Postoperative Management of Corneal Abrasions and Clinical Implications: a Comprehensive Review

Kaye, Alan D.; Renschler, Jordan S.; Cramer, Kelsey D; Anyama, Best; Anyama, Easy C; Gayle, Julie; Armstead-Williams, Cassandra; Mosieri, Chizoba; Saus, J. Arthur; Cornett, Elyse M.

doi:10.1007/s11916-019-0784-y

Cited by 13 publications

(21 citation statements)

References 25 publications

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“…Corneal abrasions are the most common ocular complication in humans during general anesthesia (GA) for non-ophthalmic surgery [1]. Adverse ocular side effects of GA are lagophthalmos, leading to exposure keratopathy (EK); loss of eyelid reflex; decreased basal tear production and reduced stability of the corneal tear film [2]. Anesthesia induced corneal lesions have been reported also in dogs [3][4][5][6][7][8], cats [9,10] and horses [11].…”

Section: Introductionmentioning

confidence: 99%

Schirmer Tear Test Value and Corneal Lesions’ Incidence during General Anesthesia for Non-Ophthalmic Surgery in Non-Brachycephalic Dogs: A Pilot Study Comparing Three Different Lubricant Eye Drop Formulations

Palma

Micieli

Lamagna

et al. 2020

Veterinary Sciences

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Aim of this blinded, prospective, randomized clinical study was to compare three different lubricant eye drops (LED) in healthy adult dogs undergoing general anaesthesia (GA) for non-ophthalmic surgery. Tear production rate was monitored by means of Schirmer tear test-1 (STT-1), and incidence of post-operative corneal abrasions/ulcerations was detected by corneal staining. A complete ophthalmic examination was performed before premedication, at extubation time and 24 h after GA in twenty-five non-brachycephalic dogs (fifty eyes) undergoing elective orthopaedic or spinal surgery procedures. Dogs were randomly allocated to one of three groups receiving as prophylactic LED either carmellose sodium (GC), or 1% hyaluronic acid (GH), or 0.25% hyaluronic acid (GL). In each eye STT-1 was repeated every hour during GA, before instilling one drop of the assigned LED. In all groups STT-1 values drastically decreased during GA, while 24 h later nine eyes (18%) had STT-1 values lower than 15 mm/minute. All of the three formulations tested were fully effective in preventing corneal ulceration (0% in all groups), while 10% of eyes reported superficial de-epithelialization. Fluorescein staining demonstrated that hourly prophylactic LED application prevented exposure keratopathy during general anesthesia in 90% of the eyes in non-brachycephalic dogs.

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Section: Introductionmentioning

confidence: 99%

Schirmer Tear Test Value and Corneal Lesions’ Incidence during General Anesthesia for Non-Ophthalmic Surgery in Non-Brachycephalic Dogs: A Pilot Study Comparing Three Different Lubricant Eye Drop Formulations

Palma

Micieli

Lamagna

et al. 2020

Veterinary Sciences

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“…Symptoms include pain, blurry vision, tearing, redness, photophobia, and sensation of a foreign body. 12,13 Associated risk factors include advanced age 14 , prominent eyes (eg, proptosis or exophthalmos or pre-existing ocular disease) 7 , ocular surface abnormalities (eg, dry eyes), prolonged surgery (>60 minutes) 7,14,15 , prone or lateral position 15 , Trendelenburg position 15 , and intraoperative hypotension. 10 In view of the known risk factors associated with perioperative corneal injuries, eye protection is warranted to reduce the number of ocular adverse events.…”

Section: Discussionmentioning

confidence: 99%

A Quality Improvement Project to Decrease Perioperative and Periprocedural Corneal Abrasions

Porter

Chamorro-Pareja

Boles

et al. 2022

Journal of PeriAnesthesia Nursing

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“…Symptoms include pain, blurry vision, tearing, redness, photophobia, and sensation of a foreign body (Kaye et al, 2019). Given the known risk factors associated with perioperative CA, eye protection is necessary to reduce the number of ocular adverse events.…”

Section: Discussionmentioning

confidence: 99%

“…Given the known risk factors associated with perioperative CA, eye protection is necessary to reduce the number of ocular adverse events. Methods of protecting the eyes during general anesthesia include manual eye closure, adhesive tape on the eyelids, and the use of ointment or eye drops (Kaye et al, 2019). Nevertheless, no single prevention method is 100% effective.…”

Section: Discussionmentioning

confidence: 99%

Corneal Abrasion After Radical Thyroidectomy: A Case Report

Cheng¹,

Cao²,

Yan³

et al. 2022

FMCR

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Corneal abrasion during radical thyroidectomy is a rare complication and is infrequently addressed in the literature. Here, we present the case of a young female patient who underwent radical thyroidectomy with general anesthesia. During the operation, the eyes were being naturally closed without protection measures, and corneal abrasion of the left eye occurred after the operation. The lesion had completely resolved with no sequelae after treatment. Therefore, preventive measures and attentive care may help reduce the incidence of corneal abrasion in patients undergoing radical thyroidectomy.

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Postoperative Management of Corneal Abrasions and Clinical Implications: a Comprehensive Review

Cited by 13 publications

References 25 publications

Schirmer Tear Test Value and Corneal Lesions’ Incidence during General Anesthesia for Non-Ophthalmic Surgery in Non-Brachycephalic Dogs: A Pilot Study Comparing Three Different Lubricant Eye Drop Formulations

Schirmer Tear Test Value and Corneal Lesions’ Incidence during General Anesthesia for Non-Ophthalmic Surgery in Non-Brachycephalic Dogs: A Pilot Study Comparing Three Different Lubricant Eye Drop Formulations

A Quality Improvement Project to Decrease Perioperative and Periprocedural Corneal Abrasions

Corneal Abrasion After Radical Thyroidectomy: A Case Report

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