| Autor: |
Bright MR; Department of Anaesthesia, Royal Brisbane and Women's Hospital, Herston, Australia.; Faculty of Medicine, University of Queensland, Australia., White LD; Department of Anaesthesia and Perioperative Medicine, Sunshine Coast Hospital and Health Service, Birtinya, Australia., Concha Blamey SI; Department of Anaesthesia, Royal Brisbane and Women's Hospital, Herston, Australia.; Faculty of Medicine, University of Queensland, Australia., Endlich Y; Department of Anaesthesia, 1062Royal Adelaide Hospital, Adelaide, Australia.; Faculty of Medicine, The University of Adelaide, Adelaide, Australia., Culwick MD; Department of Anaesthesia, Royal Brisbane and Women's Hospital, Herston, Australia.; Faculty of Medicine, University of Queensland, Australia.; Australian and New Zealand Tripartite Anaesthesia Data Committee, Melbourne, Australia. |
| Abstrakt: |
Corneal abrasions are an uncommon complication of anaesthesia. The aim of this study was to identify potential risk factors, treatment and outcomes associated with corneal abrasions reported to the web-based anaesthesia incident reporting system (webAIRS), a voluntary de-identified anaesthesia incident reporting system in Australia and New Zealand, from 2009 to 2021. There were 43 such cases of corneal abrasions reported to webAIRS over this period. The most common postoperative finding was a painful eye. Common features included older patients, individuals with pre-existing eye conditions, general anaesthesia and procedures longer than 60 minutes. Most cases were treated with a combination of lubricating eye drops or aqueous antibiotic eye drops. The findings indicate that patients who sustain a perioperative corneal abrasion can be reassured that in many cases it will heal within 48 hours, but they should seek earlier review if symptoms persist or deteriorate. None of the cases in this series resulted in permanent harm. Well established eye protective measures are important to utilise throughout the perioperative period, including the time until the patient has recovered in the post-anaesthesia care unit. |
