Eye care is an important area of critical care. However, lack of eye care studies is a common issue across the globe. The aim of this study is to determine the views and practices of intensive care unit (ICU) nurses on eye care in Turkey and Palestine. This descriptive study was conducted using a self-administrated questionnaire. The data were collected from 111 nurses in nine kinds of ICUs in two education hospital. Normal saline (75.9%) was the most commonly reported solution for eye hygiene among the Palestinian nurses, and gauze soaked in normal saline or sterile water (64.3%) were the most frequently used supplies by the Turkish nurses. Although both Palestinian and Turkish ICU nurses took some precautions to prevent eye complications in critical patients, there were some gaps and insufficiencies in the eye care of ICU patients. There is a need for continuing training in this area.
AlansariM. A.HijaziM. H.MaghrabiK. A. (2015). Making a difference in eye care of the critically ill patients. Journal of Intensive Care Medicine, 30, 311-317.
2.
AlaviN. M.SharifitabarZ.ShaeriM.HajbagheryM. A. (2014). An audit of eye dryness and corneal abrasion in ICU patients in Iran. Nursing in Critical Care, 19(2), 73-77.
3.
AzfarM. F.KhanM. F.AlzeerA. H. (2013). Protocolized eye care prevents corneal complications in ventilated patients in a medical intensive care unit. Saudi Journal of Anaesthesia, 7(1), 33-36.
4.
CorteseD.CappL.McKinleyS. (1995). Moisture chamber versus lubrication for the prevention of corneal epithelial breakdown. American Journal of Critical Care, 4, 425-428.
5.
DawsonD. (2005). Development of a new eye care guideline for critically ill patients. Intensive & Critical Care Nursing, 21, 119-122.
6.
de FrançaC. F.FernandesA. P.CarvalhoD. P.de Mesquita XavierS. S.JuniorM. A.BotarelliF. R.VitorA. F. (2016). Evidence of interventions for the risk of dry eye in critically ill patients: An integrative review. Applied Nursing Research, 29: e14-e17.
7.
DemirelS.CumurcuT.FıratP.AydoğanM. S.DoğanayS. (2014). Effective management of exposure keratopathy developed in intensive care units: The impact of an evidence based eye care education programme. Intensive & Critical Care Nursing, 30(1), 38-44.
8.
DesaluI.AkinsolaF.AdekolaO.AkinbamiO.KushimoO.Adefule-OsiteluA. (2008). Ocular surface disorders in intensive care unit patients in a Sub-Saharan Teaching Hospital. Internet Journal of Emergency and Intensive Care Medicine, 11(1), 35-39.
9.
DouglasL.BerryS. (2011). Developing clinical guidelines in eye care for intensive care units. Nursing Children and Young People, 23(5), 14-20.
10.
FashafshehI. H. D.MorsyW. Y. M.IsmaeelM. S.AlkaiasiA. A. E. (2013). Impact of a designed eye care protocol on nurses knowledge, practices and on eye health status of unconscious mechanically ventilated patients at North Palestine Hospitals. Journal of Education and Practice, 4(28), 107-120.
11.
FulbrookP.AlbarranJ. W.BaktoftB.SidebottomB. A. (2012). Survey of European intensive care nurses’ knowledge levels. International Journal of Nursing Studies, 49(2), 191-200.
12.
GermanoE. M.MelloM. J. G.SenaD. F.CorreiaJ. B.AmorimM. R. (2009). Incidence and risk factors of corneal epithelial defects in mechanically ventilated children. Critical Care Medicine, 37, 1-4.
13.
GrixtiA.SadriM.EdgarJ.DattaA. V. (2012). Common ocular surface disorders in patients in intensive care units. The Ocular Surface, 10, 26-42.
14.
JammalH.KhaderY.ShihadehW.AbabnehL.AljizawiG.AlQasemA. (2012). Exposure keratopathy in sedated and ventilated patients. Journal of Critical Care, 27, 537-541.
15.
JoyceN. (2002). Eye care for the intensive care patients (A Systematic Review No. 21). Adelaide, Australia: The Joanna Briggs Institute for Evidence Based Nursing and Midwifery.
16.
KamK. Y. R.HaldarS.PapamichaelE.PearceK. C. S.HayesM.JoshiN. (2013). Eye care in the critically ill: A national survey and protocol. Journal of Intensive Care Society, 14, 150-154.
17.
KamK. Y. R.HayesM.JoshiN. (2011). Ocular care and complications in the critically ill. Trends in Anaesthesia and Critical Care, 1, 257-262.
18.
KanskiJ. J. (2007). Clinical ophthalmology: A systematic approach (6th ed.). Edinburgh, UK: Butterworth-Heinemann.
19.
KingD. J.HealyM. (2003). Prevention of eye disease in intensive care: a telephone survey. Intensive Care Medicine, 29: (15 Suppl.).
20.
KocaçalE.Eşerİ. (2008). A significant problem in intensive care patients: Eye complications. Türkiye Klinikleri Journal of Medical Sciences, 28, 193-197. (In Turkish)
21.
KocaçalE. G.Eşerİ.EğrilmezS. (2011). Effectiveness of polyethylene covers versus carbomer drops (Viscotears) to prevent dry eye syndrome in the critically ill. Journal of Clinical Nursing, 20, 1916-1922.
22.
KoroloffN.BootsR.LipmanJ.ThomasP.RickardC.CoyerF. (2004). A randomised controlled study of the efficacy of hypromellose and Lacri-Lube combination versus polyethylene/Cling wrap to prevent corneal epithelial breakdown in the semiconscious intensive care patient. Intensive Care Medicine, 30, 1122-1126.
23.
KuruvillaS.PeterJ.DavidS.PremkumarP. S.RamakrishnaK.ThomasL.. . . PeterJ. V. (2015). Incidence and risk factor evaluation of exposure keratopathy in critically ill patients: A cohort study. Journal of Critical Care, 30, 400-404.
24.
LabeauS. O.WitdouckS. S.VandijckD. M.ClaesB.RelloJ.VandewoudeK. H., . . . Executive Board of the Flemish Society for Critical Care Nurses. (2010). Nurses’ knowledge of evidence-based guidelines for the prevention of surgical site infection. Worldviews on Evidence-Based Nursing, 7, 16-24.
25.
MarshallA. P.ElliottR.RollsK.SchachtS.BoyleM. (2008). Eye care in the critically ill: Clinical practice guideline. Australian Critical Care, 21, 97-109.
26.
MartinM.LoughM. E. (2009). Easy on the eye! Eye care for the mechanically ventilated patients. Stanford, CA: Stanford Hospital and Clinics.
27.
McHughJ.AlaxenderP.KalhoroA.IodinesA. (2008). Screening for ocular surface disease in the intensive care unit. Eye, 22, 1465-1468.
28.
MelaE. K.DrimtziasE. G.ChristofidouM. K.FilosK. S.AnastassiouE. D.GartaganisS. P. (2010). Ocular surface bacterial colonisation in sedated intensive care unit patients. Anaesthesia and Intensive Care, 38, 190-193.
29.
OhE. G.LeeW. H.YooJ. S.KimS. S.KoI. S.ChuS. H.. . . KangS. W. (2008). Factors related to incidence of eye disorders in Korean patients at intensive care units. Journal of Clinical Nursing, 18, 29-35.
30.
ParkinB.TurnerA.MooreE.CookS. (1997). Bacterial keratitis in the critically ill. British Journal of Ophthalmology, 81, 1060-1063.
31.
RamirezF.IbarraS.VaronJ.TangR. (2008). The neglected eye: Ophthalmological issues in the intensive care unit. Critical Care & Shock, 11(3), 72-82.
32.
RosenbergJ. B.EisenL. A. (2008). Eye care in the intensive care unit: Narrative review and meta-analysis. Critical Care Medicine, 36, 3151-3155.
33.
RubertiJ. W. R.RoyA. S. R.RobertsC. J. R. (2011). Corneal structure and function. Corneal Biomechanics and Biomaterials, 13, 269-295.
34.
SaritaşS. B.BozkurtB.ŞimşekB.ÇakmakZ.ÖzdemirM.YosunkayaA. (2013). Ocular surface disorders in intensive care unit patients. Scientific World Journal. doi:10.1155/2013/182038
35.
ShanH.MinD. (2010). Prevention of exposure keratopathy in the intensive care unit. International Journal of Ophthalmology, 3, 346-348.
36.
SivasankarS.JasperS.SimonS.JacobP.JohnG.RajuR. (2006). Eye care in ICU. Indian Journal of Critical Care Medicine, 10(1), 11-14.
37.
SoH. M.LeeC. C.LeungA. K.LimJ. M.ChanC. S.YanW. W. (2008). Comparing the effectiveness of polyethylene covers (Gladwrap) with lanolin (Duratears) eye ointment to prevent corneal abrasions in critically ill patients: A randomized controlled study. International Journal of Nursing, 45, 1565-1571.
38.
SorceL. R.HamiltonS. M.GauvreauK.MetsM. B.HunterD. G.RahmaniB.. . . CurleyM. A. Q. (2009). Preventing corneal abrasions in critically ill children receiving neuromuscular blockade: A randomized, controlled trial. Pediatric Critical Care Medicine, 10, 171-175.
39.
Werli-AlvarengaA.ErcoleF. F.BotoniF. A.OliveiraJ. A. D. M. M.ChiancaT. C. M. (2011). Corneal injuries: Incidence and risk factors in the intensive care unit. Revista Latino-Americana de Enfermagem, 19, 1088-1095.
40.
ZhouY.LiuJ.CuiY.ZhuH.LuZ. (2014). Moisture chamber versus lubrication for corneal protection in critically ill patients: A meta-analysis. Cornea, 33, 1179-1185.
