Effectiveness of polyethylene covers versus carbomer drops (Viscotears (R)) to prevent dry eye syndrome in the critically ill

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dc.contributor.authorGuler, Elem Kocacal
dc.contributor.authorEser, Ismet
dc.contributor.authorEgrilmez, Sait
dc.date.accessioned2019-10-27T21:37:57Z
dc.date.available2019-10-27T21:37:57Z
dc.date.issued2011
dc.departmentEge Üniversitesien_US
dc.description.abstractAim. The purpose of this study was to compare the effectiveness of the polyethylene covers versus carbomer eye drops to prevent dry eye syndrome in intensive care unit patients. Background. Concerns about eye care for critically ill patients remain an issue. Few studies have focused on the effect of polyethylene covers and eye drops. In addition, there are no studies comparing polyethylene covers and carbomer eye drops for critically ill patients. Design. A prospective, randomised and contralateral eye study was conducted. Methods. The study took place in an intensive care unit in 2007. Thirty-six eyes of 18 patients, who were under mechanical ventilation or unconscious for more than 24 hours in the intensive care unit, were studied. After examining the eyes of the patients with the Schirmer 1 test and fluorescein dye test, suitable patients were included in the study. One eye of the patient was randomly covered with a polyethylene cover every 12 hours, and carbomer drops were instilled on the other eye every six hours. All eyes were checked for an ocular surface abnormality by the same ophthalmologist everyday. The study interventions were continued until a defect was detected or for five days. Patients with a defect detected completed the study and were recorded as positive for the primary endpoint. Results. Carbomer drop was effective in prophylaxis of dry eye syndrome in only three of 18 patients, whereas polyethylene cover showed greater effect in 18 of 18 eyes at the end of the study (SD 0.3835, Z = -3.873, p < 0.001). A negative effect of greater rima palpebra in the resting position was observed in the efficacy of carbomer drop (r = -0.476, p < 0 05). Conclusion. This study suggests that a polyethylene cover is significantly effective in prevention of dry eye syndrome in intensive care patients. As an eye care intervention, the effectiveness of polyethylene cover should be supported by further studies. Relevance to clinical practice. This study, which is an initial step in preventing dry eye syndrome in critically ill patients, also offers a new and effective eye care method in these patients.en_US
dc.description.sponsorshipEge UniversityEge University; Elginkan Charitable Fund, Izmir, TURKEY; TUBITAK (The Scientific and Technological Research Council of Turkey)Turkiye Bilimsel ve Teknolojik Arastirma Kurumu (TUBITAK)en_US
dc.description.sponsorshipWe thank all responsible and instructor physicians and clinical nurses in Intensive Care Unit: Ali Res, at Moral, Mehmet Uyar and Kubilay Demirag., Gulin Dincaraslan, Dilek Suakar and Seda Ilgin; we also thank Ayse Yagci, Melis Palamar and Esat Cinar in Opthalmology Department. We also thank all the patients participating in this study. The work was performed in Anesthesiology and Reanimation Unit at Ege University School of Medicine, Izmir, Turkey. The study was awarded in a national project competition, Post-graduate Competition Applicable to Manufacturing Trade, by Ege University and Elginkan Charitable Fund at 3-5th June 2008, Izmir, TURKEY. The study was previously presented at 3rd EfCCNa & 27th Aniarti Congress, 09 October 2008/11 October 2008 Florence, Italy. A patent application for polythylene cover as a new design, which was used in this study, was accepted by Turkish Patent Institute. Additionally, TUBITAK (The Scientific and Technological Research Council of Turkey) provided financial support for this patent application.en_US
dc.identifier.doi10.1111/j.1365-2702.2010.03559.xen_US
dc.identifier.endpage1922en_US
dc.identifier.issn0962-1067
dc.identifier.issue13-14en_US
dc.identifier.pmid21414053en_US
dc.identifier.startpage1916en_US
dc.identifier.urihttps://doi.org/10.1111/j.1365-2702.2010.03559.x
dc.identifier.urihttps://hdl.handle.net/11454/46292
dc.identifier.volume20en_US
dc.identifier.wosWOS:000292546100014en_US
dc.identifier.wosqualityQ2en_US
dc.indekslendigikaynakWeb of Scienceen_US
dc.indekslendigikaynakPubMeden_US
dc.language.isoenen_US
dc.publisherWiley-Blackwellen_US
dc.relation.ispartofJournal of Clinical Nursingen_US
dc.relation.publicationcategoryMakale - Uluslararası Hakemli Dergi - Kurum Öğretim Elemanıen_US
dc.rightsinfo:eu-repo/semantics/closedAccessen_US
dc.subjectcorneaen_US
dc.subjectdry eye syndromeen_US
dc.subjecteye careen_US
dc.subjectintensive care unitsen_US
dc.subjectnursingen_US
dc.subjectpreventionen_US
dc.titleEffectiveness of polyethylene covers versus carbomer drops (Viscotears (R)) to prevent dry eye syndrome in the critically illen_US
dc.typeArticleen_US

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