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IRCT20180107038251N4 IRCT 2020-10-14 Arak University of Medical Sciences Comparing the effect of vitamin A ointment and Liposic gel for prevention of corneal abrasion Comparing the effect of vitamin A ointment and Liposic gel for prevention of corneal abrasion during general anesthesia in nonocular surgeries 2021-02-19 anticipated 50 Complete https://irct.ir/trial/51532 interventional Randomization: Randomized, Blinding: Double blinded, Placebo: Not used, Assignment: Parallel, Purpose: Prevention, Randomization description: Patient's two eyes are divided into two groups of intervention 1 and intervention 2 using simple random sampling method. 25 envelopes containing the letters A (right eye of vitamin A ointment and left eye of Liposic gel) and envelopes containing the letters B (right eye of Liposic gel and left eye of vitamin A ointment) are prepared. With this method, the right eye of half of patients is placed in the group of vitamin A ointment and the right eye of half of the patients is placed in the group of Liposic gel and vice versa, Blinding description: In this study, patients and examiners are not aware of the allocation of groups. N/A Corneal abrasion. Intervention 1: Intervention group1: As soon as anesthesia and blinking reflex disappears, in the first group, eye care is given with vitamin A so that the researcher first washes his hands and wears clean gloves, then his thumb near the lower eyelid. Apply a gentle pressure to the cheekbones and lower the eyelid to fully expose the conjunctival sac. Then apply vitamin A ointment to the patient's eye without contact with the eyelid or eyelashes and place in the bag. The conjunctiva is placed 1 cm long so that it covers the surface of the eye and then closes the patient's eye with the hand. Intervention 2: Intervention group 2: As soon as anesthesia and blinking reflex disappears, in the second group, eye care is given with Liposic gel so that the researcher first washes his hands and wears clean gloves, then his thumb near the lower eyelid. Apply a gentle pressure to the cheekbones and lower the eyelid to fully expose the conjunctival sac. Then apply Liposic gel to the patient's eye without contact with the eyelid or eyelashes and place in the bag. The conjunctiva is placed 1 cm long so that it covers the surface of the eye and then closes the patient's eye with the hand. Undecided - It is not yet known if there will be a plan to make this available Justification or reason for indecision in sharing IPD is There is no more information
public Nazanin Amini
Faculty of Paramedicine, Arak University of Medical Sciences, Sardasht
Arak Iran (Islamic Republic of) 3819693345 +98 86 3417 3507 nazaninamini69@yahoo.com Arak University of Medical Sciences scientific Korosh Rezaei
Faculty of Nursing and Midwifery, Arak University of Medical Sciences, Sardasht
Arak Iran (Islamic Republic of) 3819693345 +98 86 3417 3507 k.rezaei@arakmu.ac.ir Arak University of Medical Sciences Iran (Islamic Republic of) Patients older than 18 years and less than 75 years Patients undergoing non-ocular surgery with general anesthesia No obvious damage to face and eyes Lack of recent hospitalization in intensive care unit No eye damage before surgery according to the patient No eye diseases (keratitis, keratopathy, glaucoma and other eye diseases) American Society Of Anesthesiologist Physical status I and II Patients with endotracheal intubation Duration of surgery between 60-300 minutes Supine position during surgery No allergy to fluorescein No pregnancy Negative preoperative fluorescein staining No severe systemic diseases Do not use drugs that affect the production of tears in a recent month 18 years 75 years Both Head and neck surgery Death during surgery Lack of patient cooperation and inability to answer questions related to ocular symptoms after surgery Need for invasive interventions and hospitalization in intensive care units End of surgery before 60 minutes S05.0 Injury of conjunctiva and corneal abrasion without foreign body Prevention Prevention Intervention group1: As soon as anesthesia and blinking reflex disappears, in the first group, eye care is given with vitamin A so that the researcher first washes his hands and wears clean gloves, then his thumb near the lower eyelid. Apply a gentle pressure to the cheekbones and lower the eyelid to fully expose the conjunctival sac. Then apply vitamin A ointment to the patient's eye without contact with the eyelid or eyelashes and place in the bag. The conjunctiva is placed 1 cm long so that it covers the surface of the eye and then closes the patient's eye with the hand. Intervention group 2: As soon as anesthesia and blinking reflex disappears, in the second group, eye care is given with Liposic gel so that the researcher first washes his hands and wears clean gloves, then his thumb near the lower eyelid. Apply a gentle pressure to the cheekbones and lower the eyelid to fully expose the conjunctival sac. Then apply Liposic gel to the patient's eye without contact with the eyelid or eyelashes and place in the bag. The conjunctiva is placed 1 cm long so that it covers the surface of the eye and then closes the patient's eye with the hand Corneal abrasion. Timepoint: Immediately after anesthesia, when leaving the recovery room, 24 hours after surgery. Method of measurement: Fluorescein paper and a flashlight with a cobalt blue light filter are used to assess corneal abrasion. Ophthalmic discomfort. Timepoint: 24 hours after surgery. Method of measurement: Questionnaire. Arak University of Medical Sciences Approved 2020-10-03 Arak University of Medical Sciences Arak University of Medical Sciences, Railroad Street, Alamol Huda Street Arak Markazi Iran (Islamic Republic of)