Eye care in ICU

Eye care in the intensive care unit: Narrative review and meta-analysis

“…A moisture chamber refers to using a substance such as polyethylene covers or swimming goggles to completely seal-off the eye from the environment (28,33,34). In extreme cases, closure by tarsorrhaphy has been suggested, but it makes examination of the eyes difficult (29).…”

“…Evidence of keratopathy, and especially any opacity or haziness of the cornea, should prompt consultation with an ophthalmologist (29).…”

Incidence and risk factor evaluation of exposure keratopathy in critically ill patients: A cohort study

“…The high incidence prompted the development of protocols that incorporated eye care as part of assessment of organ function. This included the systematic daily evaluation of the eye to pick up early keratopathy, the liberal application of eye lubricants, and the use of moisture chambers [10][11][12] in high-risk patients.…”

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

“…The use of goggles with moistening of eyelids by means of gauze soaked in sterile water (closed humidity chamber) showed greater efficacy to prevent dry eye when compared to the use of ocular lubricants associated with adhesive tapes (open chamber), according to a study with evidence level II and recommendation grade B (Sivasankar et al, 2006). It is worth highlighting the authors showed that the use of swimming goggles caused significant lid edema in 8 eyes (6.5%), which decreased when the tension of goggles was reduced.…”

“…Randomized and controlled studies have estimated that the rate of occurrence of corneal lesions among ICU patients varies widely, from 3.33% to 60% of patients admitted to this specialized sector (Korollof, Boots, Lipman, Thomas, Rickard, & Coyer, 2004;Cortese, Capp, & McKinley, 1995;Sivasankar, Jasper, Simon, Jacob, John, & Raju, 2006). A cohort study conducted in Brazil ICU patients revealed that 59.4% developed corneal injury at an A C C E P T E D M A N U S C R I P T ACCEPTED MANUSCRIPT average time of 8 or 9 days, with a predominance of punctate lesions (55.1%) and corneal ulcers (11.8%) (Werli-Alvarenga, Ercole, Botoni, Oliveira, & Chianca, 2011).…”