Features  |   February 2018
Revisiting Perioperative Corneal Abrasion
Article Information
Central and Peripheral Nervous Systems / Ophthalmologic Anesthesia / Trauma / Burn Care / Features
Features   |   February 2018
Revisiting Perioperative Corneal Abrasion
ASA Monitor 02 2018, Vol.82, 22-25.
ASA Monitor 02 2018, Vol.82, 22-25.
The Anesthesia Quality Institute (AQI) has included a new parameter in its 2017 Measure Specifications for the Merit-based Incentive Payment System (MIPS) Reporting.1  Item AQ128 measures the percentage of patients aged 18 years or older who undergo anesthesia care and do not have a new diagnosis of corneal injury prior to anesthesia end time. This measure is to be reported each time a patient undergoes a procedure with anesthesia not involving patients with pre-existing eye trauma or those patients undergoing ophthalmic surgery.
Anesthesiologists have an obligation to protect patients’ eyes, particularly during non-ocular surgery. As long ago as 1937, Guedel commented that there was “too much conjunctivitis and keratitis following anesthesia.” Today, the incidence of perioperative ocular injury is low (0.03-0.17 percent),primarily because there is heightened awareness of corneal abrasion with more attention paid to intraoperative eye care. However, postoperative eye complaints remain a source of patient distress and certainly contribute to lower patient satisfaction scores. Closed Claims Project analysis has affirmed that corneal abrasions are the most frequent ophthalmic complaint following non-ocular surgery.2 
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