Posters

Ocular complications in trauma patients admitted to the intensive care unit (ICU)

Poster Details

First Author: M. Shaeri IRAN, ISLAMIC REPUBLIC OF

Co Author(s):    F. Rangraz Jeddi   H. Akbari                 

Abstract Details

Purpose:

The eyelids and tear film are preventive factors for establishment of pathogenic organisms on the eye surface. Patients in intensive care units due to the use of tranquilizers and muscle relaxants are at risk of dry eye syndrome. This study aimed to determine the ocular complications in intensive care unit (ICU) patients was conducted during 2015.

Setting:

ICU of Imam Khomeini Hospital, Tehran University of Medical Sciences

Methods:

This cross-sectional study was performed on 130 patients who hospitalized in ICU with trauma. Demographic data, scores of Glasgow Coma Scale (GCS), type of trauma (penetrating or blunt), site of trauma (head, face, neck, chest, abdomen and extremities) were evaluated. Eye status on admission (subconjunctival hemorrhage, rupture of the eyelids, corneal damage, facial lacerations, orbital injury (emphysema, proptosis, orbital fracture) were recorded by ophthalmologist. The data analyzed with descriptive statistics such as analysis of variance, chi-square and Fisher tests.

Results:

One hundred and two (78.5%) were male. The mean age was 42.5 years (range 6to76 years) and a standard deviation of 17.5. Of 130 patients, 114 patients (87.7%) had ocular complications. Dry eye syndrome 36(27.7%) was the most complication. More complication in males was corneal epithelial defect (15.3%) and in females was ecchymosis (8.4%), respectively, was significant difference in the incidence of complications between women and men. (P =0.021). A significant correlation between GCS and type of visual disorder was seen in patients (P=0.005). The most complications in terms of length of stay in ICU was dry eyes.

Conclusions:

Eye complications in patients admitted to the intensive care unit is high and depending of age, male sex, length of stay and level of consciousness. Preventive management for all patients with risk factors listed in the intensive care unit is recommended.

Financial Disclosure:

NONE