters did not show statistically significant difference according to mechanical ventilation, sedation, and use of inotropes. As ICU patients are more susceptible to develop dry eye, keratopathy, and ocular infections, they should be consulted by an ophthalmologist for early diagnosis of ocular surface disorders.http://dx.doi.org/10.1155/2013/182038 |
| spellingShingle | Tuba Berra Saritas Banu Bozkurt Baris Simsek Zeynep Cakmak Mehmet Ozdemir Alper Yosunkaya Ocular Surface Disorders in Intensive Care Unit Patients The Scientific World Journal |
| title | Ocular Surface Disorders in Intensive Care Unit Patients |
| title_full | Ocular Surface Disorders in Intensive Care Unit Patients |
| title_fullStr | Ocular Surface Disorders in Intensive Care Unit Patients |
| title_full_unstemmed | Ocular Surface Disorders in Intensive Care Unit Patients |
| title_short | Ocular Surface Disorders in Intensive Care Unit Patients |
| title_sort | ocular surface disorders in intensive care unit patients |
| url | http://dx.doi.org/10.1155/2013/182038 |
| work_keys_str_mv | AT tubaberrasaritas ocularsurfacedisordersinintensivecareunitpatients AT banubozkurt ocularsurfacedisordersinintensivecareunitpatients AT barissimsek ocularsurfacedisordersinintensivecareunitpatients AT zeynepcakmak ocularsurfacedisordersinintensivecareunitpatients AT mehmetozdemir ocularsurfacedisordersinintensivecareunitpatients AT alperyosunkaya ocularsurfacedisordersinintensivecareunitpatients |