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The Scientific World Journal
Volume 2013, Article ID 182038, 5 pages
Clinical Study

Ocular Surface Disorders in Intensive Care Unit Patients

1Anesthesiology and Reanimation Department, Meram Medical Faculty, Necmettin Erbakan University, 42080 Konya, Turkey
2Ophthalmology Department, Faculty of Medicine, Selcuk University, 42130 Konya, Turkey
3Ophthalmology Department, Bitlis Government Hospital, 13000 Bitlis, Turkey
4Microbiology Department, Meram Medical Faculty, Necmettin Erbakan University, 42080 Konya, Turkey

Received 19 July 2013; Accepted 17 September 2013

Academic Editors: D. Karakitsos, A. E. Papalois, and A. Shiloh

Copyright © 2013 Tuba Berra Saritas et al. This is an open access article distributed under the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited.


Patients in intensive care units (ICU) are at increased risk of corneal abrasions and infectious keratitis due to poor eyelid closure, decreased blink reflex, and increased exposure to pathogenic microorganisms. The aim of this retrospective study was to evaluate the ocular surface problems in patients who stayed in ICU more than 7 days and were consulted by an ophthalmologist. There were 26 men and 14 women with a mean age of 40.1 ± 18.15 years (range 17–74 years). Conjunctiva hyperemia, mucopurulent or purulent secretion, corneal staining, and corneal filaments were observed in 56.25%, 36.25%, 15%, and 5% of the eyes, respectively. Keratitis was observed in 4 patients (10%) who were treated successfully with topical antibiotics. Mean Schirmers test results were 7.6 ± 5.7 mm/5 min (median 6.5 mm/5 min) in the right, and 7.9 ± 6.3 mm/5 min (median 7 mm/5 min) in the left eyes. Schirmers test results were <5 mm/5 min in 40% of the subjects. The parameters did not show statistically significant difference according to mechanical ventilation, sedation, and use of inotropes. As ICU patients are more susceptible to develop dry eye, keratopathy, and ocular infections, they should be consulted by an ophthalmologist for early diagnosis of ocular surface disorders.