Prolonged prone positioning of COVID-19 patients can lead to
Now open: Certificate Course in Management of Covid-19 by Govt. Of Gujarat and PlexusMDKnow more...Now open: Certificate Course in Management of Covid-19 by Govt. Of Gujarat and PlexusMDKnow more...
Get authentic, real-time news that helps you fight COVID-19 better.
Install PlexusMD App for doctors. It's free.
These findings detail the first-hand observation by one ophthalmologist at a tertiary New York medical center during April and May 2020. Critically ill patients with COVID-19 can benefit from prolonged prone positioning to improve oxygenation.

Four of 16 ICU patients required prolonged prone-position ventilation and developed significant periorbital edema. Two patients who had 9 and 4 sessions of 18-hour ventilation in the prone position developed orbital compartment syndrome (increased IOP of 2- to 3-fold in prone positioning) and papillophlebitis (optic disc elevation with associated hemorrhages). The other two patients had normal fundus examination, but had fewer sessions of pone positioning (1 and 3 sessions, respectively).

The ophthalmic findings seen in these critically ill COVID-19 patients may be related to the combined effects of increased orbital venous pressure during prolonged prone positioning and COVID-19—associated coagulopathy.

This report suggests permanent vision loss is possible following prolonged prone positioning. Care should be taken to cushion the eyes to minimize pressure on the globe during prone positioning. If possible, maintaining a head position above heart level can decrease dependent swelling.

Source:https://www.aao.org/editors-choice/prolonged-prone-positioning-of-covid-19-patients-c
1 share
Like
Comment
Share