TEAR SUBSTITUTES PREVENT OPHTHALMIC COMPLICATIONS IN INTENSIVE CARE UNIT PATIENTS
Aim. To study the effects of Cationorm for the prevention of ophthalmic complications in intensive care unit (ICU) patients and to compare the efficacy of ocular surface lubricants used in ICU. Patients and methods. 50 ICU patients (100 eyes) with bilateral lagophthalmos (2 mm or more) were enrolled...
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| Format: | Article |
| Language: | Russian |
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Ophthalmology Publishing Group
2015-07-01
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| Series: | Oftalʹmologiâ |
| Subjects: | |
| Online Access: | https://www.ophthalmojournal.com/opht/article/view/243 |
| _version_ | 1797875530687578112 |
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| author | S. A. Kochergin A. S. Kochergin O. P. Koshevaya |
| author_facet | S. A. Kochergin A. S. Kochergin O. P. Koshevaya |
| author_sort | S. A. Kochergin |
| collection | DOAJ |
| description | Aim. To study the effects of Cationorm for the prevention of ophthalmic complications in intensive care unit (ICU) patients and to compare the efficacy of ocular surface lubricants used in ICU. Patients and methods. 50 ICU patients (100 eyes) with bilateral lagophthalmos (2 mm or more) were enrolled in the study. Study group and control group each included 25 patients (50 eyes) who were on deep sedation and ventilator. Before and after the treatment, general examination, biomicroscopy, tonometry, ophthalmoscopy, Schirmer’s test and Norn’s test (with fluorescein) were performed. Results. Cationorm significantly improves tear film stability without any corneal epithelial defects (100 % of patients). In 7 controls (14 eyes, 28 %), initial signs of corneal xerosis and exposure keratitis were revealed. Conclusions. ICU patients are at high risk of complications due to hypodynamia and reduced innervation of the eye and its appendages. Bilateral lagophthalmos develops in 16.67 % of ICU patients who are on deep sedation and ventilator (up to 3 days). In the abscence of preventive therapy, lagophthalmos results in complications, i.e., keratitis and, occasionally, corneal ulceration and perforation. ICU patients require ophthalmological examination and tear substitutes. Regular instillations of Cationorm minimize ophthalmic complications due to intensive therapy. Cationorm restores tear firm architectonics and may be considered as a first-line choice for such disorders. |
| first_indexed | 2024-04-10T01:48:58Z |
| format | Article |
| id | doaj.art-94f1ab55ba5e461787d0e9368e9acea5 |
| institution | Directory Open Access Journal |
| issn | 1816-5095 2500-0845 |
| language | Russian |
| last_indexed | 2024-04-10T01:48:58Z |
| publishDate | 2015-07-01 |
| publisher | Ophthalmology Publishing Group |
| record_format | Article |
| series | Oftalʹmologiâ |
| spelling | doaj.art-94f1ab55ba5e461787d0e9368e9acea52023-03-13T09:08:36ZrusOphthalmology Publishing GroupOftalʹmologiâ1816-50952500-08452015-07-01122485310.18008/1816-5095-2015-2-48-53238TEAR SUBSTITUTES PREVENT OPHTHALMIC COMPLICATIONS IN INTENSIVE CARE UNIT PATIENTSS. A. Kochergin0A. S. Kochergin1O. P. Koshevaya2Российская медицинская академия постдипломного образования, МоскваРоссийская медицинская академия постдипломного образования, МоскваГородская клиническая больница № 67 им. Л. А . Ворохобова, МоскваAim. To study the effects of Cationorm for the prevention of ophthalmic complications in intensive care unit (ICU) patients and to compare the efficacy of ocular surface lubricants used in ICU. Patients and methods. 50 ICU patients (100 eyes) with bilateral lagophthalmos (2 mm or more) were enrolled in the study. Study group and control group each included 25 patients (50 eyes) who were on deep sedation and ventilator. Before and after the treatment, general examination, biomicroscopy, tonometry, ophthalmoscopy, Schirmer’s test and Norn’s test (with fluorescein) were performed. Results. Cationorm significantly improves tear film stability without any corneal epithelial defects (100 % of patients). In 7 controls (14 eyes, 28 %), initial signs of corneal xerosis and exposure keratitis were revealed. Conclusions. ICU patients are at high risk of complications due to hypodynamia and reduced innervation of the eye and its appendages. Bilateral lagophthalmos develops in 16.67 % of ICU patients who are on deep sedation and ventilator (up to 3 days). In the abscence of preventive therapy, lagophthalmos results in complications, i.e., keratitis and, occasionally, corneal ulceration and perforation. ICU patients require ophthalmological examination and tear substitutes. Regular instillations of Cationorm minimize ophthalmic complications due to intensive therapy. Cationorm restores tear firm architectonics and may be considered as a first-line choice for such disorders.https://www.ophthalmojournal.com/opht/article/view/243лагофтальмслезная пленкакатионормотделение реанимацииэкспозиция роговицы |
| spellingShingle | S. A. Kochergin A. S. Kochergin O. P. Koshevaya TEAR SUBSTITUTES PREVENT OPHTHALMIC COMPLICATIONS IN INTENSIVE CARE UNIT PATIENTS Oftalʹmologiâ лагофтальм слезная пленка катионорм отделение реанимации экспозиция роговицы |
| title | TEAR SUBSTITUTES PREVENT OPHTHALMIC COMPLICATIONS IN INTENSIVE CARE UNIT PATIENTS |
| title_full | TEAR SUBSTITUTES PREVENT OPHTHALMIC COMPLICATIONS IN INTENSIVE CARE UNIT PATIENTS |
| title_fullStr | TEAR SUBSTITUTES PREVENT OPHTHALMIC COMPLICATIONS IN INTENSIVE CARE UNIT PATIENTS |
| title_full_unstemmed | TEAR SUBSTITUTES PREVENT OPHTHALMIC COMPLICATIONS IN INTENSIVE CARE UNIT PATIENTS |
| title_short | TEAR SUBSTITUTES PREVENT OPHTHALMIC COMPLICATIONS IN INTENSIVE CARE UNIT PATIENTS |
| title_sort | tear substitutes prevent ophthalmic complications in intensive care unit patients |
| topic | лагофтальм слезная пленка катионорм отделение реанимации экспозиция роговицы |
| url | https://www.ophthalmojournal.com/opht/article/view/243 |
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