Risk factors assessment of ocular surface disorders among adult critically ill patients

Document Type : Original Article

Authors

1 Assistant lecturer of Critical Care and Emergency Nursing, Faculty of Nursing, Assiut University, Egypt.

2 Professor of Ophthalmology, Faculty of Medicine, Assiut University, Egypt.

3 Assistant Professor of Critical Care and Emergency Nursing, Faculty of Nursing, Assiut University, Egypt

Abstract

Ocular complications are common in the critical care setting but are frequently missed due to the focus on life-saving organ support. In critically ill patients, normal eye protection mechanisms, such as tear production, blinking, and keeping the eye closed, are impaired. This study aims to: assess risk factors for ocular surface disorders among adult critically ill patients. Design: Exploratory research design. This study was carried in intensive care units at Assiut university hospital. Subjects: A convenience sampling of 60 adults patients. Tools: Two tools were utilized to collect data of study, tool I: Patient assessment sheet. Tool II: Risk factors assessment sheet. Method: The researcher assessed risk factors, eye lid closure and occurrence of ocular surface disorders. Results: The exposure of adult critically ill patients to ocular surface disorders was high related to right eye were 51% in 7th day, related to left eye were 48% in 5th day. Regarding type of abnormalities in right eye, the result revealed that 80.8% were mixed in 6 th day and 3.2% were corneal abrasion in7th day. Conclusion: The study confirmed that important risk factors for ocular surface disorders in Intensive Care Unit (ICU) patients were: lagophthalmos, level of consciousness, mechanical ventilation, sedation and muscle relaxant, length of ICU stay, fluid misdistribution and respiratory microorganism. Recommendation: It is necessary to disseminate protocols and guidelines for eye care in ICU patients to reduce the risk.

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