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

Abstract

An evidence-based eye care protocol should be provided as routine care to prevent eye complication, especially in critically ill patients with mechanical ventilators, positive end expiratory pressure, sedatives or muscle relaxants and for patients whose mental status is decreased.

Dry Eye Syndrome in Intensive Care Units: a concept analysis

“…Factors such as sedation, use of drug combinations, mechanical ventilation, prolonged admission time, low humidity, low temperature and lagophthalmia are examples of risk factors often present in ICU and thus favour a prevalence of more than 70% of patients with eye dryness up to five days of hospitalization (3) .…”

“…It presented 72.2% cases in Intensive Care Units, which shows a high incidence of the phenomenon in this sector (3) . The ICU are care sectors for patients who are more dependent on account of a serious or risky health condition.…”

Dry eye in critically ill patients: integrative review Olho seco em pacientes críticos: revisão integrativa

“…5,10,34 In a Nigerian study with 56 patients, the MV (4.55 ± 2.97 vs 1.62 ± 1, 02 days) was statistically significant for the development of ocular surface changes, with a p <0,05. 1 Despite not having found a frequency equal to or greater than 50% for the risk factor hospitalization time, in 12 studies (44.44%) [3][4][5]8,16,31, this was identified as an important predictor for the development of ocular abnormalities in critically ill patients.…”

“…1 In the Chinese study, which examined 2500 records, the average time found for the identification of alterations of the ocular surface was 6.8 days. 31 …”

“…4 The risk factors for dry eye, indicated by 50% or more of the analyzed studies were lagophthalmos (85.18%), 3,[5][6][7][8]16,[25][26][27][28][29][30][31] sedatives (70.37%), 1,[3][4][5][6]8,10,16,26,29,31,33, MV (66.66%), 1,[3][4][5][6][7][8]10,16,24,26,29,33, , and muscle relaxants (55.55%). 1,[3][4][5][6][7][8]10,27,29,31, Lagophthalmos is described as the incomplete or inadequate eyelid closure and is diagnosed when part of the conjunctiva or cornea is visible. …”