AI Article Synopsis

  • - The study focuses on using a moisture chamber as a treatment for corneal ulceration in a critically ill patient with temporary lagophthalmos (inability to fully close the eye).
  • - A 46-year-old woman experienced severe eye issues after a car accident, leading to ineffective treatments like lubricating gel and antibiotic ointment, prompting the use of a moisture chamber instead of surgery.
  • - The results indicated that a moisture chamber effectively managed the corneal ulceration, highlighting it as a viable noninvasive option for severe eye exposure problems.

Article Abstract

Background: This study describes the use of a moisture chamber to treat corneal ulceration due to temporary lagophthalmos in a critically ill patient.

Case Summary: A 46-year-old woman was admitted to the intensive care unit after a car accident. She suffered multiple injuries that included brain injury and presented with moderately decreased consciousness and lagophthalmos in her right eye. Within 6 d, her consciousness improved considerably; at which time, exposure keratopathy occurred and worsened to corneal ulceration. Lubricating gel, antibiotic ointment, and bandage contact lens were all ineffective in preventing or treating the exposure keratopathy. Instead of tarsorrhaphy, a moisture chamber was applied which successfully controlled the corneal ulceration. The moisture chamber was discontinued when complete eyelid closure recovered a week later.

Conclusion: A moisture chamber may be an effective, noninvasive alternative to tarsorrhaphy for treating severe exposure keratopathy due to temporary lagophthalmos.

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Source
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC7896666PMC
http://dx.doi.org/10.12998/wjcc.v9.i5.1127DOI Listing

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