Ocular complications in trauma patients admitted to the intensive care unit of the ShahidBeheshtihospital in Kashan, Iran in2018

Purpose: This study aimed to determine the ocular complications in the intensive care unit (ICU) patients were conducted in 2018. Methods: This cross-sectional study was performed on 130 trauma patients who hospitalized in the ICUofShahidBeheshti hospital affiliated to the Kashan University of Medical Sciences. Demographic data,Glasgow Coma Scale (GCS), type of trauma (penetrating or blunt), site of trauma (head, face, neck, chest, abdomen and extremities) were evaluated. Eye status on admission (subconjunctival hemorrhage, rupture of the eyelids, corneal damage, facial lacerations, orbital injury (emphysema, proptosis, orbital fracture) was recorded by an ophthalmologist. The data analyzed with descriptive statistics such as analysis of variance, chi-square and Fisher. Results: Eighty patients (61.5%) were male. The mean (SD) ofage was 42 (17.53)years (range 6 to 76 years).Of the total patients, 160 eyes (61.6%) had ocular complications. Dry eye syndrome 58(22%) was the most complication. More complication in males was corneal epithelial defect (15.3%) and in femaleswas chemosis (8.4%). regarding the incidence of complications in women and men statistically significant difference was seen (P =0.021). A significant correlation between GCS and type of visual disorder was seen. Conclusion: Eye complications in patients admitted to the intensive care unit is high and dependingon age, male, sex and length of stay and level of consciousness. Preventive management of all patients with risk factors listed inthe intensive care unit is recommended.