Sequelae of Anaesthesia
T.M. Craft, P.M. Upton in Key Topics In Anaesthesia, 2021
Anaesthesia and surgery have many effects on the patient. Some are inevitable consequences, but many are avoidable with knowledge and appropriate care. The recovering patient is at risk of the same respiratory and cardiovascular complications as at induction, but these often occur when the level of monitoring has reduced and there is a less skilled person attending them. Some units have now introduced a trained anaesthetist dedicated to the recovery room — both to increase the level of care for patients and to encourage research and training. Atelectasis occurs on induction of anaesthesia with collapse of lung in dependent areas causing ventilation — perfusion mismatch. The incidence of corneal abrasion increases with operations lasting over 90 minutes, those on the head and neck and those where the patient is prone. Taping the eyes and the use of aqueous gel or soft contact lenses reduces the risk of corneal abrasion.
Extended Wear Bandage Contact Lenses Decrease Pain and Preserve Vision in Patients with Epidermolysis Bullosa: Case Series and Review of Literature
Published in Ocular Immunology and Inflammation, 2020
Ramy Rashad, Matthew C. Weed, Nicole Quinn, Vicki M. Chen
Purpose: To demonstrate the therapeutic benefit of extended wear bandage contact lens (BCL) use in patients with epidermolysis bullosa (EB) suffering from recurrent, painful, and slow-to-heal corneal epithelial defects. Methods: Case reports of three patients. Results: We report ophthalmic treatment of three pediatric patients, two with recessive dystrophic EB (RDEB) and one with junctional EB (JEB), who suffered frequently recurrent corneal abrasions and were treated with 30-day extended-wear bandage contact lenses (BCLs), replaced every month for at least 1 year. Pain and frequency of corneal abrasions improved immediately, and the BCLs were well tolerated. Vision was maintained or improved in all cases. Corneal ulcers did not occur while on antibiotic prophylaxis. Conclusions: Continuous and prolonged BCL therapy in patients with EB can be an effective way to immediately alleviate pain, prevent recurrent abrasions, and improve patient quality of life.
Ocular complications of severe corneal abrasions after cosmetic blepharopigmentation
Published in Journal of Cosmetic and Laser Therapy, 2019
Duygu Gulmez Sevim, Metin Unlu, Cagatay Karaca, Kuddusi Erkilic
A 53-year-old woman with hemiparesis and poor dexterity, underwent cosmetic blepharopigmentation on the both upper eyelids in the dermatology clinic of a private hospital. She was not asked for any information on her medical history and no informed consent was obtained and the procedure was performed without any protective ocular shields. The patient experienced severe lacrimation, discomfort, and increased sensitivity to light during and after the procedure. She also noticed blurred vision after the procedure. Ophthalmologic examination revealed tender and oedematous eyelids and corneal abrasions in both of her eyes. Topical antibiotics and preservative-free lubricants were able to recover her from her signs and symptoms at 1-week follow-up. It is recommended that cosmetic blepharopigmentation should be applied cautiously with patient’s informed consent after obtaining a thorough medical history and with protective ocular shields to avoid potential complications.
Eyelid Entropion
Published in Seminars in Ophthalmology, 2010
Mario Genilhu Bomfim Pereira, Murilo Alves Rodrigues, Silvia Andrade Carvalho Rodrigues
Entropion is a common eyelid malposition in which the margin turns inward against the globe. If untreated, this condition can cause irritative symptoms like ocular discomfort, corneal abrasion, microbial keratitis, corneal vascularization, and visual loss. It may be classified as cicatricial, congenital, acute spastic and involutional. Involutional entropion is the most common type seen in general ophthalmic practice and its prevalence is increasing as the population ages. There are several treatment strategies including nonsurgical and surgical procedures. This paper describes the surgical techniques most commonly used to treat entropion: everting sutures (Quickert), transverse blepharotomy and marginal rotation (Weis procedure), orbicularis transfer technique, tarsal strip, and advancement of the lower lid retractors.
Related Knowledge Centers
- Cornea
- Corneal Diseases
- Corneal Stroma
- Epithelium
- Photophobia
- Eye Injuries
- Descemetocele