Atypical Pseudomonas Corneal Ulcers in Semicomatose Patients

Factors related to incidence of eye disorders in Korean patients at intensive care units

“…Earlier studies have suggested that the level of consciousness is a key predictor for incidence of eye disorders in ICU patients (Hutton & Sexton 1972). Such factors as self‐respiration and PEEP are closely related to ventilator compliance.…”

“…Disorders of the conjunctiva and cornea are associated with neurological diseases (Katz & Kaufman 1977,Newell 1992), trauma (Newell 1992), nocturnal lagophthalmos (Katz & Kaufmanm 1977), coma (Hutton & Sexton 1972), infection (Hilton et al. 1983, Ommesla et al.…”

Effectiveness of polyethylene covers versus carbomer drops (Viscotears®) to prevent dry eye syndrome in the critically ill

“…Poor eyelid closure (lagophthalmos), reduced ability to use blink reflex and decreased tear production can cause the development of ocular complications (Kocaçal & Eşer 2008). For instance, DES, conjunctival chemosis (Dawson 2005), corneal exposure and microbial keratitis (Hutton & Sexton 1972, Hilton 1983) can occur. DES caused by tear film abnormalities can lead to serious ocular complications such as permanent corneal scarring and visual loss, if it is not prevented.…”

Screening for ocular surface disease in the intensive care unit

“…A literature review revealed reports of 22 patients who developed bacterial keratitis in intensive care, which in seven patients was bilateral. 3,7,[12][13][14][15] In the largest series, the mean visual acuity of six surviving patients at discharge was 6/60. 12 Although there is likely to be a significant reporting bias in favour of more severe cases among published case reports, it remains striking that so many of these cases were bilateral, with substantially worse outcomes than would be expected in an outpatient setting.…”