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Eye care protocol and flowchart

Aims of eye care

  • To protect the eye in vulnerable patients
  • To identify disease affecting the eye when this occurs while the patient is in ITU
  • To deliver treatment to the eye when it is prescribed

The overall aim of looking after the eyes in these patients is to ensure that when they leave ITU their future vision is not going to be compromised by a lack of care at this time when they are very sick and the main priority of care is keeping them alive. Patients in ICU are at risk of developing:

  • corneal abrasions
  • conjunctival oedema
  • keratitis
  • conjunctival chemosis – “ventilator eye”

The Intensive Care Society guidance on eye care published in 2017