Detection and Treatment of Perioperative Corneal Abrasions

Moos, Daniel D.; Lind, Diana M.

doi:10.1016/j.jopan.2006.08.001

Cited by 27 publications

(25 citation statements)

References 13 publications

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“…Chemical agents used during anesthesia and surgery, such as inhalation anesthetic agents and disinfectants, can also damage the corneal epithelium directly. 9,10 Occurrence of corneal ulcers, acknowledging the possibility of undetectable corneal ulcers, was investigated up to 14 days after surgery. Two cases of corneal ulcers were diagnosed 13 days after surgery.…”

Section: Discussionmentioning

confidence: 99%

“…8 The corneal epithelium can be damaged via several mechanisms during the perioperative period: direct trauma by the anesthetist' s hands, anesthetic equipment (laryngoscope and face mask), or surgical drapes and instruments; chemical injuries caused by antiseptic solution and inhalation anesthetic agents; reduced tear production caused by anticholinergics, perioperative analgesics, and inhalation anesthesia itself; and exposure of the cornea associated with incomplete approximation of the eyelids (lagophthalmos). 9,10 Vestre et al 11 reported that tear production in dogs markedly decreases after 60 minutes of inhalation anesthesia and suggested that an artificial tear solution should be applied for dogs undergoing prolonged anesthesia to prevent corneal ulcers from forming. However, to the authors' knowledge, there have been no clinical reports of corneal ulcers associated with general anesthesia in dogs.…”

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confidence: 99%

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Evaluation of risk factors for development of corneal ulcer after nonocular surgery in dogs: 14 cases (2009–2011)

Park¹,

Son²,

Jeong³

et al. 2013

javma

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Section: Discussionmentioning

confidence: 99%

mentioning

confidence: 99%

Evaluation of risk factors for development of corneal ulcer after nonocular surgery in dogs: 14 cases (2009–2011)

Park¹,

Son²,

Jeong³

et al. 2013

javma

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“…Although CA is one of the minor complications of general anesthesia, it can be very painful and adversely affect the patient's hospital stay and surgery experience (11). Surgical drapes, oxygen facial masks and foreign bodies play a role in wear (1).…”

Section: Discussionmentioning

confidence: 99%

Corneal abrasion risk in septorhinoplasty operations under general anesthesia

Kepekçi

2020

Journal of Health Sciences and Medicine

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Aim: Proper care of the eye is required in all anesthetic applications, especially during general anesthesia. Corneal abrasion is the most common ophthalmologic complication in patients undergoing general anesthesia for non-ocular surgery. Corneal protection methods have been developed to reduce and eliminate the rate of this preventable complication. In this study, it was aimed to compare eye closure with hypoallergenic surgical tapes, eye closure with bio-occlusive dressing and antibiotic eye ointment for eye protection in patients undergoing septorhinoplasty under general anesthesia. Material and Method: The surgical files of all patients with ASA I and ASA II who underwent septorhinoplasty between 1 January 2019 and 31 December 2019 in our hospital were retrospectively analyzed. A total of 721 patients, 403 female, 318 male, were included in the study. The patients were divided into three groups according to the methods used for eye protection. The demographic features of the patients, the duration of the operation and the findings or complaints about the eyes, if any, before and after the operation were listed from the surgery and outpatient files. It was investigated whether the frequency of eye complaints and symptoms had a significant difference between patients with different eye protection methods. p<0.05 was considered statistically significant. Results: In 721 patients included in the study, it was determined that hypoallergenic surgical tape was applied to 198 patients, an eye ointment with antibiotics was applied to 302 patients, and a bio-occlusive dressing was applied to 221 patients. It was determined that two patients in Group I using hypoallergenic surgical tape and one patient in Group II using antibiotic eye ointment was observed to have a sting and rash that did not require treatment on the first day of the operation. These findings evaluated as CA were not statistically significant between the groups (p=0.264). Conclusion: In septorhinoplasty surgery, there is no significant difference between closing the eyelids directly, applying ointment or closing with bio-occlusive material. However, the bio-occlusive dressing can be used in patients at risk of corneal pathology.

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“…Preventative strategy include removal of contact lenses preoperatively, eyes seal and periodic check backs to make sure that eyes stay closed during surgery (8,15,18) …”

Section: Corneal Abrasionmentioning

confidence: 99%

Ocular Complication in Cardiac Surgery

Ghavidel

Mosavi

Mohammadzadeh

2016

Multidiscip Cardio Annal

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Visual loss after nonocular surgery is rare but devastating. Peak rates of perioperative visual loss are with heart and spine surgery. The two possible main causes of visual loss after cardiac surgery are ischemic optic neuropathy and retinal ischemia due to embolism and / or low perfusion secondary to hemodynamic changes through cardiopulmonary bypass within the retinal, optic nerve and choroidal circulation. Stable preservation of some hemodynamic factors during cardiac surgery seems to be the key to stop visual loss. The purpose of this article is to briefly review perioperative visual loss after cardiac surgery.

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Detection and Treatment of Perioperative Corneal Abrasions

Cited by 27 publications

References 13 publications

Evaluation of risk factors for development of corneal ulcer after nonocular surgery in dogs: 14 cases (2009–2011)

Evaluation of risk factors for development of corneal ulcer after nonocular surgery in dogs: 14 cases (2009–2011)

Corneal abrasion risk in septorhinoplasty operations under general anesthesia

Ocular Complication in Cardiac Surgery

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