Peri-operative Application of Eyeprotx General Anesthesia Goggles As Prevention Against Corneal Injury Post Intubation.
- Conditions
- Corneal Injuries
- Interventions
- Device: Eyeprotx™ General Anesthesia Protective GogglesDevice: Eyelid TapeDevice: Eye Ointment
- Registration Number
- NCT03762889
- Lead Sponsor
- University of Miami
- Brief Summary
This is a randomized controlled trial that seeks to examine the effectiveness of Eyeprotx™ protective goggles in comparison to traditional methods against ocular injury that can occur perioperatively under general anesthesia.
- Detailed Description
Ocular injury is but a devastating condition that can occur perioperatively under general anesthesia. Corneal abrasion is the most common ocular injury during general anesthesia, surpassing case incidence of damage caused by patient movement in ophthalmologic surgery. Causes of ocular injury include corneal drying due to the suppression of tear ducts from anesthetic agents, direct physical trauma, or agitation from the volatile anesthetic used. Ocular injury may also occur due to bacterial infection with MRSA, preventative methods, or rubbing of the eyes postoperatively due to agitation. Agitation may be caused by corneal drying or by shift or disruption in rapid eye movement sleep cycle from light penetration through the eyelids. Attempts at prevention of corneal abrasion have been used, including taping the eyelids shut, manual eye closure, paraffin-based ointment application into the conjunctival sac, and the use of hydrophilic contact lenses, although only a few studies have validated the comparison of these methods' effectiveness.
Eyeprotx™ Protective Goggles have been designed specifically for use in the operating room or in any scenario where general anesthesia must be used, such as intubation in an emergency. Current ocular protective measures such as tapes during anesthesia have been associated with injury and infection. With this study, we hope to find a safer preventative technique against ocular injury during the perioperative period.
Recruitment & Eligibility
- Status
- WITHDRAWN
- Sex
- All
- Target Recruitment
- Not specified
- Patients undergoing general anesthesia
- Patients admitted to Jackson Memorial Hospital
- Patients unable to communicate, for whatever reason
- Patients predisposed to eye conditions
- Patients with history of increased intraocular pressure
- Patients with a medical history of Sicca syndrome
- Patients with claustrophobia
- Patients with pseudoexfoliation syndromes
- Patients with a current exopthalmic condition
Study & Design
- Study Type
- INTERVENTIONAL
- Study Design
- PARALLEL
- Arm && Interventions
Group Intervention Description Eyeprotx™ Group Eyeprotx™ General Anesthesia Protective Goggles This group of participants will use the Eyeprotx™ General Anesthesia Protective Goggles when intubated perioperatively under general anesthesia. Eyelid Tape Group Eyelid Tape This group of participants will be receiving the eyelid tape as the preventative measure when intubated perioperatively under general anesthesia. Eye Ointment Group Eye Ointment This group of participants will be receiving the ointment application when intubated perioperatively under general anesthesia.
- Primary Outcome Measures
Name Time Method Incidence of Ocular Complications post-operation Evaluation of these complications will be done from the point the patient has returned to the recovery room to up to one week post-surgery or until discharge, whichever comes first. Incidence of corneal abrasion, conjunctivitis, MRSA infection, and direct ocular trauma will be assessed by the anesthesiologist or nurse anesthetist and will be recorded upon diagnosis of condition for all groups.
Changes in Baseline Ocular Condition post-operatively The patient's initial rating will be recorded approximately ten minutes before surgery at the point of anesthesia evaluation and will be reassessed up to 24 hours post-operatively. The following will be measured upon evaluation, using a numerical scale of 1 to 8, with 1 being complete absence of condition and 8 being the most severe presentation of the condition:
1. eye discomfort, 2, pain, and 3. dryness intensity, each on a numerical rating-scale of 1 to 8, The measures will be compared among the goggle, ointment, and tape groups.
- Secondary Outcome Measures
Name Time Method Incidence of Nightmare during Use This measure will be evaluated up to 48 hours post-surgical operation. Patient's report of experiencing nightmares during the surgery will be recorded qualitatively.
Patient Awareness during Anesthesia This measure will be evaluated up to 48 hours post-surgical operation. Patient awareness of being under anesthesia will be recorded qualitatively, with accounts of anxiety and/or fear being noted, if applicable.
Trial Locations
- Locations (1)
Jackson Memorial Hospital
🇺🇸Miami, Florida, United States