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Eye Irrigation

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1. Eye Irrigation

Eye Irrigation Eye Irrigation Toggle navigation Brain Head & Neck Chest Endocrine Abdomen Musculoskeletal Skin Infectious Disease Hematology & Oncology Cohorts Diagnostics Emergency Findings Procedures Prevention & Management Pharmacy Resuscitation Trauma Emergency Procedures Ultrasound Cardiovascular Emergencies Lung Emergencies Infectious Disease Pediatrics Neurologic Emergencies Skin Exposure Miscellaneous Abuse Cancer Administration 4 Eye Irrigation Eye Irrigation Aka: Eye Irrigation II (...) . Indications III. Equipment pH paper Eye Irrigation fluid (Use best option that is immediately available) Preferred irrigants (liter bags - may require up to 10 liters) or Alternatives if preferred agents unavailable Sterile water Eyewash station or equivalent clean water supply Irrigation additives Consider placing 10-15 cc of 1% in the saline bag to maintain adequate topical anesthesia during irrigation Irrigation device (any clean device that can direct irrigant flow to eye) Morgan Medi-Flow lens

2018 FP Notebook

2. How to irrigate the eye (PubMed)

How to irrigate the eye 28289322 2018 08 20 0953-6833 29 95 2016 Community eye health Community Eye Health How to irrigate the eye. 56 Stevens Sue S Former Nurse Advisor, Community Eye Health Journal, International Centre for Eye Health, London School of Hygiene and Tropical Medicine, London, UK. eng Journal Article England Community Eye Health 8912615 0953-6833 2017 3 15 6 0 2016 1 1 0 0 2016 1 1 0 1 ppublish 28289322 PMC5340106

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2016 Community Eye Health

3. Eye irrigation for patients with ocular chemical burns: a systematic review.

Eye irrigation for patients with ocular chemical burns: a systematic review. The aim of this systematic review is to present the best available research evidence on eye irrigation methods for ocular chemical burns.Randomized, quasi-randomized controlled trials and observational studies comparing the effectiveness of methods of eye irrigation among adults or children as an active form of emergency treatment for ocular chemical burns were considered for review. Studies were eligible for inclusion (...) if methods of eye irrigation were examined within the following comparison categories: time to commence first eye irrigation; types, volumes, durations, flow rates and temperature of eye irrigating fluids; and comfort measures during eye irrigation. The types of outcome measures include immediate ocular outcomes and complications, clinical outcomes, self-reported outcomes, length of hospital stay and working days lost.Electronic bibliographic databases in English and Chinese were searched from inception

2017 JBI library of systematic reviews

4. Eye irrigation for patients with ocular chemical burns: A systematic review.

Eye irrigation for patients with ocular chemical burns: A systematic review. 27820473 2018 05 14 1838-2142 6 12 Suppl 2008 JBI library of systematic reviews JBI Libr Syst Rev Eye irrigation for patients with ocular chemical burns: A systematic review. 1-17 eng Journal Article Australia JBI Libr Syst Rev 101688957 1838-2142 2016 11 8 6 0 2008 1 1 0 0 2008 1 1 0 1 ppublish 27820473 01938924-200806121-00010

2017 JBI library of systematic reviews

5. Irrigation procedures in the Emergency Department and Urgent Care ? temperature of irrigation solution

presenting to the Emergency Department or Urgent Care needing a simple procedure that requires irrigation I (intervention) does using warm irrigation solution C (comparison) compared to using room temperature irrigation solution O (outcome) lead to increased comfort and improved patient experience? Target Population: Pediatric patients (0-21yrs old) presenting to the Emergency Department or Urgent Care requiring solution irrigation for simple laceration repairs, eye or ear irrigations (...) . There are no exclusion criteria for using warm irrigation solution if irrigation is required. Recommendation: It is recommended that solution be warmed to 32.2 - 37.8°C (equivalent to 90 - 100°F) before performing irrigation on lacerations, ears or eyes to improve patient comfort (Ernst, A. A., Gershoff, L., Miller, P., Tilden, E., & Weiss, S. J., 2003 [2a]; Ernst, A. A., Takakuwa, K. M., Letner, C., & Weiss, S. J., 1999 [2a]; Ernst, A. A., Weiss, S. J., Thomson, T., & Haynes, M. L., 1998 [2a]). Discussion/Summary

2012 Cincinnati Children's Hospital Medical Center

6. The Irrigation Or No Irrigation In Simple Lacerations Trials

. The volume of normal saline used will be calculated as 60 millilitre per centimetre length of laceration for a maximum of 300 millilitre. Once completed, the treating physician will enter the room and proceed to the laceration closure with the method and equipment of his choice. Both the patient (through eye covering) and the treating physician will remain blinded to the intervention. Experimental: No Irrigation The subjects randomized to this group will not have their simple lacerations directly (...) The Irrigation Or No Irrigation In Simple Lacerations Trials The Irrigation Or No Irrigation In Simple Lacerations Trials - Full Text View - ClinicalTrials.gov Hide glossary Glossary Study record managers: refer to the if submitting registration or results information. Search for terms x × Study Record Detail Saved Studies Save this study Warning You have reached the maximum number of saved studies (100). Please remove one or more studies before adding more. The Irrigation Or No Irrigation

2016 Clinical Trials

7. Continuous intracameral phenylephrine-ketorolac irrigation for miosis prevention in femtosecond laser-assisted cataract surgery: Reduction in surgical time and iris manipulation. (PubMed)

Continuous intracameral phenylephrine-ketorolac irrigation for miosis prevention in femtosecond laser-assisted cataract surgery: Reduction in surgical time and iris manipulation. To determine whether the addition of phenylephrine 1.0%-ketorolac 0.3% (Omidria) to the irrigation solution during femtosecond laser-assisted cataract surgery (FLACS) reduces surgical time and the need for pupil expansion devices compared with the irrigation solution containing epinephrine.Wake Forest Baptist Eye (...) Center, Winston-Salem, North Carolina, USA.Retrospective case series.Data were collected from consecutive patients. One group had epinephrine 1 μg/mL in the irrigating solution and the other group, had phenylephrine and ketorolac 4 mL added to 500 mL irrigation solution instead of epinephrine. All patients received preoperative topical bromfenac 2 days before surgery. The same surgeon performed all procedures using the same laser (Catalys) and operative conditions. Endpoints were surgical time

2019 Journal of cataract and refractive surgery

8. Lacrimal passage irrigation in children with Stevens-Johnson syndrome or toxic epidermal necrolysis: a five-year retrospective study. (PubMed)

group included 21 inpatients and the control group included 18 inpatients. The χ2 test was used to compare clinical findings and data in both groups.The rate of lacrimal system obstructions in the chronic stage of SJS or TEN in the irrigation group was significantly lower than in the control group (p < 0.01). A significant difference was also found between the epiphora rates in patients with SJS or TEN in the chronic stage in the two groups (p = 0.047). One of 15 patients with mild dry eyes (...) or without dry eyes in the irrigation group had epiphora, and it affected five of 12 in the control group. The difference between the two groups was significant (p = 0.03). Epiphora in the two patients in the control group was long-term, owing to the disappearance of puncta marks.Lacrimal system irrigation with dexamethasone drops in the acute stage was a simple way to lessen lacrimal system obstructions and epiphora in patients with SJS or TEN. It should be considered a conventional ocular treatment

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2019 BMC Ophthalmology

9. Antibiotics by injection into the eye can prevent severe infection following cataract surgery

Antibiotics by injection into the eye can prevent severe infection following cataract surgery Antibiotics by injection into the eye can prevent severe infection following cataract surgery Discover Portal Discover Portal Antibiotics by injection into the eye can prevent severe infection following cataract surgery Published on 11 April 2017 doi: Injecting the antibiotics vancomycin or moxifloxacin into the eyeball after eye surgery can reduce the risk of developing severe infection inside the eye (...) (endophthalmitis) compared to other routes. Cefuroxime is currently the antibiotic of choice for this in the UK, but researchers wanted to see if drugs with lower rates of resistance might also be effective. A of 34 studies, mostly observational studies with nine randomised controlled trials (RCTs), explored the effects of different types of antibiotic regimens on the risk of endophthalmitis in people who had received eye surgery. There were no randomised trials of vancomycin or moxifloxacin injections

2019 NIHR Dissemination Centre

10. Tripolymeric Corneal Coating Gel Versus Balanced Salt Solution Irrigation During Cataract Surgery: A Retrospective Analysis (PubMed)

were intraoperative clarity and ease of manipulation; postoperative epithelial integrity; and patient discomfort.Compared with BSS irrigation, eyeDRO coating significantly increased intraoperative clarity and ease of manipulation (P < 0.01). Single application was required in eyeDRO-treated eyes, whereas BSS was applied 5.3 ± 0.4 times on average (P < 0.01). Two hours postoperatively, a normal epithelium was observed in 90.0% and 60.0% of eyeDRO-coated and BSS-irrigated eyes, respectively; punctate (...) epithelial damage was observed in 9.7% and 40.0% (P < 0.05) of eyeDRO-coated and BSS-irrigated eyes, respectively; eye irritation and foreign body sensation were experienced by 13.0% and 37.0% of eyeDRO-treated patients and by 65.0% and 100% of BSS-treated patients, respectively (P < 0.01). Twenty-four hours postoperatively, 80.0% of BSS-treated patients versus 19.0% of eyeDRO-treated patients still experienced foreign body sensation (P < 0.01).EyeDRO coating was shown to be a safer and more effective

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2018 Cornea

11. Irrigation port hydration in phacoemulsification surgery (PubMed)

that subsequently prevented leakage. This procedure is called the hydration using irrigation port (HYUIP) technique. A total of 60 eyes were randomized and placed in two groups, 30 eyes underwent surgeries using the HYUIP technique (HYUIP group) and 30 eyes underwent surgeries without the HYUIP technique (control). The three points evaluated during each surgery included 1) the occurrence of anterior chamber collapse during the pulling out of the I/A tip after inserting the intraocular lens, 2) the need (...) Irrigation port hydration in phacoemulsification surgery In most cases, hydration is performed by water injection into the stromal tissue with a needle. The technique is simple, however it is sometimes troublesome.We describe a simple technique for hydrating the corneal stroma in cataract surgery using an irrigation port.The technique began by pushing the irrigation port against the corneal stroma for a few seconds during phacoemulsification, which generated edema in the corneal incision

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2018 Clinical ophthalmology (Auckland, N.Z.)

12. Gradual spontaneous resolution of corneal bloodstaining after anterior chamber irrigation for rebleeding secondary to traumatic hyphema (PubMed)

Gradual spontaneous resolution of corneal bloodstaining after anterior chamber irrigation for rebleeding secondary to traumatic hyphema Corneal bloodstaining, which is brown or dark yellow in color, is induced by hemoglobin deposition, and its breakdown products extend into the corneal stroma. In this article, we report a rare case of corneal bloodstaining induced by total hyphema after rebleeding for traumatic hyphema. The patient underwent irrigation of the anterior chamber (AC) and cataract (...) surgery of the right eye after trauma. After oral and topical treatment the imprint of corneal bloodstaining faded, and it nearly disappeared after the procedures. Corneal bloodstaining is undoubtedly a vision-threatening complication of total hyphema after ocular trauma, surgical intervention, and even rebleeding. Removal of the total hyphema as soon as possible decreases the severity of corneal bloodstaining, shortens the course of spontaneous healing, and thus improves vision.

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2018 International medical case reports journal

13. The safety and efficacy of phaco-sleeve irrigation-assisted hydrodissection during femtosecond laser-assisted cataract surgery (PubMed)

The safety and efficacy of phaco-sleeve irrigation-assisted hydrodissection during femtosecond laser-assisted cataract surgery Femtosecond laser-assisted cataract surgery (FLACS) changes the intraoperative environment due to the generation of intracapsular gas that induces a high intracapsular volume. Manual hydrodissection (mH) may induce high intracapsular pressure (ICP) and additional intracapsular volume, thereby leading to capsular block syndrome (CBS). Since the phaco-sleeve irrigation (...) -assisted hydrodissection (iH) technique is used to initially groove and split the lens and remove the intracapsular gas, this can reduce the intracapsular volume while bypassing the intracapsular lens prior to the hydrodissection. As iH uses the phaco tip to intentionally vacuum the intraocular fluid for use in inducing the irrigation jet from the sleeve side holes, the ICP cannot surpass the set irrigation pressure, thereby avoiding CBS. Using this technique, we performed FLACS without CBS in 310

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2018 Clinical ophthalmology (Auckland, N.Z.)

14. Bilateral eye irrigation: a simple and effective hands-free technique. (PubMed)

Bilateral eye irrigation: a simple and effective hands-free technique. Bilateral chemical eye injuries are a common and important problem in the Emergency Department. Irrigation of both eyes can be time-consuming, so we present a novel, simple and cost-effective technique for hands-free bilateral eye irrigation. Modifications of a generic dual-lumen cannula adapter and fixation about the glabella allow sterile irrigation fluid to be delivered directly to the medial canthi of the contaminated (...) eyes in a hands-free fashion. Our customized rig frees both the clinician(s) and patient, thus conferring benefits to both. Patients regain autonomy of movement to reposition themselves for comfort or to manipulate the eyelids for more effective irrigation. Clinicians are freed to tend to other tasks. By sharing this technique we hope to stimulate discussion on the safest and most effective method of irrigating chemically injured eyes and prompt the generation of comparable outcome data

2014 European Journal of Emergency Medicine

15. Intraoperative Vancomycin in Irrigating Solutions for Patients Undergoing Cataract Surgery: Clinical Effectiveness and Guidelines

-randomized study and two evidence-based guidelines were identified regarding the addition of vancomycin or other antibiotics to irrigating solutions for patients undergoing cataract surgery. Additional references of potential interest are provided in the appendix. OVERALL SUMMARY OF FINDINGS One non-randomized study 1 sought to determine the efficacy of vancomycin in irrigating solutions compared to preoperative topical ciprofloxacin eye-drops for the reduction of anterior chamber contamination. Aqueous (...) samples showed less microbial growth in the patients treated with vancomycin in the irrigating solution compared to patients treated preoperatively with ciprofloxacin eye-drops. One guideline 2 produced in the UK by the Royal College of Ophthalmologists notes as part of their ocular pharmacology that unlicensed drugs, such as cefuroxime and vancomycin, are sometimes injected intraocularly or added to irrigating solutions during cataract surgery. As part of their literature review, one guideline 3

2012 Canadian Agency for Drugs and Technologies in Health - Rapid Review

16. Antibiotics by injection into the eye can prevent severe infection following cataract surgery

Antibiotics by injection into the eye can prevent severe infection following cataract surgery Antibiotics by injection into the eye can prevent severe infection following cataract surgery Discover Portal Discover Portal Antibiotics by injection into the eye can prevent severe infection following cataract surgery Published on 11 April 2017 doi: Injecting the antibiotics vancomycin or moxifloxacin into the eyeball after eye surgery can reduce the risk of developing severe infection inside the eye (...) (endophthalmitis) compared to other routes. Cefuroxime is currently the antibiotic of choice for this in the UK, but researchers wanted to see if drugs with lower rates of resistance might also be effective. A of 34 studies, mostly observational studies with nine randomised controlled trials (RCTs), explored the effects of different types of antibiotic regimens on the risk of endophthalmitis in people who had received eye surgery. There were no randomised trials of vancomycin or moxifloxacin injections

2018 NIHR Dissemination Centre

17. Effectiveness of timely intraoperative iodine irrigation during cataract surgery. (PubMed)

Effectiveness of timely intraoperative iodine irrigation during cataract surgery. To determine the antiseptic efficacy of timely intraoperative iodine irrigation during cataract surgery.A total of 198 eyes of 99 cataract surgery patients were studied. The eyes were randomly assigned to treatment with or without timely intraoperative iodine irrigation of the surgical field with an iodine compound equivalent to 0.33 % povidone-iodine. In eyes in the timely intraoperative iodine irrigation group (...) in cultures of the samples. For the control eyes without timely iodine irrigation, cultures of samples from five and two eyes were positive before the initial incision and before IOL insertion, respectively. The bacterial DNA copy number before the initial incision was 1.7 ± 0.5 × 103, which was significantly lower than that of the control eyes (1.7 ± 0.6 × 104). For both groups of eyes, the bacterial DNA copy number was significantly lower before the IOL insertion depending on the time course. When

2017 Japanese journal of ophthalmology

18. Anterior subcapsular cataract caused by forceful irrigation during implantation of a posterior chamber phakic intraocular lens with a central hole. (PubMed)

implantation of the V4c Visian Implantable Collamer Lens with a central hole. Patients were identified during regular follow-up visits between January and September 2015. Possible causative factors, such as microbial contamination of surgical instruments, type of ophthalmic viscosurgical device (OVD) and irrigation substance, intracameral application of mydriatics and antibiotics, duration of surgeries, and surgical technique were analyzed.Eleven eyes of 8 patients showed white opacification behind (...) the anterior capsule of the crystalline lens 1 day postoperatively. Opacification led to a significant loss of corrected distance visual acuity in all eyes. In 9 eyes, the pIOL was explanted and in 8 eyes, phacoemulsification with IOL implantation was performed. All other analyzed possible causative factors were excluded; thus, the opacification was attributed to the surgical technique of OVD removal by irrigation with a cannula in the presence of a central hole in the pIOL. After the surgical technique

2017 Journal of cataract and refractive surgery

19. Gene Expression Analysis of the Irrigation Solution Samples Collected during Vitrectomy for Idiopathic Epiretinal Membrane. (PubMed)

Gene Expression Analysis of the Irrigation Solution Samples Collected during Vitrectomy for Idiopathic Epiretinal Membrane. The analysis of gene expression in idiopathic epiretinal membranes (iERMs) may help elucidate ERM formation and its pathology. Here, we conducted a case-control study, in order to determine the expression levels of cytokines and other genes in eyes with macular hole (MH) or iERM.Twenty eyes, obtained from seven male and 13 female patients, were included in the study (...) . The average age of the study subjects was 69.1 ± 7.67 years, and 15 eyes had iERM, while five eyes had MH. Irrigation solution samples were collected during vitrectomy, centrifuged, and the levels of cytokine and other mRNAs in the sediment were assessed using real-time PCR. The expression level of 11 cytokine genes, four transcription factor genes, two cytoskeletal genes, and genes encoding two extracellular matrix proteins in eyes with MH or iERM were determined and compared.The expression levels

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2016 PLoS ONE

20. Reduced anterior chamber contamination by frequent surface irrigation with diluted iodine solutions during cataract surgery. (PubMed)

Reduced anterior chamber contamination by frequent surface irrigation with diluted iodine solutions during cataract surgery. To verify that ocular surface irrigation with 0.025% povidone-iodine (PI) or 0.0025% polyvinyl alcohol-iodine (PAI) during cataract surgery minimizes bacterial contamination of the anterior chamber.The study was a prospective, interventional case series. First, the bactericidal effect of PI or PAI against Staphylococcus aureus was evaluated in vitro. Next, in 400 eyes (...) undergoing cataract surgery, the ocular surface was irrigated every 20 seconds during surgery with balanced salt solution (BSS; 200 eyes) or BSS containing 0.025% PI (100 eyes) or 0.0025% PAI (100 eyes). At the completion of surgery, anterior chamber fluid was cultured bacteriologically. Visual acuity (VA) and corneal endothelial cell density were measured before and 7 days after surgery.A marked bactericidal effect was observed when S. aureus was directly exposed for 15 seconds to 0.01% PI or 0.001% PAI

2017 Acta ophthalmologica

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