مرضى الرعاية المركزة و خاصة مرضى التهوية الآلية هم عالي الخطورة لتطور أمراض سطح العين و ذلك بسبب تأذي آليات تحصين العين لديهم كنقص انغلاق الأجفان, و نقص منعكس الرفيف, و نقص إنتاج الدمع, و زيادة تعرض العين للجراثيم . تؤدي غالباً هذه العوامل لعدم إغلاقٍ كاملٍ للأجفان و تعرض العين و اعتلالها، و هذا ما يدعى باعتلال القرنية التعرضي, و الذي يظهر بمعدل عالٍ عند مرضى التهوية الآلية . العناية بالعين هي جزء من العناية المقدمة لكل مريض في وحدات الرعاية المركزة . حيث إنَ المرضى غير الواعين و المسكنين و المشلولين هم المجموعة الأكثر خطورة و الأكثر حاجة للعناية بالعين و الحفاظ على حالتها الطبيعية . الهدف: لتحديد تأثير نوع سياسة العناية بالعين على معدل حدوث اعتلال القرنية التعرضي لدى مرضى التهوية الآلية.
Patients in the intensive care unit (ICU), especially ventilated patients, are
at considerable risk of developing ocular surface disease because the protective eye
mechanisms are damage, as decrease eyelid closure ,unable blinking, decreased producing
tears, increased expose the eye to pathogen bacteria . These factors often result in incomplete
lid closure and expose and decay the eye, and this called the exposure keratopathy, which
appear that high rate with ventilated patients.
The eye care is a part of the providing care to every patient in critical care units.
Whereas the Unconscious and Sedation and paralysis patients are the most serious group and
the most need to the eye care for maintain the eye in a state of normal.objective:To determine
the effect kind of eye care policy on incidence rate of exposure keratopathyamong
mechanically ventilated patients.
References used
Mercieca F, Suresh P,et al. Ocular surface disease in intensive care patients. Eye,1999;13: 231–236
Hernandez EV, Mannis MJ. Superficial keratopathy in intensive care unit patients. Am J Ophthalmol, 1997;124(2):212-6
Imanaka H, Taenaka N, Nakamura J,et al. Ocular surface disorders in the critically ill. AnesthAnalg 1997;85(2):343-6
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Corrected visual acuity measurement, slit lamp examination, corneal