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Background: To assess the quality of lid taping done in departments handling patients requiring critical care. Method This study is an observational cohort study which assessed the quality of lid taping from May 2022 to October 2022.This study was done in 10-bedded intensive care unit of a tertiary care medical teaching hospital. Retrospective analysis was done during phase 1 and post intervention, phase 2 was conducted. A 30% reduction in the incidence of exposure ke Result: ratitis was observed in these critical care patients. Protocolized eye care needs to be emphasised in critical ca Conclusion: re units along with training and sensitisation of the care givers and staff members towards the same is mandatory.
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Purpose: To describe the etiology, clinical profile, duration of lagophthalmos cases and thereby, framing a decision for the management based on the severity of Exposure keratitis (EK), Facial palsy (FP) with each etiology and to describe the outcome of the management options. Methods: The method was a prospective review of 120 lagophthalmos cases treated at a single tertiary center from January 2018 to January 2019. The main outcome measures were analysing the association between age, etiology, duration and management of lagophthalmos. Results: Of the 120 patients studied, paralytic etiology was noted in 86 and eyelid etiology in 34 patients. The percentage of various lagophthalmos etiology documented were Bell’s palsy (35.83%), lagophthalmos in ICU patients (15%), traumatic facial palsy(FP) (10.80%), stroke associated FP (6.67%), infection associated FP (6.67%), iatrogenic FP, cicatricial lagophthalmos (5%), lagophthalmos post eyelid surgeries (5%), neoplastic FP(3.33%), congenital FP (1.67%), proptosis induced lagophthalmos (1.67%), floppy eyelid syndrome induced lagophthalmos (0.83%) and lid coloboma associated lagophthalmos (0.83%). A statistically significant correlation was noted between exposure keratitis and age, with an increased prevalence age advances. The management showed significant variation with individual etiology, with some etiologies unquestionably requiring surgical management. Surgical management is crucial as the duration of lagophthalmos increases more than 6 weeks, EK involving pupillary axis and poor FP recovery. Conclusion: This study concludes that the conservative management was sufficient in all cases when the duration is less than 1 week, Exposure keratitis not involving the pupillary axis (EK< Grade II) and FP with good functional recovery ( FP < Grade III). The predominant causes being Bell’s palsy, lagophthalmos in ICU patients and vascular FP. Whereas, cases with poor functional recovery of facial palsy(FP) and permanent eyelid deformation require definitive surgical management like Traumatic FP & cicatricial lagophthalmos
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@#Exposure keratitis refers to corneal inflammation caused by corneal dryness, epithelial exfoliation and secondary infection when the cornea loses the protection of the eyelid and is exposed to air. It is a potentially vision-threatening disease and is not uncommon in clinical work, so the treatment and prevention of exposure keratitis remain important. This article reviews the treatment and research progress of exposure keratitis.
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@#AIM: To observe the effect of amniotic membrane transplantation(AMT)in exposure keratitis.<p>METHODS: A prospective study of 14 cases(19 eyes)with exposure keratitis were treated with AMT in our hospital from September 2015 to September 2016. The patients were resistant to various conventional medications. The time of amniotic membrane absorbed, corneal opacification, fluorescein staining, visual acuity, complications and recrudescence were observed after transplantation. <p>RESULTS: Amniotic membrane started to dissolve in 3-5d and fell off within 7-14d after transplantation in all patients. Slit-lamp examinations showed that the cornea turned transparent in 16 eyes. There were significant diffrrences in the scores of corneal opacification and fluorescein staining at 28d after treatment compared before treated(<i>P</i><0.05). Visual acuity increased in all patients to varying degree with no complications. <p>CONCLUSION: AMT has a good effect in the treatment of exposure keratitis.
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Objective To investigate the effect of autologous serum therapy in the treatment of three cases of exposure keratitis after general anesthesia.Method Autologous serum therapy was used to treat 3 cases of exposure keratitis,the curative effects assessed by the patients’complaints and observation of the ocular symptoms.Result All the patients reported eliminations of exposure keratitis and symptomatic relief.Conclusions The autologous serum therapy is effective for the treatment of exposure keratitis.The nursing strategies of keeping cornea moist,preventing infections,performing mental nursing and storing serum properly are critical for the enhanced curative effect.