Evidence of interventions for the risk of dry eye in critically ill patients: An integrative review

França, Caroline Fernandes Souza Macêdo de; Fernandes, Ana Paula Nunes de Lima; Carvalho, Diana Paula de Souza Rêgo Pinto; Xavier, Suênia Silva de Mesquita; Júnior, Ferreira; Botarelli, Fabiane Rocha

doi:10.1016/j.apnr.2015.05.016

Cited by 15 publications

(14 citation statements)

References 16 publications

(21 reference statements)

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“…When it is diminished, the tear film ruptures occurs and the dryness protection mechanism fails. Spontaneous and effective blinking of the eyes (5 to 10 blinks/second) prevents evaporation of the tear between blinks, eliminates foreign bodies, excludes visual stimuli and ensures the optical quality of the eye by spreading and distributing the tear film over the eye surface ( 18 ) .…”

Section: Discussionmentioning

confidence: 99%

Clinical indicators of dry eye severity nursing outcome in intensive care unit

Soares

Fernandes

Botarelli

et al. 2019

Rev. Latino-Am. Enfermagem

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Objective:to verify the extent of impairment of the clinical indicators of the nursing outcome Dry Eye Severity in patients admitted to the Intensive Care Unit.Method:cross-sectional, descriptive study developed with 206 patients. Based on the result listed, six indicators of the Classification of Nursing Results were evaluated with a questionnaire containing clinical variables and the Likert scale of the Classification of Nursing Results with constructed definitions, which varies from more impaired to non-impaired. The data were analyzed using descriptive and inferential statistics.Results:the decrease in lacrimal production and the presence of redness in the conjunctiva were more impaired. The other indicators were more frequent for the absence of impairment: incomplete eyelid closure 81% (167), excessive tearing 95.1%(196), excessive mucous secretion 78.7% (162) and decreased blinking mechanism 50.5% (104). The clinical characteristics of hospitalization for neurological disorders, invasive mechanical ventilation, chemosis, use of sedatives, vasoconstrictors, benzodiazepines, antibiotics and corticosteroids interfered in the impairment of the dry eye severity.Conclusion:the result indicators show that the clinical characteristics of patients in the intensive care unit interfere in the impairment and in the dry eyes severity. According to these results, the importance of assistance directed to the prevention of eye diseases is emphasized.

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Section: Discussionmentioning

confidence: 99%

Clinical indicators of dry eye severity nursing outcome in intensive care unit

Soares

Fernandes

Botarelli

et al. 2019

Rev. Latino-Am. Enfermagem

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“…As for prevention, the best alternative relates to ocular care procedures through the creation of a tear film with the use of eye drops, lubricants, artificial tears or the constitution of a moisture chamber by the occlusion with polyethylene film. Another prevention option is ocular closure using gauzes, adhesives or even sutures (6,23) . As for detection, the nurse can autonomously or in teams conduct tests that allow generating guides to identify the phenomenon.…”

Section: Discussionmentioning

confidence: 99%

Dry Eye Syndrome in Intensive Care Units: a concept analysis

et al. 2018

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Purpose: To analyse the concept of Dry Eye Syndrome in patients admitted to Intensive Care Units (ICU). Method: This is a concept analysis, according to Walker’s and Avant’s method, conducted using an integrative review, through search in the database. Science Direct, Scopus, Cinahl, Pubmed, Lilacs, Cochrane and Web of Science. The following keywords were used: “Keratoconjuntivite Sicca”, “Risk Factors”, “Dry eye Syndromes” and “Intensive Care Units”. After selection, 85 articles have been kept. Results: Antecedents found: age, lagophthalmos, environmental factors, use of medications, systemic diseases, mechanical ventilation and eye surgeries. Attributes: Tear Break-up Time < 10 s, Schirmer’s test I < 10 mm, Schirmer’s test II < 5 mm and signs and symptoms. Consequents: eye damage and discomfort; unstable vision. The Model Case and the Contrary Case were used to illustrate it. Conclusion: The research provided clarification of the concept and consequent understanding of the Dry Eye Syndrome, which is preventable especially in ICU.

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“…Intensive Care Unit (ICU) patients are treated with specific therapies, present critical clinical situations and require multiple medications, ventilatory support and other equipment to maintain vital parameters, which predispose them to developing ocular dryness, dry eye and which may progress to vision loss (1)(2)(3) .…”

Section: Introductionmentioning

confidence: 99%

Fatores clínicos preditores para o ressecamento ocular em pacientes internados na Unidade de Terapia Intensiva

Araújo

Botarelli

Fernandes

et al. 2019

Rev. esc. enferm. USP

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RESUMO Objetivo Avaliar na superfície ocular de pacientes adultos internados em unidade de terapia intensiva os fatores clínicos preditores para o ressecamento ocular e para o diagnóstico de enfermagem Risco de ressecamento ocular. Método Estudo transversal, realizado entre janeiro e julho de 2016, com 206 pacientes (412 olhos). A inferência quanto à presença do diagnóstico nos pacientes avaliados foi executada por enfermeiros diagnosticadores. A estatística descritiva e inferencial subsidiou a análise dos dados. Resultados 47,6% dos pacientes apresentaram o Risco de ressecamento ocular, e 52,4% já estavam com o diagnóstico de ressecamento ocular. Foram identificadas diferenças estatísticas entre o diagnóstico de ressecamento ocular no olho direito com a hiperemia, secreção mucosa, edema palpebral e lagoftalmia. Além disso, observaram-se diferenças estatísticas entre a hiperemia e edema palpebral com o ressecamento ocular no olho esquerdo e com o diagnóstico de enfermagem Risco de ressecamento ocular. Conclusão A hiperemia, secreção mucosa, edema palpebral e lagoftalmia são fatores clínicos preditores do diagnóstico de enfermagem de risco e também do ressecamento ocular no ambiente da unidade de terapia intensiva que merecem especial destaque na avaliação preventiva.

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Evidence of interventions for the risk of dry eye in critically ill patients: An integrative review

Cited by 15 publications

References 16 publications

Clinical indicators of dry eye severity nursing outcome in intensive care unit

Clinical indicators of dry eye severity nursing outcome in intensive care unit

Dry Eye Syndrome in Intensive Care Units: a concept analysis

Fatores clínicos preditores para o ressecamento ocular em pacientes internados na Unidade de Terapia Intensiva

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