Journal of the Korean Ophthalmological Society 1999;40(10):2701-2707.
Published online October 1, 1999.
Superficial Keratopathy of Patients in Intensive Care Unit.
S W Moon, K H Jin, D H Kim
Department of Ophthalmology, College of Medicine, Kyung-Hee University.
중환자실 환자들에서 발생한 표층성 각막 이상에 관한 연구
문상웅(Sang Woong Moon),진경현(Kyung Hyun Jin),김동희(Dong Hee Kim)
Abstract
Patients hospitalized in an intensive care unit could have impaired ocular defense mechanism and faced increased incidence of corneal abnormalities. To determine the prevalence of keratopathy in intensive care unit patients and to identify factors associated with an increased incidence of corneal abnormalities,we conducted bedside examinations including fluorescein dye application and schirmer 's test and bacterial culture on 128 randomly selected patients. Associated factors was analyzed with Glasgow Coma Scale, period in the intensive care unit, intubation status, underlining disease, and current eye care. As a result, superficial keratopathy was present in 41 (32%) of the 128 patients. Patients who are intubated, who have low score of the Glasgow Coma Scale, and who have been hospitalized in the intensive care unit for extended periods are seemed to be at high risk of superficial keratopathy and require prophylactic eye care.
Key Words: Bacterial keratitis;Intensive care unit;Predisposing condition;Superficial keratopathy


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