Author: Leuzinger-Dias, Mariana; Lima-Fontes, Mário; Oliveira-Ferreira, Cláudia; Camisa, Elisa; Sousa, Cristina; Rocha-Sousa, Amândio; Falcão-Reis, Fernando; Freitas-da-Costa, Paulo
Title: Prone Positioning Covid-19 Patients: A Double-Edged Sword—A Case Report of a Devastating Ocular Complication Cord-id: hmyfisz9 Document date: 2021_6_19
ID: hmyfisz9
Snippet: In the late 1970s, prone positioning was established as an efficient treatment for acute respiratory distress syndrome (ARDS). Currently, with the world facing a global health crisis due to the COVID-19 pandemic, it has become an accepted routine practice in intensive care units dealing with critically ill COVID-19 patients. Ophthalmic complications associated with the prone position are not a novelty in clinical practice. Indeed, it is estimated that in patients undergoing spine surgery, prone
Document: In the late 1970s, prone positioning was established as an efficient treatment for acute respiratory distress syndrome (ARDS). Currently, with the world facing a global health crisis due to the COVID-19 pandemic, it has become an accepted routine practice in intensive care units dealing with critically ill COVID-19 patients. Ophthalmic complications associated with the prone position are not a novelty in clinical practice. Indeed, it is estimated that in patients undergoing spine surgery, prone positioning carries a tenfold increased risk of eye injury when compared to supine and lateral positioning. The majority of these complications are treatable ocular surface disorders, but irreversible sight-threatening conditions also occur. We report a unique and dramatic case of a ruptured globe in a COVID-19 patient placed in prolonged prone position, emphasizing its difficult diagnosis and management while focusing on life-saving support.
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