TITLE

Randomised trial comparing ocular lubricants and polyacrylamide hydrogel dressings in the prevention of exposure keratopathy in the critically ill

AUTHOR(S)
Ezra, Daniel G.; Chan, Michelle P. Y.; Solebo, Lola; Malik, Aeesha P.; Crane, Elizabeth; Coombes, Andrew; Healy, Marie
PUB. DATE
March 2009
SOURCE
Intensive Care Medicine;Mar2009, Vol. 35 Issue 3, p455
SOURCE TYPE
Academic Journal
DOC. TYPE
Article
ABSTRACT
To compare the cost and effectiveness of the two most popular forms of eye care in intensive care, ocular lubricant (Lacrilube) and polyacrylamide hydrogel dressings (Geliperm); for the prevention of exposure keratopathy in the critically ill. A prospective randomised contralateral eye study was conducted at the Intensive Care Unit (ICU), Royal London Hospital, London, UK. Eighty eyes of 40 patients were recruited. Each patient received both Lacrilube and Geliperm allocated at random to different sides. A daily ophthalmology ward round was conducted. The outcome measures included the greatest palpebral aperture length, conjunctival oedema, and any exposure keratopathy. There was no statistically significant difference in the maximum corneal exposure score between the eyes treated with Lacrilube and Geliperm ( P = 0.38). No significant difference in degree of chemosis or palpebral aperture was identified. Our data suggest that Geliperm is as effective as Lacrilube in the prevention of exposure keratopathy in the critically ill. We also note that nursing staff must be fully trained in its application for eye care.
ACCESSION #
36502939

 

Related Articles

Share

Read the Article

Courtesy of VIRGINIA BEACH PUBLIC LIBRARY AND SYSTEM

Sorry, but this item is not currently available from your library.

Try another library?
Sign out of this library

Other Topics