Corneal Abrasion following Anaesthesia for Non-ocular Surgical Procedures: A Case-controlled Study. Issue 11 (November 2017)

• Record Type: Journal Article
• Authors: Carniciu, AL; Fazzari, MJ; Tabibian, P; Batta, P; Gentile, RC; Grendell, JH; Brathwaite, CE; Barzideh, N
• Is Part Of: Journal of perioperative practice. Volume 27:Issue 11(2017)
• Page Start: 247
• Page End: 254
• Publication Date: 2017-11
• Subjects: Perioperative -- Complications -- Corneal abrasion -- Eye injury; Operating room nursing -- Periodicals; 617.9192
• DOI: 10.1177/175045891702701102
• Languages: English
• ISSNs: 2515-7949

Abstract

The aim of this study was to identify risk factors associated with perioperative corneal abrasion at a single hospital in Mineola, New York (United States). A chart review was conducted of patients with perioperative corneal abrasion following non-ocular surgery and age-matched controls between June 2011 and November 2013. An age-stratified logistic regression model evaluated the association between corneal abrasion and potentially predisposing variables. The adjusted odds of a corneal abrasion occurring were 4.6 times greater for patients having surgery for ≥ 3 hours (p=0.001) and 3.6 times greater for patients with pre-existing ocular disease (p=0.02). Gender, diabetes status, surgical procedure or position were not found to be associated with the occurrence of a corneal abrasion. Corneal abrasions were associated with longer procedures and history of pre-existing ocular disease. No significant association between body positioning or surgical site and perioperative corneal abrasion was found. The study concludes that a longer duration of surgical procedure and pre-existing ocular disease are risk factors for perioperative corneal abrasion.