The risk factors for developing exposure keratopathy in ICU patients

Kousha, Obaid; Kousha, Zubaid; Paddle, Jonathan

doi:10.1186/2197-425x-3-s1-a731

Cited by 5 publications

(8 citation statements)

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“…These findings are similar to the current research. The significant correlation between lagophthalmos and exposure keratopathy also has been shown in some current studies (Anuradha, Iatha, Reddy, & Latha, ; Horng et al , ; Kousha et al , ; Kuruvilla et al , ).…”

Section: Discussionsupporting

confidence: 83%

“…Defense mechanisms of the eye are destroyed when treatments, such as mechanical ventilation, sedation, and neuromuscular blockage, are added to factors such as metabolic disorders, multiple organ failure, and unconsciousness in intensive care unit (ICU) patients. Ocular problems that start with lagophthalmos (the inability to fully close the eyelids) can lead to corneal abrasion, chemosis (conjunctival edema), exposure keratopathy, dry eye syndrome, and irreversible microbial keratitis (Grixti, Sadri, Edgar, & Datta, ; Güler, Eşer, & Fashafsheh, ; Kousha, Kousha, & Paddle, ; Kuruvilla et al , ; Saritaş et al , ).…”

Section: Introductionmentioning

confidence: 99%

“…Unfortunately, no special practice is undertaken by ICU staff with respect to the eyes in general unless the symptoms and clinical findings that are related to ocular complications become clearly visible. This situation increases the risk of eye disorders and causes visual impairment during the recovery period of the critical disease (Alansari et al ; de França et al , ; Güler et al , ; Kousha et al , ; Kuruvilla et al , ; Leadingham, ; Oliveira et al , ). Consequently, patients' quality of life is decreased and the treatment cost and work load of the health staff members who are responsible for their care and treatment increase.…”

Section: Introductionmentioning

confidence: 99%

“…Eye care is a simple, but very effective, method for the prevention of eye complications (Kousha et al , ; Kuruvilla et al , ). An early diagnosis is the first and the most important step in nursing care.…”

Section: Introductionmentioning

confidence: 99%

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Nurses can play an active role in the early diagnosis of exposure keratopathy in intensive care patients

Güler

Eşer

Eğrilmez

2017

Japan Journal Nursing Sci

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Aim: This study was conducted in order to determine nurses' ability to diagnose exposure keratopathy reliably in the early stage in intensive care patients. Methods: This methodological and descriptive study was carried out between 2011 and 2012 in the Neurology and Anesthesiology and Reanimation Intensive Care Units of a teaching hospital in western Turkey. The sample consisted of 4354 ocular assessments in 156 corneas of 78 patients. A patient identification form and a fluorescein test patient tracking chart were used in the data collection. The corneas of the patients were checked by a fluorescein dye test by the same nurse and ophthalmologist. Results: The mean age of the patients was 59 AE 15.5 years and 47.4% of them were female. The consistency between the nurse and the ophthalmologist was almost perfect in terms of determining the presence of exposure keratopathy, characteristics, and the grade of corneal staining. Exposure keratopathy was detected at a rate of 2% by the ophthalmologist. A significant relationship was found between the presence of lagophthalmos and the development of exposure keratopathy. A positive correlation was found between the grade of corneal staining and the degree of the eyelid position of the patients and the duration of mechanical ventilation therapy. Conclusion: After eye care and assessment training, intensive care nurses can play an effective role in detecting early-stage exposure keratopathy in intensive care patients.

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Section: Discussionsupporting

confidence: 83%

Section: Introductionmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

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Nurses can play an active role in the early diagnosis of exposure keratopathy in intensive care patients

Güler

Eşer

Eğrilmez

2017

Japan Journal Nursing Sci

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“…O cuidado ocular é uma estratégia simples e eficaz na prevenção de complicações oculares 5 . A realização de um julgamento clínico precoce é o primeiro e mais importante passo na assistência de enfermagem 6 .…”

Section: Introductionunclassified

Alterações oculares em unidade de terapia intensiva: scoping review

Santos¹,

Paes²,

Góes³

2021

Revista Recien

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Mapear as evidências científicas sobre alterações oculares em pacientesinternados em terapia intensiva. Trata-se de uma revisão de escopo, com adoção da estratégia PPC nas bases de dados PUBMED, WEB OF SCIENCE e a biblioteca virtual SCIELO. Adotou-se como elegiveis, estudos primarios, empiricos, quantitativos e qualitativos, publicados em três idiomas. Foram encontrados 204 artigos e após análise, selecionou-se 08 artigos para compor o estudo. A lagoftalmia apresenta-se como principal alteração ocular e fator determinante para o desenvolvimento de danos oftálmicos. Evidencia-se que o ambiente, a terapêutica instituída e as próprias comorbidades do paciente possuem associação com as alterações oculares. As doenças oculares são passíveis de prevenção. O diagnóstico precoce de alterações oculares e a rastreabilidade dos fatores de risco para doenças oculares são medidas necessária para evitar ocorrência de dano ocular aos pacientes internados em terapia intensiva.Descritores: Síndrome do Olho Seco, Doenças da Córnea, Unidade de Terapia Intensiva. Eye changes in an intensive care unit: scoping reviewAbstract: To map the scientific evidence on ocular changes in patients in intensive care. Method: this is a scope review, with the adoption of the PPC strategy in the PUBMED, WEB OF SCIENCE databases and the SCIELO virtual library. Primary, empirical, quantitative and qualitative studies, published in three languages, were adopted as eligible. 204 articles were found and after analysis, 08 articles were selected to compose the study. Lagophthalmia is the main ocular alteration and a determining factor for the development of ophthalmic damage. It is evident that the environment, the instituted therapy and the patient's own comorbidities are associated with ocular changes. Eye diseases are preventable. The early diagnosis of eye changes and the traceability of risk factors for eye diseases are necessary measures to prevent the occurrence of eye damage to patients admitted to intensive care.Descriptors: Dry Eye Syndrome, Corneal Diseases, Intensive Care Unit. Cambios oculares en una unidad de cuidados intensivos: revisión del alcanceResumen: Mapear la evidencia científica sobre cambios oculares en pacientes en cuidados intensivos. Método: se trata de una revisión de alcance, con la adopción de la estrategia PPC en las bases de datos PUBMED, WEB OF SCIENCE y la biblioteca virtual SCIELO. Los estudios primarios, empíricos, cuantitativos y cualitativos, publicados en tres idiomas, se aprobaron como elegibles. Se encontraron 204 artículos y luego del análisis se seleccionaron 08 artículos para componer el estudio. La lagoftalmia es la principal alteración ocular y un factor determinante para el desarrollo de daño oftálmico. Es evidente que el entorno, la terapia instituida y las propias comorbilidades del paciente se asocian a cambios oculares. Las enfermedades oculares se pueden prevenir. El diagnóstico precoz de los cambios oculares y la trazabilidad de los factores de riesgo de enfermedades oculares son medidas necesarias para prevenir la aparición de daños oculares en los pacientes ingresados en cuidados intensivos.Descriptores: Síndrome del Ojo Seco, Enfermedades Corneales, Unidade de Cuidados Intensivos.

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Eyes Wide Open: Exposure Keratopathy in Pediatric Sedation and Radiology

Reilly

2017

Journal of Radiology Nursing

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The risk factors for developing exposure keratopathy in ICU patients

Cited by 5 publications

References 0 publications

Nurses can play an active role in the early diagnosis of exposure keratopathy in intensive care patients

Nurses can play an active role in the early diagnosis of exposure keratopathy in intensive care patients

Alterações oculares em unidade de terapia intensiva: scoping review

Eyes Wide Open: Exposure Keratopathy in Pediatric Sedation and Radiology

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