Effect of polyethylene cover on the treatment of exposure keratopathy inICU

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dc.contributor.authorKocacal, Elem
dc.contributor.authorEser, Ismet
dc.contributor.authorEgrilmez, Sait
dc.date.accessioned2020-12-01T11:58:30Z
dc.date.available2020-12-01T11:58:30Z
dc.date.issued2020
dc.departmentEge Üniversitesien_US
dc.description.abstractBackground Exposure keratopathy may lead to serious complications such as microbial keratitis, corneal perforation, and visual impairment if not treated. Aim To compare the effect of carbomer eye drops when used alone and in combination with polyethylene covers in the healing of exposure keratopathy. Methods A single blind randomized-controlled trial (RCT) in two intensive care units (ICUs) was carried out in a university hospital in Western Turkey between September 2011 and December 2012.The control group received only carbomer, eye drops while the intervention group received both carbomer eye drops and polyethylene covers. the primary outcome was the decrease or absence of corneal damage, which refers to healing. Corneal damage was followed up with a fluorescein dye test (decrease/absence of the corneal staining) by the same ophthalmologist for 10 days. Results A total of 43 corneas in 24 patients were studied. Corneal epithelial defects decreased in the intervention group by day 2 and progressed or remained unchanged in the control group every day (P= .001). Patient characteristics did not affect the grade ranges of corneal staining in the groups except for level of consciousness. Conclusion Carbomer eye drops, when used in combination with polyethylene covers, were effective in managing exposure keratopathy. Relevance to clinical practice Corneal damage and further ocular complications can be reduced with the utilization of polyethylene covers in nursing care and treatment.en_US
dc.description.sponsorshipDevlet Planlama Orgutu [05-DPT-003/22]en_US
dc.description.sponsorshipDevlet Planlama Orgutu, Grant/Award Number: 05-DPT-003/22en_US
dc.identifier.doi10.1111/nicc.12542en_US
dc.identifier.issn1362-1017
dc.identifier.issn1478-5153
dc.identifier.pmid32830416en_US
dc.identifier.scopus2-s2.0-85089667123en_US
dc.identifier.scopusqualityQ1en_US
dc.identifier.urihttps://doi.org/10.1111/nicc.12542
dc.identifier.urihttps://hdl.handle.net/11454/62035
dc.identifier.wosWOS:000561795900001en_US
dc.identifier.wosqualityQ2en_US
dc.indekslendigikaynakWeb of Scienceen_US
dc.indekslendigikaynakScopusen_US
dc.indekslendigikaynakPubMeden_US
dc.language.isoenen_US
dc.publisherWileyen_US
dc.relation.ispartofNursing in Critical Careen_US
dc.relation.publicationcategoryMakale - Uluslararası Hakemli Dergi - Kurum Öğretim Elemanıen_US
dc.rightsinfo:eu-repo/semantics/closedAccessen_US
dc.subjectadult intensive careen_US
dc.subjectcritical care nursingen_US
dc.subjectmechanical ventilationen_US
dc.titleEffect of polyethylene cover on the treatment of exposure keratopathy inICUen_US
dc.typeArticleen_US

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