Cause analysis of contributing to occurrence of postoperative keratitis in children patients with congenital ptosis and the nursing strategies

Abstract

Objective To summarize and discuss the causes and nursing measures of postoperative keratitis in children patients with congenital ptosis.Methods A total of 489 children patients undergoing surgical correction of congenital ptosis were selected,and all of them received frontalis suspension surgery under general anesthesia.There were 13 cases occurred keratitis complications in 489 postoperative children,and a retrospective analysis was conducted among the 13 patients in order to identify the causes for occurrence of keratitis and to explore nursing measures.Results The most common cause was corneal exposure,which occurred in 5 cases with exposure keratitis.Two cases of children were caused by pulling the lower eyelid suture due to improper nursing when applying ointments in children at the beginning of sleep,who recovered after nursing treatment.Two cases of children cried with eye pain on postoperative day 1,with self-conscious symptoms improvement and narrowing of corneal punctate staining narrow under the slit lamp on postoperative day 2 after careful nursing,and with getting better after 3 days.Three cases of children were caused by trichiasis,and one case was with frontalis suspension undercorrection and upper eyelid entropion and trichiasis.After treating and nursing,the keratitis symptoms of children improved and self-conscious symptoms disappeared,and corneal epithelial repaired.Conclusions The postoperative keratitis from different causes in children patients with congenital ptosis can be cured by early detection and the active treatment and individual nursing measures according to their different causes,which can reduce the incidence of complications,provide a basis for further improvement on nursing work and improve the success rate of surgery. Key words: Children; Nursing; Keratitis; Ptosis surgery; Analysis of causes