Evaluation of Eyelid Position and Discharge from Eyes among Patients Admitted In Adult Intensive Care Unit of a Tertiary Care Hospital

Abstract

Background: Present study was done to evaluate eyelid position and Discharge from eyes among Patients admitted in Adult Intensive Care Unit. Material and Methods: It was a prospective observational study carried in AICU over period of one year by Department of Ophthalmology, Dr. RPGMC Kangra at Tanda. All the patients who were admitted in AICU greater than 48 hours between ages of 18-65 years were included and evaluated for socio-demographic information like age, gender etc. Thorough ophthalmic examination was also done for eyelid position and eye discharge and analyzed using epi info v7 software. Results: A total of 126 patients were included in the study. Mean age of the study participants was 41.8 years. 64.3% of the patients were males while 35.7% were females. 26.2% of the right eyes had grade 3 eyelid positions at 48 hour, 67% at the end of first week, 64% at the end of second week and at the end of fourth and fifth week, none of the right eyes had grade 3 eyelid position. 24.6% of the left eyes had grade 3 eyelid positions at 48 hours 67% At the end of first week, 64% at the end of second week and At the end of fourth and fifth week, none of the left eyes had grade 3 eyelid position. Rate of mucopurulent discharge was 14.2% and 11.9% in right and left eyes respectively at 48 hours. At the end of first week, the rate of mucopurulent discharge was 59.2% in the right eyes and 63% in left eyes. At the end of second week, the rate of mucopurulent discharge was 18.2% and 36.4% in right and left eyes respectively. Three right eyes out of 5 eyes and one left eye out of 5 eyes showed mucopurulent discharge at the end of third week. At the end of fourth and fifth week, none of the eyes showed mucopurulent discharge Conclusion: Eye care which may include lubrication with eye drops, administration of broad-spectrum antibiotics, taping of eye lids and regular examination by ophthalmologists can markedly reduce eye related complications among AICU admitted patients.