Ophthalmology in Critical Care

Ann Am Thorac Soc. 2019 Aug;16(8):957-966. doi: 10.1513/AnnalsATS.201812-848CME.

Abstract

Ophthalmic disease encountered in the intensive care unit (ICU) has a wide spectrum of prevalence and severity. Prolonged exposure of the cornea is common and preventable. Trauma, glaucoma, infection, vascular disease, and burns are among the potential causes of vision loss. Patients are predisposed to ocular complications by the ICU environment and critical illness itself. Critically ill patients require prioritization of life-sustaining interventions, and less emphasis is placed on ophthalmic disease, leading to missed opportunities for vision-saving intervention. It is therefore imperative for intensivists, nurses, and other providers to have an increased awareness and understanding of the broad range of ocular conditions potentially seen in the ICU.

Keywords: endophthalmitis; eye neoplasms; glaucoma; optic nerve diseases; retinitis.

Publication types

  • Review

MeSH terms

  • Corneal Diseases / epidemiology
  • Corneal Diseases / etiology
  • Corneal Diseases / prevention & control
  • Critical Illness
  • Eye Diseases / epidemiology
  • Eye Diseases / etiology*
  • Eye Diseases / prevention & control
  • Eye Diseases / therapy
  • Eye Infections / epidemiology
  • Eye Infections / etiology
  • Eye Infections / prevention & control
  • Humans
  • Iatrogenic Disease
  • Intensive Care Units*
  • Ophthalmology*
  • Prevalence
  • Prognosis