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Intensive Care Medicine
Published in: Intensive Care Medicine 2/2005

01-02-2005 | Correspondence

Assessment of corneal epitheliopathy in the critically ill

Authors: Daniel G. Ezra, Marie Healy, Andrew Coombes

Published in: Intensive Care Medicine | Issue 2/2005

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Excerpt

Sir: We read with interest the recent work by Koroloff et al. [1] in Intensive Care Medicine. Eye care for the critically ill is an under researched area, and we welcome this important contribution. The aims of this study were to “evaluate the effectiveness in preventing corneal damage of two methods of eye care”. However, the choice of endpoints for the study do not make this aim possible, as only corneal ulceration was considered as an endpoint, and no assessment of less severe forms of corneal damage, such as superficial punctuate keratopathy, was made. …
Literature
1.
Koroloff N, Boots R, Lipman J, Thomas P, Rickard C, Coyer F (2004) A randomised controlled study of the efficacy of hypromellose and Lacri-Lube combination versus polyethylene/Cling wrap to prevent corneal epithelial breakdown in the semiconscious intensive care patient. Intensive Care Med 30:1122–1126CrossRefPubMed
2.
Yokoi N, Kinoshita S (1995) Clinical evaluation of corneal epithelial barrier function with the slitlamp photometer. Cornea 14:485–489PubMed
3.
Bron AJ, Evans VE, Smith JA (2003) Grading of corneal and conjunctival staining in the context of other dry eye tests. Cornea 22:640–650CrossRefPubMed
4.
Miyata K, Amano S, NishidaT (2003) A novel grading method for superficial punctuate keratopathy magnitude and its correlation with corneal epithelial permeability. Arch Ophthalmol 121:1537–1539CrossRefPubMed
5.
Wilson LA (1982) Bacterial corneal ulcers. In: Duane TD (ed) Clinical ophthalmology. Harper & Row, New York, pp 5–9
6.
Hernandez EV, Mnnis MJ (1997) Superficial keratopathy in intensive care unit patients. Am J Ophthalmol 124:212–216PubMed
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Mercieca M, Suresh P, Morton A, Tullo A (1999) Ocular surface disease in intensive care patients. Eye 13:231–236PubMed
8.
Ezra DG, Coombes A, Lewis G, Healy M (2003) Eye care measures for the critically ill-more harm than good? Intensive Care Med 29:40
Metadata
Title
Assessment of corneal epitheliopathy in the critically ill
Authors
Daniel G. Ezra
Marie Healy
Andrew Coombes
Publication date
01-02-2005
Publisher
Springer-Verlag
Published in
Intensive Care Medicine / Issue 2/2005
Print ISSN: 0342-4642
Electronic ISSN: 1432-1238
DOI
https://doi.org/10.1007/s00134-004-2518-8

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