Protocolo de cuidado ocular em pacientes internados nas unidades de tratamento intensivo

Abstract

Patients in intensive care unit require a high standard of medical and nursing practice, they are critically ill and dependent on technology and medication, however, they are potentially vulnerable to ocular surface disease, mostly those sedated and at mechanical ventilation,which are at risk for exposure keratopathy. This condition predisposes to microbial keratitis that may lead to corneal perforation and permanent visual loss. For these reasons eye care with regular cleaning of the eyes, installation of lubricating drops and ointments are recommended. Meta-analysis showed that moisture chambers are significantly better than lubrification at prevent exposure keratopathy. We reviewed some studies that showed the superiority of the moisture chamber in prevent ocular surface disease in patient in intensive care units.