Corneal Injuries During General Anesthesia

Snow, John C.; Kripke, Benjamin J.; NORTON, MARTIN L.; CHANDRA, PHOOL; WOODCOME, HAROLD A.

doi:10.1213/00000539-197554040-00014

Cited by 8 publications

(14 citation statements)

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“…The eye may be injured by face‐masks, the anaesthetist's hands, watch strap, name badge and laryngoscope during intubation, surgical drapes, surgical instruments, skin preparation solutions, or the direct irritant effect of inhalational anaesthetic agents [1, 6]. In the postoperative recovery period the eye may be injured by face masks, the patient's fingers or the bed linen, especially if the patient is in the lateral position [2, 7, 8].…”

Section: Mechanisms Of Corneal Injuriesmentioning

confidence: 99%

The aetiology and prevention of peri‐operative corneal abrasions

White

Crosse

1998

Anaesthesia

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SummaryCorneal abrasion is the most frequent ocular complication to occur during the peri-operative period. This review describes the aetiology of corneal abrasions and evaluates the current methods of prevention. Most abrasions are caused by lagophthalmos (failure of the eyelids to close fully) during general anaesthesia, resulting in corneal drying. General anaesthesia reduces both the production and the stability of tears and therefore increases the incidence of this painful condition. Taping the eyelids closed, soft contact lenses, the instillation of aqueous gels or paraffin-based ointments are all effective in preventing corneal abrasions, but ointments are associated with significant morbidity.

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Section: Mechanisms Of Corneal Injuriesmentioning

confidence: 99%

The aetiology and prevention of peri‐operative corneal abrasions

White

Crosse

1998

Anaesthesia

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“…Corneal abrasion (CA) is one of the most common perioperative complications of anaesthesia following non-ocular procedures (Terry et al 1965, Snow et al 1975, Batra and Bali 1977, Gild et al 1992, Roth et al 1996, Yu et al 2010. Patients with this complication usually present after completion of the surgery in the post-anaesthesia care unit with symptoms of eye pain, blurred vision, foreign body sensation, conjunctival injection (red eye), epiphora, and photophobia (Wipperman & Dorsch 2013).…”

Section: Introductionmentioning

confidence: 99%

Corneal Abrasion following Anaesthesia for Non-ocular Surgical Procedures: A Case-controlled Study

Carniciu

Fazzari

Tabibian

et al. 2017

Journal of Perioperative Practice

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The aim of this study was to identify risk factors associated with perioperative corneal abrasion at a single hospital in Mineola, New York (United States). A chart review was conducted of patients with perioperative corneal abrasion following non-ocular surgery and age-matched controls between June 2011 and November 2013. An age-stratified logistic regression model evaluated the association between corneal abrasion and potentially predisposing variables. The adjusted odds of a corneal abrasion occurring were 4.6 times greater for patients having surgery for ≥ 3 hours (p=0.001) and 3.6 times greater for patients with pre-existing ocular disease (p=0.02). Gender, diabetes status, surgical procedure or position were not found to be associated with the occurrence of a corneal abrasion. Corneal abrasions were associated with longer procedures and history of pre-existing ocular disease. No significant association between body positioning or surgical site and perioperative corneal abrasion was found. The study concludes that a longer duration of surgical procedure and pre-existing ocular disease are risk factors for perioperative corneal abrasion.

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“…4 Since then, reports concerning the anaesthetic management for MMD have emphasized the maintenance of normacarbia or mild hypercarbia. [3][4][5][6][7] We examined the anaesthetic techniques and outcomes for all anastamotic procedures performed at our institution for MMD. Two occurred before 1983 and three afterwards.…”

Section: Hypocarbia During Anaesthesia In Children With Moyamoya Diseasementioning

confidence: 99%