We appreciate the interest shown by Dr. Priebe1 in our review article in Anesthesiology.2 They have provided a valuable caveat to what we wrote with respect to prevention of corneal abrasions. Dr. Priebe1 is correct that the eyes should be properly covered immediately after loss of the eyelid reflex after induction of anesthesia. This should prevent corneal abrasion caused by objects inadvertently contacting the eye during endotracheal intubation. Using this routine, together with an educational program, as referenced by Dr. Priebe,1 reduced the incidence of corneal injury after anesthesia from 1.51 per 1,000 to 0.79 per 1,000.3 However, corneal injury also includes exposure keratopathy (in our review, we used this term since the distinctions between exposure keratopathy and corneal abrasion may be somewhat arbitrary). Interestingly, the authors of this report found that risk factors for corneal injury included the length of surgery, as well...
Anesthesia and Eye Diseases: Reply
(Accepted for publication February 17, 2023. Published online first on April 5, 2023.)
Steven Roth, Heather E. Moss, Thasarat Sutabutr Vajaranant, BobbieJean Sweitzer; Anesthesia and Eye Diseases: Reply. Anesthesiology 2023; 139:117 doi: https://doi.org/10.1097/ALN.0000000000004543
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